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ACORDTM CERTIFICATE OF <br />LIABILITY INSURANCE - °"TE/25/06 "Y' <br />PRODUCER Fairway Insurance Center Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />17072 Silica Drive Ste. 103 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Victorville, CA 92392 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />_ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(760)245-2561 <br />_--_ <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Cazcom Inc. DBA: Hi Desert Communications <br />INSURER A E <br />Evanston Insurance Company -- -- - --- - <br />INSURER a Explorer Insurance Company <br />17181 Jasmine St. <br />INSURER C.- State Fund- <br />-- <br />Victorville, CA 92392 ,y..-. <br />- <br />' ��.��� 041 <br />INSURER D <br />1-- <br />INSURER E: <br />i <br />COVERAGES- _ <br />_ <br />'INSURER <br />F: <br />THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NA MED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF <br />SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTR <br />INSRD <br />_ TYPE OF INSURANCE POLICY NUMBER <br />-_ <br />POLICY IMIDD NE <br />pATELM/DD/YY) <br />POLICY E%PIRATI) <br />�pAT�MIDDM/) <br />- <br />LIMITS <br />GENERAL LIABILITY <br />IV] COMMERCIAL GENERAL LIABILITY <br />I <br />EACH OCCURRENCE _ 1 000,000 <br />_ - - - <br />CP040700310 <br />OS/30/06 <br />08/30/07 <br />DAMAGE <br />PREMISESLa <br />TO RENTED <br />occurence <br />r <br />A <br />Imo] <br />.-- CLAIMS MADE VI OCCUR <br />MED EXP (Any one person) <br />5,000 <br />-.. <br />PERSONAL 8 ADV INJURY <br />1,000,000 <br />GENERAL AGGREGATE <br />2,000,0001 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />(PRODUCTS -_COMP/OP AGG <br />_._ <br />2000,000 <br />J_� POLICY _ PROJECT i_ LOC <br />A . <br />UTO LIABILITY <br />r <br />j ANYNY AUTO <br />AUT <br />CBU 2013947 <br />10/20/05 <br />10/20/06 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />1,000,000 <br />ALL OWNED AUTOS <br />_ - -- _ <br />- -- - <br />B <br />I� <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />I HIRED AUTOS <br />(Per person)_ <br />- <br />NON OWNED AUTOS <br />BODILY INJURY(Per <br />accident) <br />PROPERTY DAMAGE.._ <br />- <br />- _-- <br />-- -- <br />__-- <br />h -- <br />-- - <br />(Per.cadent) <br />GARAGE LIABILITY <br />AUTO ONLY EA ACCIDENT <br />] ANYAUTO---- <br />-- - <br />. <br />OTHER THAN EAACC <br />AUTO ONLY T AGG <br />EXCESS LIABILITY <br />/ (.. <br />_ <br />EACH OCCURRENCE <br />] <br />OCCUR CLAIMS MADE <br />�( I <br />AGGREGATE - <br />' <br />I DEDUCTIBLE <br />- - <br />_ <br />_ i RETENTION <br />WORKERS COMPENSATION AND <br />�06/22/07 <br />-- - -- <br />�J <br />L _. <br />- - <br />EMPLOYERS' LIABILITY <br />State Fund <br />06/22/06 <br />WC STATU DTH <br />r <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />TORY LIMITS ER <br />- <br />-- <br />OFFICER/ MEMBER EXCLUDED? <br />E.L.EACH ACCIDENT <br />1,000,OOOI <br />if describe under <br />E.L.DISEASE EA EMPLOYEEI <br />1000000 <br />_ <br />SPECIAL <br />SPECIAL PROVISIONS below <br />OTHER _ - _-. _- _ <br />- _ _- <br />_-_ _�_. _-. <br />E L. DISEASE POLICY LIMIT <br />_--_ <br />1 000.000 <br />_ _ <br />-_ <br />F_ <br />DESCRIPTION OF OPERATIONS <br />/ LOCATIONS/VEHICLES / EXCLUSIONS <br />10 Day notice of cancellation for non payment of premium. Certificate <br />ADDED BY ENDORSEMENT / SPECIAL PROVISIONS -- - --' <br />holder <br />is listed as additional insured per blank endorsement form number ME009-01. <br />I__. -. -. __ _ _ _ _ _ <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />20 CIVIC CENTER DRIVE <br />SANTA ANA, CA 92701 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />THE LEFT, BUT FAILURE Tlg_DQ SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY K D UPON T SU R, ITS AGENTS OR REPRESENTATIVES. <br />AN <br />ACORD 25 (2001/08)_-- - -- - - _-- _ - --- _-- _-- -i 1 <br />_ <br />9 ACORD CORPORATION 1488 <br />