~ r f
<br />~i~ . f ii::iii:}ii..:. "i . ::4. ..`{ :::::: ni•:::....{}$•. ~::,r ~:.:::... ~v~,~•.i}{:xv::: r.;.::::.r,.:}.{•: %F{:h~: Y. •: :,w::: :{:::•:::::::tiw::::::: n. ......:v: '•: :}.: :•:::::nv:::::::: ... ...ti.::.:vn ................. :::vw:
<br />::::: ~ g;:.::u%•. .::...: ....; :: :.:.:• .:.~:.: ....;;.'• :. :..::;: <:.:' .. ': ;: :.. ':%~ :::: '•::::~'.. ''~: ...:'~:i:%%;::::~~ ~ .:::::::i::{.i;:i;:<::r::::;:::::::::;':;;::.::-:. ISSUE DATE
<br />•xr ~2.n:r.: £.w.{{R2i:ir a~u{~~> Erb:::'.<: ••:
<br />nv}7f.v`_~~.h{>}i}{iiaY:Y ~~:: nh...UC n .. h{:.. ":tiv. ':i:{:::?.
<br />ai11EN~0~%GLX{{,'A':A~'~'1 nti~aiJPOt•VC.::X.?:nQJ::.~:i:..........}..'.v:t:........:i~{4{:h\... ::+i{:?::v:v{iii:::: iv -.v, .. .. ..
<br />PROOUC~ IS ICA IS ISSUED AS MA R OF IN ORMA ION ON AND
<br />BARATTO, SULLIVAN & CO. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />1765 GOODYEAR AVE . , SUITE 2 07 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />VENTLTRA, CA 93003 POLICIES BELOW.
<br />STEVE PETRILLO, AGENT COMPANIES AFFORDING COVERAGE
<br />805 650 6690 FAIL ....................................................................................................................................................................
<br />~PRNY A MERCURY CASUALTY
<br />805 650 9690 :.......................................... ...........................................................................:................................................
<br />111i1J~ .................................................................................. ....... COMPANY B
<br />..........................
<br />LET1'EA
<br />ACE FENCE COMPANY ................................................................................ ........................ .......~--.........---.......................................
<br />AMBRICA TANG, INC. ~i-r~ C
<br />GOLDEN MEADOWS CONSTRUCTIONINC ....................................................................................................... ............................................. ................
<br />15135 SALT LAKE AVENUE ~~ D
<br />CITY OF INDUSTRY, CA 91746 .............................................. .................................................................................. ....................................
<br />COMPANY E
<br />UTTER
<br />...:.. nr. ''~:#.. .. n.:n n. .. .... :. \{:4i ... .Yn.......v......,n ...................v.:v v.: .... .:.nv: v:::::.v: v:.v:: v. ....
<br />8 •: 'Gi : . { :.::.. •: wnv;:- v{ .... ::::::•.: {...:: ::::: v:. ..... v:.v:::: ;••:::::w:: w; ........:•...:n ............. v:........... i8 ~..
<br />::rv:.:}:hvf.:}n{{{{.%n~i f.: i:Si:{:~:%1:{.:,,?{' ,v.{.; .:.. :.{,v:;;:i •: m,0.:; }.,?. v.: ::}•O:{•i
<br />w Gv:•v.:n•: .v s.. .nn:.}.:. ..........:.....:...........v{.....:....\:viii}'J;:.; .:.vx'~ .. j::{{'~,{'~.:••:v
<br />vrn:4.'.JF.nv.h<h.v:::%v.,:n.:.v:{{viv..v~'~',....:Nlr4.{S{t:i:'r{]in•:{•:'f.{:v....n.%-ii'•Y\~ii':'r~3::•%•:{•i:•:is~%ni:\•:{i,{{G%::rrivx:::x?x::?':::ni'v}}:v>hvvt:J.•i:!tWryi}}hi:?X:ii3: ii::~ '::'r'.i{:iii
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS.
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />TYPE OF INSURANCE POLICY NUMBEA :POLICY EFFECTIVE POLICY EXPIRATION: OMITS
<br />s- :GATE (MM/DD/YY) DATE (MMIDD/YY)
<br />GENERAL LIABILITY : GENEAAL AGGREGATE $
<br />:COMMERCUIL GENERAL LL181UTY PRODUCTS•COMP/OP AGG. S
<br />..........
<br />................
<br />• ::.....
<br />:CLAIMS MADE .OCCUR ~ RSONAL & ADV. INJURY j ............................
<br />.........; ER'S d~ CONTRACTOR'S PROT. :EACH OCCURRENCE : j
<br />E DAMAGE (Any one fire) j
<br />MED. EXPENSE (My one Pe~nf j
<br />A.A..~OMO81~L'"~'~TM AC 11004874 :06/18/95 06/18/96 coM EDSUVaLE
<br />JWYAUTO :UNIT N ~ j 100000
<br />;.......{ALL OWNED AUTOS ..
