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J' <br />.~! DATE (MMlOOM'YY) <br />A~ORD CERTl..CATE OF LIARIL.ITY IN$UR. _.~CE 03/09/2007 <br />PRODUCER 714) 9b7-6726 THIS CERTIFICATE ES ISSUED AS A MATTER OF INFORMATION <br />( ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />°rofessional Choice Insurance Svs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />500 N State College Blvd, ti550 ALTi=R THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />CA 92868-1613 INSURERS AFFORDING COVERAGE NAIC # <br />Oranq____e _ p. - <br />INSURED ~~~~ T. Qp 7 INSURER A. L17100~.n General Ins . Co . M_ <br />Tolerico's Electric ~~K~~6 w~3~O~ INSURER B: <br />12321 Moana Way ` t INSURER C ___~-.~- '- <br />N ~ °'1~d6 ~~83 ~ INSURERD' <br />Garden Grove CA 928 4 0- ~ oZ~v ~ ~ Ogd suRER E: boo y 1 Q ~~ <br />COVERAGES IY~~Od~ O~Q-~I + /1/~ <br />THE POLICIES OF INSURANCE LISTED BELOW IWVE BEEN ISSUED TO THE INSURED NAMED AF30VE FOR THE POLICY PER100 INDICATED. NOTWITHSTANDING ANY <br />I REC.7UIKEM ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />~ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREW IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MA_Y HAVE BEEN REDUCED BY PAID CLAIMS. PoucY eFFECrIVe PDUCr ExPIRATION <br />INSR AOD'L POLICY NUMBER DATE MMNDIV DATE MM10DM' LIMITS <br />D TYPE OF INSURANCE 1 , OOD , 000 <br />01/15/2007 Ol/15 /2008 EACH OCCURRENCE S .__. <br />A X GENERAL uaBlurY 16320019376 02 DAMAGE TO RENTED 1 , 000 , 000 <br />PREMISES Es occur, coca S <br />X COlfMERCIAL GENERAL LIABILITY S, DOO <br />CLAIMS MADE O OCCUR: / / / / h1E0 EXP An one ocrsonl 5 <br />PERSONAL d A V INJURV 3 1 r OOO , QOO <br />/ / / / GENERAL AGGREGATE g 2 , OOO , 000 <br />• • DUCTS COMPlOP AGG $ 2 , 000 , OOO <br /> GENT AGGREGATE LIM17 APPLIES PER: <br />I P <br />O <br /> / / / / <br /> X POLICY 1ECT LOC / / / / COMBINED SWGLC-LMfT , <br /> AUTOMOBILE LIABILITY I (Eu acd0enl) S <br /> ANY AUTO j <br />4 <br />/ / I <br />/ / <br />800tLY IN3URY <br /> ALL OWNED AU70S I <br />t <br />(Pec Peraan) § <br /> <br />- SCHEDULED AUTOS J <br />( <br />/ / <br />/ / <br />RY <br /> OOUILV WJU $ <br /> HIRED AUTOS 1 (pal ecGldanl) <br />-~- <br /> - NON-OWNED A'JTOS / / / / PROPERTY DAMAGE <br /> <br />(Peracddenq S <br /> <br /> EA ACCIDCNT <br />Y <br />N $ <br /> <br />GARAGE LIABILITY <br /> <br />/ / <br /> <br />I I - <br />AUTO O <br />L <br />OT7iER THAN EAACC ,_ <br /> <br />S <br /> <br />- ANY AUTO AUTO ONLY: <br />AGG <br />S <br /> ~ / / / EACH OCCURRENCE 3 ___ <br /> EXCESSNMBRR.LA LIABILITY <br /> AGGREGATE 3 <br /> OCCUR ^ CLAIMS MADE R <br />J <br /> / / / / <br /> DEDUCTIBLE <br />e <br /> RFT (_NTK)N $ <br />/ / <br />/ / <br />TORY IMITS OER <br /> WORKERS COMPENSATION AND 3 <br /> EMPLOYERS' DABILITY E.L. EACH ACCIDENT - <br /> ANY PROPRI£TOR/PARTNERlEKECUTIVE <br />/ / <br />/ / <br />t . UI$EA$E - FA EMPLOYEE <br />F <br />5 <br /> OFFICER/MEMBER EXCLUDED? . <br /> If yes, desc be uncle, E.L. DISEASE -POLICY LIMIT S <br /> SPECIAL PROV1510 ocfow / / / / <br /> p7}iER <br />/ / <br />/ / <br /> / / / / <br />OESCRIPRON OF OPERATIONSlLOCATIONSNEHlCLESfEXCLUSiONS ADDED 8Y ENDORSEMENTrSPECIAL PROVISIONS <br />lifornia 92701; ite officerh, employees, agents, volnnteare <br />C <br />A <br />na, <br />a <br />The City of Santa Ana, 20 Civic Center Plaza, Santa <br />dditional insured" with regard to liability and defense o£ suits arising from the <br />" <br />and representatives are named as <br />erations and urea performed by <br />o a <br />or on behalf of Gh® named insured. <br />p <br />Re: All operations as covered by this po'_icy. <br /> CANCELLATION <br />CERTIFICATE HOLDER Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />(714) 565-2690 Tel (714) 565-2693 FdX SHOULD AN <br />-""'° TO MAIL <br /> EXPIRATION DATE THEREOF, THE ISSUING IN$VR=R WILL <br /> 3O DAYS WRITTEN NOTICE 70 THE CEAYIFICATE HOLDER NAMEtl TO THE L6 FT, 8UT <br /> E <br />City of Santa Ana """" <br />Al)~RIZED REPRE$E <br />20 Civic Centel- Plaza ,~(/' <br />Santa Ana CA 92701- <br />ACORD ZS (2001108) <br />INS02S (0108}.05 ELECTRONIC LASER FORMS. INC. - (@GO)327 0545 <br />~~o <br />,J <br />z•d <br /> <br />I Z =6 '~ L ~ ~Z~ 1011 <br />T~eTTl dbE~zO GO 60 JeW <br />