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<br />Rpr 26 06 04:45p
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<br />AmRD.. CERTIFICATE OF LIABILITY INSURANCE
<br />PROOUC~ (626)584..3040 FAX (626)795-4881
<br />Hayward Tilton & Rolapp Ins. Assoc., Inc.
<br />license 10614365 ~
<br />225 S. Lake Avenue. Suite 2~O
<br />Pasadena, CA 91101 ,4' I. ~'0" INSURERSAFFORDING~O~ERAG=---_
<br />JNSUR!;:D TSJ Electrical & Communications Inc. ~N::''mERA; Admiral Insurance
<br />DBA: Masters Electric rlllSrnl.lHI; Clarendon Nat:1on~iI1SCo
<br />116S1 Sterling Avenue, Suite II IN5URERC: _,,_
<br />--
<br />Riverside. CA 92503 INSURERn
<br />._--~-
<br />INSURER E"
<br />
<br />DATE(J.I~
<br />04/20/2006
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON nll;- CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED gv THE IES BELOW.
<br />
<br />NAlC#
<br />
<br />
<br />eVES
<br />mE POllCJES OF INSURANCE LISTED BELOW HAVE BEeN ISSUED TOn"lI: INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITI1STAN01NG
<br />ANY HEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPFCT TO'WHICH THIS CERTIF/(',ATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POllCIF:"> DESCRIBED HERClN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLlCI~S.AGGn.EGATE LIMITS SHOWN MAY HAvE BEEN REDuCED BY PAID ClAIMS.
<br />'''R 0' lYe'O"NSURANCE 'ouc,"u",,,, I'OL~Y_~'QVY:'!ll,~~ . -.~.m; __
<br />GENERAL LlABIlITY CA00000611970Z o~7ioiiOo~ 104/'1'0/2007 EACH <X:CuRRE/.;CE _ 1; 1,000:00
<br />I fJ- COMNERCI^L. C - ENffitlL LIABIUTY DMIAGi; rOl~.E..~ ~__ SO. 00
<br />CLAIMS MADE I XJ OCCUR MEl}~_(Ally"""perscnJ $. ----Exc1ud
<br />A I - --- -- PERSONAl&_,,,..,,,, ~--.!..!lOO.OO
<br />__I GE~AAtAGGREGATE $__ 2,000,000
<br />Gl,N'LAccru:OATE L1MITAPPUIi:.::; PEeR, ~rs~AGG $_2,000,00
<br />X POLICY j~r [J LOC
<br />
<br />AUTOMOl:!lLELIABllITY
<br />ANY AUTO
<br />ALL OWNED AIJTQ::;
<br />SCHEDULFflAIFOS
<br />HrREDAlJTOS
<br />NON-DWNcn AUTOS
<br />
<br />cal~^.~ V
<br />cf'.~ .')ir
<br />.. ~c}A ~
<br />
<br />COMBINED SINGLE lI~IT
<br />(81aWdttnl.J
<br />
<br />.
<br />
<br />!lODtLYI~RY
<br />~pe.-.'J")
<br />
<br />,
<br />
<br />,YINJURY
<br />.~accld""'l)
<br />
<br />.
<br />
<br />GARAGF LIABiliTY
<br />ANY AUTO
<br />
<br />I'RQPCRTY DAMA,o!:
<br />(Perllcd-d(l<lt)
<br />AUI DOr-l.Y - lOA ACCIDENT
<br />
<br />,
<br />
<br />,
<br />--
<br />
<br />EXCESSlUMBRELLA L1ARlUlY
<br />OCClJR [1 CLAIMS MADE
<br />
<br />OTHF:R THAN
<br />AUTO ONlY:
<br />
<br />EA AGe $
<br />
<br />EACH OCCURRENCE
<br />--
<br />AGGREGATE
<br />
<br />AGG ,
<br />.
<br />
<br />,
<br />
<br />---10ErJIJCTIULE
<br />RETENTION S
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' UASlUTY
<br />8 ~1F:~~1~W~~~i!;CUTIvr:
<br />lfyes,OOscnoomwier
<br />SP8.:tAL ~y~s_roNs beluw
<br />OTHER
<br />
<br />01KR0031566 10/13/200S
<br />
<br />10/18/2006
<br />
<br />X -'M':STATU_ orn
<br />TORY
<br />EL EACHACClllENT S
<br />E.l.DlS~~EMPl..OYE S
<br />EL UISEASE-POLICYUMIT $
<br />
<br />,
<br />--
<br />.
<br />,
<br />
<br />_._hOOO.OQO
<br />1,000,00
<br />1,000 000
<br />
<br />~ 1_.
<br />DESCRIPTION OF OPERATIONS I LqCAOONS fVEHICLESfEXCLU5lONS ADDED 6YEHDOR$l:MENT f SPECIAl. PRQVlSI~ d b h d . d
<br />ertificate Holder 1$ named as additional insured as respects serV1ces provide y t e name 1nsure
<br />er attached form AD 06 61 01 04 for General Liability only.
<br />
<br />CERTlFfCATF t10LDER
<br />
<br />//)
<br />"
<br />
<br />Cancellation~lO days notice for non-payment OT premium.
<br />
<br />- -~- .)
<br />
<br />>---'~"CA CE LATION
<br />'SHOUl!) !o.\lY OF T1-1E ABOVEDESCllliJ!':U POLICIES BE CAi'.ICElLED REFORE THf'
<br />EXPIRATION DATE THERE:OF, THE ISSUINlO INSURl;R WILL ENOEAVORTOMAlL
<br />"'30 !JAYS ~TTEN NOTICETO THE CERTlFICAn: HOLDER NAMED TO THJ::: lEFT.
<br />auf FAILURE TO MAIL SUCH NOTIce SHAll IMPOSE NO OBLIGATION OR UABJLITY
<br />OF /lNf KINO UPOHTKEINSURER, rTSAGENTS OR REPRESf'NTAlJVeS_
<br />AUTHOrU1:I!OReflRESSNTAT1VE ~ J....J. .If'I1,,,*" M'~'
<br />Sandra Marro uin/SAM ~~,
<br />@ACORD CORPORATION 1981
<br />
<br />ihe Depot of Santa Ana
<br />1000 E. Santa Ana Blvd.
<br />Suite 108
<br />Santa Ana, CA 92701
<br />
<br />ACORD 2S (2001/06)
<br />
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