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<br />~ -cloo'-j- \;+10 <br /> <br /> . . - dOOC: -~3'+-D l <br />! ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDfYYYYI <br />02/04/2008 <br />I PRODUCER 949-829-6900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> MCRAE ASSOCIATES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />! PATRICK MCRAE INSURANCE SERVICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, 1290 N. HANCOCK ST SUITE 210 <br /> ANAHEIM HILLS, CA 92807 INSURERS AFFORDING COVERAGE . NAIC# <br /> m -- ...-._---- +----~._- <br /> INSURED INSURER A: LIBERTY SURPLUS INSURANCE 10725 <br /> CROSSTOWN ELECTRICAL & DATA, INC. INSURER B: UNITED NATIONAL INSURANCE CO. 11445 <br />I 5463 DiAl STREET INSURER C DISCOVER P & C 36463 <br /> IRWINDALE, CA 91706 INSURER D COMMERCE WEST 13161 <br /> INSURER E. I <br /> <br />COVERAGES <br /> <br />I 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 />I 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 /> <br />INSR CC~~ POLICY NUMBER POLICY EFFECTIVE P~il.f.,.Y EXPIRATION LIMITS <br /> <br />A <br />I I <br />I <br /> <br />I GENERAL LIABILITY <br />M CO~MERCIAL GENER~.lIABILlTY <br />, L_ j CLAIMS MADE lXJ OCCUR <br /> <br />m~~~ -- <br /> <br />'. GEN'LAGGRE~E ,LIMIT AP~SPER <br />POLlCV ! X I ~~R+ I I LOC <br /> <br />$5,000 DEDUCTIBLE <br /> <br />06/03/2007 <br /> <br />06/03/2008 <br /> <br />EACH OCCURRENCE S <br />~~~~H'1E~~~~~~nce' $ <br />MEDE,xP(Anyoner.ers;)n) $ <br />PERSONAL & AOV INJURV $ <br />GENERAL AGGREGATE $ <br />PRODUCTS> COMP/oP AGG $ <br /> <br />DGL-SF-184783-026 <br /> <br />D <br /> <br />~OMOBILE LIABILITY <br />X <br /> <br />CVA0388720 <br /> <br />02/02/2008 <br /> <br />02/02/2009 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />ANV AUTO <br /> <br />I <br />I I <br />I I <br /> <br />I <br /> <br />ALL OWNED AUTOS <br />~! X.' SCHEDULED AU TOS <br />X HIRED AUTOS <br />X NON,oWNEOAUTOS <br /> <br />----- <br /> <br />PROPERTY DAMAGE <br />lPeraccKlenl) <br /> <br />BODILVINJURY <br />(Perpersonl <br />--- <br />BODILY INJURY <br />(Peraccidenl) <br /> <br />AUTOONL Y) EA ACCIDENT <br /> <br />$ <br />EAACC $ <br />$ <br /> <br />GARAGE LIABILITY <br />r---i ANY AUTO <br /> <br />OTHER THAN <br />AUTOONLY <br /> <br />AGG <br /> <br />B <br /> <br />~~ESS/UMBRELLA LIABILITY <br />~ OCCUR D CLAIMS MADE <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br />PRODUCTS> COMP lOP <br /> <br />06/03/2007 <br /> <br />06/03/2008 <br /> <br />FCX0004804 <br /> <br />DEDUCTIBLE <br /> <br />~ <br />I ! RETENTION $ <br />WORKERS COMPENSATION AND <br />C EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTlVE <br />OFFICER/MEMBER EXCLU OED? <br />g~~scae~pr:OVI$4bNS below <br />I ! OTHER <br />. I <br />I <br /> <br />X I T~~n~JI~S <br />EL EACH ACCIDENT <br /> <br />OTH, <br />ER <br /> <br />06/03/2007 <br /> <br />06103/2008 <br /> <br />D272W00184 <br /> <br />i <br /> <br />EL DISEASE, EA EMPLOYEE $ <br />EL DISEASE) POLICY LIMIT' $ <br /> <br />I <br /> <br />I <br /> <br />DESCRIPTION OF OPERATIONS I lOCATIONS {VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />1,000,000 <br />50.000 <br />EXCLUDED <br />1,000,000 <br />2,000,000 <br />2 000 000 <br /> <br />1,000,000 <br /> <br />i $ <br /> <br />1,000,000 <br />1.000000 <br />1 000.000 <br /> <br />$ <br />$ <br />$ <br />$ <br /> <br />1.000,000 <br />1 000 000 <br />1 000 000 <br /> <br />THE CITY OF SANTA ANA, ITS AUTHORIZED OFFICIALS, OFFICERS, EMPLOYEES. AGENTS AND VOLUNTEERS AS REQUIRED BY <br />WRITTEN CONTRACT ARE NAMED AS ADDITIONAL INSURED WITH RESPECTS PROJECT MAINTENANCE OF CITY OF SANTA ANA <br />(CROSSTOWN JOB NO.: 1315) <br /> <br />'10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-30) <br />POBOX 1988 <br />SANTA ANA, CA 92702-1988 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL~~~~MAIL. "'3D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT(QS.MX~~~ <br />~~~ , i!iXlQ. <br />~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX> <br />AUTHORIZED REPRESENTATIVE <br />PATRICK MCRAE <br /> <br />ACORD 25 (2001/08) <br /> <br />Ar~n <br />, L -'- .. <br /> <br />_ i J. -; T\ ~~ .', .. <br /> <br />. ACORD CORPORA TION 1988 <br /> <br />~'!u-J]; /(y _____ <br />--Ia.,- '/ /l~., <br /> <br />A',..H'l.., 1. \..." V c..l,.:1 .~\ <br />