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<br />,---:;- . CERTIFICAT~ OF LIABILITY INSURA~ICE T DATE (MMIDDfYYYY) <br />.. ACORD 03/17/2006 <br />---TM PROOUCER (909)735-5335 FAX (9u~)735-3758 THIS CERTIFICATE k ;SUED AS A MATTER OF INFORMATION <br />bFI Preferred Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2027 Hamner Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Norco, CA 92860-2604 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED PRESTIGE STRIPING SERVICES INC. INSURER A: Safeco Business Ins. <br />353 N. CYPRESS ST. INSURER B: Mercury Casualty Insurance Co. <br />ORANGE, CA 92866 INSURER c: <br /> INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> 0 TYPE OF INSURANCE POLICY NUMBER DATE ."i"M/DDtvYl- LIMITS <br />LTR NSR DATE MMlDDNY <br /> GENERAL LIABILITY 01 CG 768379-2 03/22/2006 03/22/2007 EACH OCCURRENCE . 1,000,001 <br /> "x COMMERCIAL GENERAL LIABILITY I PREMISEsYE~~~u~~nce\ $ 200,000 <br /> I CLAIMS MADE [KJ OCCUR MED EXP (Anyone person) $ 10,OO~ <br />A PERSONAL & ADV INJURY $ 1,000,000 <br />- <br /> GENERAL AGGREGATE $ 2,000,000 <br /> - <br /> GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> I' 'n:RO' n, <br /> POLICY JECT lOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (Eaaccldenl) $ 1,000,001 <br /> ANY AUTO <br /> - <br /> ALL OWNED AUTOS BODilY INJURY <br /> X $ <br /> SCHEDULED AUTOS ACl1071675 04/29/2006 04/29/2007 (Perpersoo) <br />B X <br /> HIRED AUTOS BODILY INJURY <br /> I-"- (Peraccidenl) $ <br /> ~ NON-oWNED AUTOS <br /> f--- PROPERTY DAMAGE $ <br /> {Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG , <br /> EXCESS/UMBRELLA LIABILITY Recei lied By EACH OCCURRENCE $ <br /> b OCCUR D CLAIMS MADE AGGREGATE $ <br /> City of S onto AnI $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ ...n ,>1 'lnn~ $ <br /> WORKERS COMPENSATION AND ...nn ~ I TORY LIMITS I IU~~' <br /> EMPLOYERS' LIABILITY <br />C ANY PROPRIETORlPARTNERlEXECUTIVE Developr ~ent E.L. EACH ACCIDENT $ <br /> OFFICERfMEMBER EXCLUDED? Downtown E.l. DISEASE - EA EMPLOYE $ <br /> If yes. describe under -- <br /> SPECIAL PROViSIONS beloN . ... l:L DISEASE - POLiCY LiMIT $ <br /> OTHER - .I;;!IVII <br />DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS .:. . d ..'> ,'j t" A <br />~O DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. <br />~ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. >> " /~ <br /> , ," .1. ._~) <br />OB: VARIOUS JOB LOCATIONS . :::;;/ __4~~___ <br /> "'. -....1 <br /> ,,,,'-"'H'i <br /> I ,._" <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />A TTN : ROCk GARCIA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL <br />3.0.....- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />_K)(_K)(IUlQOO{IJl~II!1OOlJIIJl)QJlII~KIIXXXX <br />""'~J1KJOO('IOOtJQl(IIXJlI!JOO()QJ(Jl__~XXXXXXXXXX <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001/08) <br /> <br />