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<br />DATE (MVIIDDfYYM
<br />ACO-RD, CERTIFICATE OF LIABILITY INSURANCE
<br />i 03/13/2009
<br />PRODUCER (972)419-7500 FAX (972)419-7-5� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Sleeper Sewell Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />12400 Coit Road, Suite 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Dallas, TX 75251-2039
<br />I INSURERS AFFORDING COVERAGE NAIC #
<br />'—- "—"—'" _ «._._ — - ----- AlliidiniernationaI Emeraercy"Ctt " A AIC
<br />2416 Cravel Dr Commerc - e 1-11111 Industry Ins. Co. - / I A .1 1( .--
<br />Ft Worth, TX 76118 - - -----
<br />Texas Mutual Insurance Co 0412
<br />SEINER D Hanover Insurance Co.
<br />;UVhKAUt5
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURE; NAMED ABOVE FOR THE POLICY PE,RlOr)IN-0:tATED,NO ''VITHSTAN-DitqG
<br />ANY REQUIRPMFN r, TERM OR CONDITION OF ANY CONTRACT OR o'rHF.R DOCUMENT WITH RESPECI TO WHICH THIS CERTIFICATE MAI BE ISSUED OR
<br />MAY PERTAIN THE NSURANCE AFFORDED BY THE POLICIES DE SCRIBED HEREIN iS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND C-ONDI'ICNS OF SUCH
<br />POLICES AGGREGATE LIMq TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />- — --- ----- ............. . . . . .......... ... -
<br />"111-T"Er rYPE OF POLICY NUMBER PO.ICY EFPECTiVE I POLICY EXPIRATION
<br />IN �T� W.1-1y,
<br />'01/215/2010
<br />10 DAYS WRITTEN NOTICE TO THE CERTW10ATE HOLDER NAMED TO THE LEFT,
<br />GENERAL L3ADIJ,'Y
<br />PROP15012213
<br />01/26/M9 1! EA1. 'I HENCE
<br />1,000,000
<br />Nanta Anna, CA 92707
<br />Cl'�IIIIAER 'A�. ^,E%FRA� IJA�!
<br />TO RENIECII
<br />300,000
<br />. ... ..
<br />Ix
<br />MED EXPI tA-
<br />A
<br />. ......... ...
<br />1,000,000
<br />iI 2,000,000
<br />—�,NE:ZAL AG�,',REGA'E
<br />CONIPIFAG7,
<br />. . . .........
<br />2,000,000
<br />AUTOMOBILE
<br />LIABILI'Y
<br />CA7573729
<br />01/26/2009 01/26/2010
<br />1,000,000
<br />L2?;�;'--� A� T(-
<br />APPROVED
<br />APPROVED AS
<br />I IJ FOR
<br />TO FOR�
<br />B
<br />X
<br />X
<br />I (111-10AL y INJURY
<br />..........
<br />Laura
<br />GARAGE LIABILITY
<br />I'll IT
<br />Nssistant (�it),'
<br />I EA A_. .D
<br />Attorney .......................... . ................ . .
<br />IHER I I A`
<br />A-
<br />EXCESEWM-BRELLA LIABILITY
<br />PROU15012296
<br />01/26/2009 01/26/2010 EA,;--1 I
<br />S 5,000,000
<br />AINIS 1%1 koL
<br />A,�GREQAT E
<br />5.000,000
<br />A
<br />. .. ... ...........
<br />I
<br />XqE, N 10,000
<br />--..__...._.__..
<br />«...._....__ ...................
<br />WORKERS COMPENSATION AND 3:
<br />TSF0001177724
<br />03/10/2009 03/10/2010
<br />7x F
<br />EMPLOYERS'LIABfLITY
<br />C
<br />I-: E A ar
<br />$ 1,000,000
<br />11000,000
<br />ey-
<br />EL DKi[-ASF
<br />AGE -A I"-y
<br />1,000,000
<br />OTHER ntractors Equipment
<br />RHD862227900
<br />01/26/2009 01/26/2010 25,000 Leased Rented
<br />D
<br />----L .............
<br />--
<br />$1,000 deductible
<br />1 7
<br />DESCRIPTION OF OPERATION57 LOCATIONS 1 VEHICLES i EXCLUSIONS ADDED BY ENDORSEVFNTf$PECIAL PROVISIONS
<br />ACORD25(2001ios) FAX: 714.647.S741
<br />01ACORD CORPORATION 1988
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />City of Santa Anna
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENC EA VOR TO MAIL
<br />Fire Department
<br />10 DAYS WRITTEN NOTICE TO THE CERTW10ATE HOLDER NAMED TO THE LEFT,
<br />Attn: William Watson
<br />BUT FAiLURETO MAIL 5WCII-f NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br />1439 South Broadway
<br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES
<br />Nanta Anna, CA 92707
<br />AV. MQI�IZhV KkeXt7itN i A l Wt
<br />Olivia Andrus
<br />ACORD25(2001ios) FAX: 714.647.S741
<br />01ACORD CORPORATION 1988
<br />
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