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<br />Page'l of I <br /> <br />Certificate of Insurance <br />Sparta Program <br /> <br />Named Additional Insured: <br /> <br />Name Insured: <br />Adlerhorst International, Inc. <br />3951 Vernon Ave <br />Riverside, CA 92509 <br /> <br />Certificate # <br /> <br />Coverage <br /> <br />Limits <br /> <br />Deductibles <br /> <br />Terms & <br />Conditions <br /> <br />Exclusions <br /> <br />SANTA ANA (SPARl <br />20 Civic Center Plaza' <br />Santa Ana CA 9270 I <br /> <br />ro.t, <br /> <br /><g'-LI-ok~ <br /> <br />SSA04-0030 <br /> <br />SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazar <br />Contract Value: $16,000.00 <br />Coverage Period: 5/31/2005 to 5/31/2006 <br />Insurance Carrier: Essex Insurance Company <br />Master Policy: 3CP9777 <br />Master Policy Effective Date: 11/15/2004 to expiration <br /> <br />:((1 c) th n.A <br />') <br />/ \<- \ c.) 'i- 1l\t:y r ri- <br />-to ~- ()ci I t.12J ('CS+ <br /> <br />$2,000,000 General Aggregate 1 $1,000,000 Each occurrence / $1,000,000 Products/Completed operations <br />$ I ,000,000 Personal & Advertising Injury/$50,000 Fire Damage / Medical Payments Excluded <br /> <br />$500 BI & PD Per Claimant Including Loss Adjustment Expense <br /> <br />$750.00 Premium (Fully Earned) <br />$24.19 Taxes (Fully Earned) <br />$75.00 Certificate Fee (Fully Earned) <br /> <br />$849.19 Total Amount <br /> <br />1. No Cancellations Allowed. Premium, taxes and fees are fully earned at inception. <br />2. Operations and Rating Based: Training K-9 & police officers on city property. (No public exposure). <br />3. Department: Santa Ana Police Department <br />4. Additional Insured(s): Not Applicable <br />5. No Professional Liability Coverage provided. <br />6. NO PUBLIC EXPOSURE WORKING WITHIN THE CITY OF LOS ANGELES DEPARTMENTS AND <br />THEIR EMPLOYEES ONLY. <br />7. NO COVERAGE PROVIDED FOR ANIMAL MORTALITY OR DOG BITES. <br /> <br />Asbestos, Assault & Battery, Employer Related Practices, Subsidence, Independent Contractors, Pollution, Cross <br />Su.k, L-fad n,r ,~.iN~'<t &w;~, Mok\ 'O,r~~jo-P.rgal)i(;...Qr.2\'{th.Q(MU~~.~. ~~n~i~~E~!!l~es, Animal, ~reach of Contract. <br />Y2K Electronic Data, Medical Payments, War or Terrorism. <br />The insurance provided under this policy is limited to your work performed on behalf of the entity named as <br />"Additional Named Insured" above and doesn't extend itself to any other work performed by you or your <br />organization. Coverage is limited to the description of operations and rating bases listed in "Terms & Conditions" <br />item 2. <br /> <br />,,-. <br /> <br />Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc., 302 W. <br />Cerritos Ave., Building #7, Anaheim, CA 92805 <br /> <br />"h:~ <br />/1,.:../ -- <br />;' <br /> <br /> <br />Carol Frost 1 President <br />Municipality Insurance Services, Inc. <br /> <br />1()7 W rprritno A"p l'llrlnti 7 A".,ha;m rA 0711{), (II{){)\ 117{) {)", (7111\ ..117 11{){) .~~ {7111\ ..Q7 I I A.. ';~~____f"'A .nf"'nAOAn. r.n.1n"'A"~ <br />