<br />........: ~ ' IlY Y
<br />:BOO INJUR
<br />g :SCHEDULED AUTOS ; (per Pe~nl E
<br />e--• --- .
<br />g :HIRED AUTOS ; .- ... .......
<br />:""°••' ~ ~ 8001LY INJURY
<br />i...g.:NON-0WNED AUTOS : (Per aocidern) j
<br />= tiARAGE LIABILITY :................................................:.........................
<br />;........: :PROPERTY DAMAGE ~ j
<br />:.EXCESS LUU3ILITY :EACH OCCURRENCE j
<br />...,
<br />...:...... ...
<br />.........~IiMBRELI.A FORM :AGGREGATE ........................ ...............................
<br />j
<br />:OTHER THAN UMBREUA FORM
<br />WORI~RS COMPENSATION STATUTORY LIMITS
<br />AND ~ EACH ACgOENT : j
<br />...........................:.......
<br />- ................................
<br />:DISEASE-POLICY UMR j
<br />EMPLOYERS LIABILITY
<br />DISEASE -EACH EMPLOYEE j
<br />:OTHER
<br />DESCRIPTION OF OPERATIONSAACATIONS/VEHICLES/SPECIAL ITEMS
<br />10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM.
<br />ALL JOBS AS COVERED BY THIS POLICY
<br />,...... ...:..:: .....:.:::..::n.:::.~:....,..:::.~:.:::::::.:
<br />...... !n .. .f•.........
<br />... : }..v {3: •:.G^. •:.:v::: iC .,•h%~S:x{{.::xh x-.. -.... v: {.v:: v .v {:.i\L'jiiv:. : .:.. .... :.:::::::::...............: v: nv:::::::.v::::::::::::::: nvx:
<br />:~ .. .' '/ 3.: ... ..: ... v.v,{..:f. .. ....R... .{~v:: t.,•.,...:h .. :. .; .. ..rw{{.%>i'•::{•:i.{•:}:•.b: v:x.:: n,..v :.:v,vvxv:....
<br />S. [~~}y . ''•$.2n 1 n.+i :h}}.. ::.{. .v?Y : Y .: •::\{~ ::}::.J::N:i }ij'i{}' •v S:.:iY:{:i-v.::iiiit:{:?::
<br />~ ;:AYb.[.}xi:3.{: :?=•d}V.+~~.?i...T: -~-+~s~, f f,:.v .v+v.~.~•~~~7. {%{:y ::.{.::.i•:.:': h .r?~. F{:ti ri%i''<.:i:•i.C..n...
<br />~h~,x.a':r.asoc~wxtfn'>.•.:o:•.~,~,'~:+:{a~as: i.;.,.~cS%R,:,x{. „3n'^o:w:{..r•.»+:e :~:er.-at:;ea:•`.{{n.:;.:::..::t•.'.-o.{•:.:: •- a:{: o:>•niw:r;:: ~: •> ., t~ a
<br />CITY OF SANTA ANA, ITS OFFICERS - - ~x• ~ . {.a,.w ~ ,~,,,x:.~,.,,~:.,.~...,.:::~:<<>:?<.:~~,~.<>}.{.a.?~:s~~::-~~;k~':~~~~;~:
<br />AGENTS AND EMPLOYEES ~ ~~` SHOULD ANY OF THEABpVE~DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />PUBLIC WORKS DEPARTMENT ~~' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~Q
<br />(ADDITIONAL INSURED) ~~~ MAIL'~o DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br />217 N MAIN STREET --•`' ~~'
<br />SANTA ANA, CA 92701 ATTN B.ALBRIGHT~<'
<br />;:.<.:: AUTHORIZED REPRESENTATIVE /
<br />,...
<br />~~ ~'-
<br />STE
<br />VE P
<br />ETRILLO
<br />.: ... :- . {:.::{< ::.::.:.:::::.::.;.>.:.>,,:.~::.,.:{.;:::<:.;,.;::.::.;;:;,::;:.;::{:,.:{{.::;>.;:.,{::.;:.;•.:~:.;:..:::-:{.><iii ::<;:;:,>::>,i:-i:{:.:{.i::;:.:;:.;i:{.:{.%.;:,:-:.;:.:.;:.;:::;.;;>:.;....
<br />.....:
<br />...:.:::'.~.... , r .:.:::.::::::..:.,i: :::.:::............................:::::::::.~::........................:::::::: ... :... .. :::
<br />':: .. .......... h...... .. ....
<br />....n..... n..n .........................:.. ~::::::.~::::::::::::: :.: ::.::: :.::.:1Y.Oi?ii:•i:.i:ip fh;: {:::::::{•iiii:::J}::i;{.iiivviiii:::':iiiii?iii:::Y.{{::Isis::ii::{i;3;;{i0;ryi:•iii;4}i}}; ..'./ . .+
<br />
|