<br />Sep 22 06 09:40a
<br />
<br />Tll.a~l
<br />
<br />'-"'_2
<br />
<br />;--. .. .... -~-~._~ --------
<br />-ACttBD. CERTIFICATE OF LIABILITY INSURANCE CSR
<br />HPLMt;-l
<br />PROo\.Jcal. 1lIS CERnFlCATE IS ISSUED AS A MATTER ,,.
<br />SOSHELt. INS AGiENCl: 1~OA96080) ONL V AND CONFERS NO RIGHTS UPON THE C
<br />Agents & Br-olters, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEN
<br />P.O. Box 46413 ALlER THE COVERAGE AfFORDED aY THE pt
<br />Mission viejo CA 92690 , INSURERS AFFORDING COVERAGE
<br />Phone: 949-855-0430 Fax: 949-S37-5528
<br />------- --. ..
<br />'''''''''''' N-JlOO, -05'0 It.l~A; Landmark AMerican In. C.
<br /> IV-P.OO~ - 05'0 -01 lHSURERB P&arles9 Ins~.J:'~.!1~__C:'?~.
<br /> H.P.L. Meohan.ieal, Inc. IN.'iURERC: thdtMI KIoUllUllnMl".."QlI Ceo.
<br /> .---
<br /> 1041 Lxgan St. lH8U~0: _.._no..an.o.'tM'l.>..b.htct:
<br /> Santa a CA 92701
<br /> IJlSURliR~:
<br /> ..
<br />
<br />:;lI'.', :UJ.lC:I."'~',\,\'
<br />
<br />M!-.
<br />....i. 06/-L~.L~_",
<br />INFORM/. TION
<br />ER1.IFICA TE
<br />D, EXTEND OR
<br />JU(;II:$ BEL.O\ll!.
<br />
<br />,..41(, #
<br />
<br />I
<br />,
<br />I
<br />I
<br />i
<br />-.:J
<br />
<br />U'l)
<br />
<br />COVERAGES
<br />THf f"(l11C1FS OF tN~ llSTEO BElOW HAve ijEUll$SUCD TO THE INSU~ NAMED NlOAIE FOR THE POllCY PERlOD INDICAnn NOTWlTHS TML)jt<'
<br />AN" REQUIP:Et.le.lT. TERM OR CQNDrTlO),l OF AN....ctJNTfIAl':T OR OmEROOCUWEHTWlTHRESPECTTOWHlCI-I TtfIS carrJf1CA1 E IAAY ElE ISSUED Of<
<br />MAY ~fAlN.l>>E INS~NFOAOEl)avTHe I'OUClt$DtSCAlDa;)~N lSSUD.ltcTTOAU. TtE7ERM~ EXCLI....t(lIIIS.\HOCONlJITIl1N5 Cll' :;UO
<br />~OllCIES AGGREGA7ElMlfS.sHQWJtMAV ....V(;~Ii"'-1l. RalUCfP8V PAID ClAltIIs,
<br />
<br />S
<br />
<br />Sf': TYl"€OfINSURAHCE
<br />i GENr-Ro\t. UA3IUTV
<br />X I. i'i-i'~ C~Q~/oIUERClALGE"'GAALUAilllfY
<br />r=o ClJ\ll.ISMADE ~ OCCUR
<br />:~ ~_~y. of l~_~~.llIt
<br />
<br />CiBfI .6.GGHEGATElIMITAI'PUl:$Pa't:
<br />"",. ~
<br />JECT lO{;
<br />AVTOMOtQL l UJ'..,IUTY
<br />OOAAYAU'l'O
<br />I ! M.l OWNED AUTOS
<br />
<br />ti.:.. :R=~:::UTM
<br />
<br />_ ~ ~'ON-DWNED ALJTOO
<br />----- -
<br />
<br />l3AMGe.l!M1UTY
<br />;--
<br />~Y .wro
<br />
<br />I'OUCI'IUIH"
<br />
<br />...'" ..
<br />
<br />
<br />A
<br />
<br />I.IIAl2S650
<br />
<br />09/01/05
<br />I
<br />
<br />09/01/06
<br />
<br />IMIHi
<br />U.CHOCClJRRf'r>r.;r ~~- non OOf'!
