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TO:714 647 5311 <br />FE8-16-20M 14:57 FROM: <br />DIUVER - ALLIANT <br />Lhenec Ne>ober: OCUM 2713 <br />Phone (949) 7S6-027/ / Fax (949) <br />CenifeeleNumber-035 Date: 2/9/06 <br />VENDOR/CONTRACTOR LIABILTTY PROGRAM <br />Nalned1muraL VID6OENGINEERING SERVICES -THOMASE.BYSTRY <br />Address; 305SNORTH WESTHAVENST. <br />City/SWtJZip: ORANGE, CA 92865 <br />Additional Insured' CITY OF SANTA ANA <br />CenuectTerm: pro1R: 02/01/06 TO 02/01/07 <br />Deseri0M of Cu,,mg2: VIDEO PRODUCER <br />Contract Amount: $63.400 <br />COMMSRCIAt C[NEYAL-LUKLM — NF,.W-OCCURRENCE17ORM <br />General Aggrollate: <br />pMUx,WCoMpleted Operations Limit: <br />S1,000,000. <br />SLOM,OM- <br />Personal Adveniemg! <br />SI,OM,000. <br />Each Downtime: <br />$1,000,0110. <br />S 50,000. <br />Faro Daanage: <br />S S,000 <br />Medical Payments: <br />IMPORTANT- <br />Coverages are Limited to dwriW coutlxt. <br />DEDUCTIBLE: SI.OW. Exh Claim Including Legal and Adjualm rA EXPeoseS <br />ANMIALPREMMM: SI,902.00 Fully Serned el lnc4 tkm <br />SURPLUS LINES TAX: S 60.3911111Y Eamad al bVA00n <br />POLICY FEE: S 10.00 Fully Famed at Invelaioa <br />TOTAL S2,012.39 <br />COMPANY: COLONY INSURANCE COMPANY <br />P. 313 <br />THIS COMPANY SINOS THE KINO(S) OF INSURANCE STIPULATED HEREON. THIS <br />INSURANCE IS SUBIECT TO THE TERMS, CONDITIONS, AND LIMITATIONS OF THE POLICY <br />OF MA&MR'POLICy*0L3309213-ISgt To-NDORRICk RACTORSi IABtYfY QROIfPr R <br />COPY OF THIS.PWCY IS AVAILABLE ON REQUEST. <br />THIS CERTIFICA rG MAY HU CANCELLED BY T11E INSURED BY SURRENDER OF THIS <br />BINDER OR BY W WTl'EN NOTICE TO THE COMPANY STATING WHEN CANCELLATION WILL <br />BE EFFECTIVE. THIS CERTIFICATE MAYBE CANCELLED BY THE CUMFANY BY NOTICE TO <br />THE INSURED IN ACCORDANCE WITH THE POLICY CONDITIONS. <br />AU7710RIZED SIGNATURE/CO RSIGNATURE <br />R.E.fdNXtAS50CIA1Y5 A'19URANCE BRU(ERI,INC.- <br />I ke Ne hw. 0726211 <br />� I Caawu Pack Smu 310, Irvine, GA 92a06 <br />MONECW)72241771 FAX 1941n7224172 <br />