<br />
<br />HONOCOM-Ol FaA
<br />
<br />.IlOOUCEIl
<br />Bowermaster & M$ociates Insurance
<br />P.o. Box 6026
<br />10805 Holder Street. Sui18 350
<br />Cypress. Clio !/OSSG
<br />.......c -j:iontioCompany,lnc:-.------- - ---
<br />2121 Soulll Lyon Slreet
<br />Santa Ana, CA 92705-
<br />
<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE I OA~~
<br />THIS C~TIFlCATE IS ISSUED AS A MATTER OF INFORMATIOtl
<br />ONLY AIIIO CONFERS NO RIGHTS UPON ntE CeRTIFICATE
<br />HOt.DER. nt.s CERnFICATE ODES NOT AMEND, ElCTENO OR
<br />ALTER nte COVERAGE AFFORDED BY l'HE POLICIES BeLOW.
<br />
<br />(888) 825-4322
<br />
<br />INSURERS AFFOROlNG COveRAGE HAlC fJ
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<br />,,,,,,,,",,,, Landmatlc American Insuranc:e Co.
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<br />_~RO;._.______._._._____.__-t-______ _
<br />IHSUGR E.
<br />
<br />COVlaRAGeS
<br />
<br />niE POLICIES OF II<SURANCe ll$TEl> BELOW HllVE BEEN ISS~O TO THE _0 _ AlIOVE FOR THE POlICV PERIOD INOICATED_ NO'lWl'tHSTANOING
<br />IU<Y REQUIREMENT. TERM OR CONDITION OF IU<Y CXltITRACT OR OTHeR DOCUM!HT WITH RESI>l:cr TO WHICH TI1IS CERTIFICATE >MV Bt! ISSua> OR
<br />>MY PeRTAIN. THE INSlJRAtlCf AfFORDED BV THE POlICIES OI!SCRlBED ~RI!1N IS SU6JECT TO AlL THE TEIWS. ~ClllS1ONS"HO CONDITIONS OF SUCH
<br />POUCIES. "GGR.EGATE lIMITS _.MAY HAllE BEEN.REOUCEO BY PAIO.CLNMS_ .
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<br />
<br />I
<br />i 6/112006
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<br />4 . x
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<br />Ga5ItJU. UABIUTY
<br />xl COMMeRCIAL GENE>lN. L~ LHA129945
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<br />Getfl A.GGReGATE LlalrT APllllfS PER
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<br />iACMOCCURRf'fCE 1 1,000.
<br />6/1/2001 ~~,~~-~~-:-~.50.00
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<br />6/112001
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<br />COMBINfO SINGLE lIwr
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<br /> .I\\1TOIf08lLE UAIIfLIfY
<br />8 j ANY 'V'O AC11059573 61112~
<br /> . _ AU..OY'hffDAVl'QS 010
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<br />r? acevR l-J ccws"",,", XL1637103
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<br />rl ~ov;:: $
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<br />WORKDS CO"f"l.H$AnoN AND
<br />EIIPl.OYEAS' UA8IUTY
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<br />611/200&
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<br />61112007
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<br />E.!. DtS~ - POlICY \.1"1 J
<br />
<br />~ ~9cQ;1P'nOtI OF OP!:llA.'TlONS (l.OCAtlDtIS I VliWICLE$ IEXCl.u.soNS AmH!D BY eNI)QrItS8IItWT I SPeC,.....fJffQVlIIOU
<br />t 10 daV notice of canceUatiol1 due to non payment of prernhJIII
<br />
<br />I
<br />
<br />TIlo City of 5anta Ana; ;ts Office~. Employees, Agents;, Voluntee.... and ~y.. ... AdditionollMuredl willi ..ganl to generalllabillly
<br />arising from the <>peraIion. perlo<n>ed on beluoll 01 the Hamed Insured per lhtl_ RSG 15001 otlI3 lOII1l. Pt1mlllY _ding is incl_.
<br />
<br />CeaTIFIC4TE HOLDER CANCEUAnOH
<br />
<br />! 5MOUU) lUff OfTH! .80~ OESCR./Bto POUCIEI8~ C4NCnu-O 8E~ ntE exPiAATlOl
<br />I Clry 01 Santa Ana
<br />20 Civic Center Plaza ,. Ross Annex (M-221 DAY! nIEJItOf'. lMIllSSUlHG IN5UAM WtL ....,~.~ 'MAli. 3L..... DAVS WRITTEN
<br />Santa Ana, CA 92101~ HO"OCt:1lJYKECl!lmFIt:A1'E.ttOL.CeRltIlW:PTO lNELEFT.fIUt)f....,~f(~LL
<br />
<br />AUTHoRfZEO IlE:PAit9ftfT.~
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<br />ACORD U (200T/081
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<br />\00 99~'OH
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