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. ['-ACORD",--CERTIFICATE OF LIABILITY -iN5URA-NCE-'-'--':-~~~1 09 :;A;;-;~~ I PROO4lCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION METRO INSURANCE SERVICES/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,186172 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 : I SAN ANTONIO TX 78265 -".-,---. INSURED Ei ____~~_SURERS A~FORDING ~.O~_ERAGE _. _ ,".._____ INSURER A: Hart ford Casual t y I_rJ._~~_H_ INSURER B: NETWORKS INSURER C: MATTHEW ETESHAM DBA ALTERNATE !1201 FAIRHAVEN AVE APT 20H [SANTA ANA CA 92705 INSURER D: INSURER E: COVERAGES 1- THE POLicIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO:-N'OTWITHSTANDING - i ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR . MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AN.D CONDITIONS OF SUCH~ POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR .-- POLlCYEFFECTNE POLlCYEXPlRATION ___.n.. ..- LTR _....,,_ TYPEOFlNSURANCE POLICY NUMBER DATEfMM/IJWrtL_ DATEM Y ...,____..'!MfTS _____ ...__1 GENERAL LIABILITY EACH OCCURRENCE $1 0 0 0 0 0 0 09/07/07 09/07/08 FIRE DAMAGE (Anyone fire) $300, 000 $10 000 $1 000 000 $2 000 000 PRODUCTS - COMPI9.P AGG u"~uQ Q~ 0-1 09/07/-07 0~/07;'~8 ~~~~~I~-:-::T~ $1~~~~-~~~1 x COMMERCIAL GENERAL LIABiliTY CLAIMS MADE 00 OCCUR General Liab 72 SBA TV16I8 A MED EXP lAny one person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: _ _ __]P_OLiCY i-J j~gT _ill LOC AUTOMOBILE LIABILITY A ANY AUTO 72 SBA TVIGl8 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON.OWNED AUTOS BODILY INJURY (Per person) BODILY INJURY lpsr accident) PROPERTY DAMAGE (Per accidentl ANY AUTO OTHER THAN AUTO ONLY: EA ACC $ AGG $ -1 I I GARAGE LlA81LfTY AUTO ONLY - EA ACCIDENT $ -.._---- --_..-. -----~- EXCESS LlABILfTY OCCUR C CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSA TION AND EMPLOYERS'LlA81UTY $ 'WCfl~-rsI~fl;H' _~==~-. .~ E,L. EACt:t!>_CCIDE!'I.!__ ..n. _$,_ .,_, ~ u_,__,. '=,.11 e..L, OISEA~~!~I,~YEE $_ .________....j E.L, DISEASE. POLICY liMIT $ , OTHER DESCRIPTION OF OPERA TIONS/LOCA TIDNSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON.PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT A liVES. :Clerk of the City Council City of Santa Ana 120 Civic Center Plaza (M-30) IPO Box 1988 'Santa Ana, CA 92702 I i ACORD 25-5 (7/97) .. ACORD CORPORATION 19BB