<br />Pl'lEMI.~-L~_~"~QI. s 5~LOOl
<br />I.dFrl. ElCP (A"JI ~rl!?'~,,;(l L__:_ s 1;3 . -OCG
<br />!~ERSONI'\L,s~-:~'ir.',L+' I"~ _,000.000
<br />Gl:NEAAl ACGRFGi'l'T 'I! ,: :JuJ (100
<br />PAODUCTS.OOM",;'~ ,[,G $:', :-,01] ;:00
<br />---- i
<br />
<br />u.
<br />
<br />
<br />--.--- --------.--
<br />
<br />CBP9621365
<br />
<br />09/01/05
<br />
<br />09/01/06
<br />
<br />CQMl'lINErlSIN<,lr. ~1I
<br />(fia;;cl:idenl)
<br />
<br />~:;. 'JOO 000
<br />
<br />OODILVINJJAY
<br />IrPerilenOlll
<br />BODilY IkJU,"
<br />(P",,,=,,",,,'>
<br />
<br />j
<br />
<br />PRO?l:.RTY O<.MAC;,
<br />(i"cr.,tc.lj(Jr\lj
<br />AVTQOI'iJ.Y-EAAC'.11}1 N-
<br />
<br />~GI:H/ULlBRELLA l.IA8lUT'f
<br />c 'i IOCCUR n etA,""'....'" I FCX0002907
<br />
<br />09/01/05
<br />
<br />09/01/06
<br />
<br />OTIiE:Rrn"'~:
<br />AUm ON" .CoG r .
<br />EAGHl.Jl.;GIA<'I<ENCf - - ~ 4 < 000 '000--1
<br />AGGREGAT[' ~ ~ 4 COr) 000 I
<br />!<
<br />
<br />~,\ \CC ' S
<br />
<br />....J
<br />I
<br />.__1
<br />
<br />i OEDUCTIllLE
<br />---1 RETENTION S
<br />WORKERS COMPENu,nON AND
<br />I ~PlOYEf(S' UAlW.rTf
<br />D < AA"( PRQPOlIETORlPARTNERI9.ECUTM
<br />OHIC~I:''''BEIil-EXClUDED'l
<br />~r~~~Ns~ekwf
<br />0'"'"
<br />
<br />1iC59S901402
<br />
<br />09/01/05 '
<br />
<br />09/01/06
<br />
<br />., l)mil
<br />x T R'fLIYIT:;, 1 en.
<br />'E.LeACHACCID~"" :!.l,OOJ,OOO
<br />EO ~~lSeASE ::~-;~1;~ ;":.Elts__~__, no~ ~o-tf_-I
<br />E.LDlSEASE.i>OlIC'l'liMIT, S 1, o.oa .9~
<br />
<br />,
<br />uu~
<br />
<br />[lJ!:~Il'Ttnlll Of' onllAno"is-j lOCATION3 r VEttlC\.Df ~uetOftS M)OUIev ENCORIIIMENT ISf't!C:IIU. PRO'mIONS
<br />wlO days notice for non payaent of premium. !'he Cit.y of Sanb Ana, 20 Civic;
<br />Center Pla%&, Santa Ana CA ~2701r ita offieers, ~loyees, agents &
<br />repres.entatives are included as Addition.l IIUllur8da pee .fODII CG2010 (11/85)
<br />attached.
<br />
<br />~~f;,;:":hL !! I
<br />
<br />_.~
<br />
<br />CERTIFICATE HOLDER
<br />!-
<br />I
<br />
<br />City of Santa Ana
<br />The Depot At Santa Ana
<br />1000 E. Santa Ana Blvd.
<br />Santa Ana. CA 9270 I
<br />
<br />D1!lPO~-1
<br />
<br />CANCELLATION
<br />8HOULD /lH'tOPTMl! A8OIII! DE8CIUBED f>t']LJCU:"S BE CANCr-lLEll BFOOf THE !'xPlRAnoNI
<br />~lCTH!ftEOF.TlI!ISSU1NG1K$URERWlLl--r,1.'ll 30* :JMf;WRlTTEN
<br />HOTI(:l!TO-rnECI9ITIl'tCA1l!'HOl~NAMEDmlliF, E"T--ltff-'.~--;:-;~I_ T8 ~I;:lll[, jlt..Ll I
<br />......."'''''''~-l;QIl:
<br />
<br />#108
<br />
<br />f
<br />
<br />~ '
<br />
<br />
<br />.1
<br />
<br />ACORD 25 t2C01/OSl
<br />
<br />~ '
<br />. . I
<br />ORD CORPORATION 1988
<br />
<br />.
<br />
<br />.
<br />
<br />.
<br />
|