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<br /> <br /> <br />29-Nov-2007 <br /> <br />Alliant Insurance Services, Inc, <br />600 Montgomery Street <br />9th Floor <br />San Francisco, CA 94111 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br /> <br />PRODUCER <br /> <br />(415) 403-1400 <br /> <br />INSURED <br /> <br />CSU Fullerton Auxiliary Services Corporation <br />2600 Nutwood Ave" Suite 275 <br />Fullerton, CA92631-3599 ;f/- ;(007 -13/ <br />Attn: Bill Herbert <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />Please refer to Coverages section below, <br /> <br />481 <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 MAY <br />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 /> <br /> <br /> <br />CoverageType <br /> <br />Insurer <br /> <br />Policy <br /> <br /> <br />Amount <br /> <br />Workers' Com ensation For Evidence of Insurance <br />AO-COMP <br /> <br />5558-036 <br /> <br />01-Jul-2007 <br /> <br />01-Jul-2008 V\C Statuto Limits <br />Each Accident <br />Disease. Each Em 0 se <br />Disease - PoIi limit <br /> <br />$1,500,000 <br />$1,500,000 <br />$1,500,000 <br /> <br />DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS <br />Evidence of Workers' Compensation coverage, <br /> <br />IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate h"der in lieu of such endorsement(s). <br />If SUBROGATION IS WAIVED, subject to the terms and ooncitions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement s . <br />DISCLAI MER The Certificate of Insurance on this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or <br />negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br /> <br />CERTIFICATE CANCFII ATlON <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY\MLL ENDEAVOR TO MAIL30 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO <br />SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS <br />AGENTS OR REPRESENTATIVES. <br /> <br /> <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P,O, Box 1988 <br />Santa Ana, CA 92702 <br /> <br />16Cffl - 2048 <br /> <br />AUTHORIZED REPRESENTATIVE ~ ...-V ~ ~ <br /> <br />