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N- ZCaxc�Z <br />� <br />CERTIFICATE OF LIABILITY INSURANM,­ �40ATI(MM D1 YYY) <br />Pi, 1 '13 Y <br />2/9/2009 <br />PRODUCER (760) 241-7900 FAX- (760) 241-1467 CERTIFICATE IS 445SUIEEW <br />It$ r <br />THIS CERTIF1 <br />,U <br />=R OF INFORMATION <br />ONLY AND CONFERS NO THE CERTIFICATE <br />ISU Insurance Services ARMAC Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17177 Yuma Street ALTER THE COVERAGE AFFORDED BY THE P _1!�g BELOW. <br />victorville CA 92395 <br />_ INSURERS AFFORDING COVERAGE I NAIC # <br />INSURED ;NSURERA Peerless Insurance <br />Cazcom, Inc., DBA: Hi Desert Communications NSUREFB United Financial Casualty 11770 <br />17181 Jasmine Street <br />,NSURErcTOPA Insurance Co any <br />'NSLIRERD Tower Select Insurance <br />Victorville CA 92395 <br />INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDIT16N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHiCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH oOLICIES. <br />T <br />T ?PMTS <br />POLICY EFFECTIVE POLICY EXPIRATION <br />L TYPE OF INSURANCE POLICY NUMBER POLICY E' <br />LTR INSRO !-ATE �(MMIDWYYI DATE iMMIDWYn LIMITS <br />GENERAL LIABILITY <br />EAC�, QCCURRENCE <br />Is 1,000,000 <br />X COINAERCIA- GENERAL DABILTY I DAMAGE TO RENTED <br />_RBE_fASES _J�� <br />100, DOO <br />S 51000 <br />A MAI�E EX I OcciRl AQ98315374 813012008 8/30/2009 MED EXP tAily rxiepersom <br />PERSONAL 6 ADV II44LIURY <br />S 1,000,000 <br />. ...... . . ...... . GENERA!, AGGREs5AT7 E <br />S 2,000,000 <br />S 2,000,000 <br />GEN'- AGGREGATE LIMIT APPI-JES P--R: <br />I "k-1 <br />POLICY F-1 JPERCcl F�Loc_ <br />I AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY ALTO <br />$ 1,000,000 <br />(Ea awdenq, <br />B <br />LX <br />A­L OWNED AUTOS 05942126-1 8/30/2008 i 8130/2009 I�C�L IIJURY <br />SCHEQUIL ED AL;T�)S � F"'Le, <br />x <br />I <br />=E) <br />F_x <br />N AU-Cs <br />BODILY INjURY <br />iiON-C`i,`I-.E11 AJT'-- S (Per acudent) <br />jT0 <br />PROPER DAMAGE <br />........... <br />1 GARAGE LIABILITY I 4() AUTO ONLY ACCOENT <br />�A ACC�PENT <br />I Qto <br />AN" AUTO OTHER <br />THAN <br />AUTO ONLY <br />AGG <br />XC <br />EES&UMBRELLA LIABILITY �v <br />3,000,000 <br />L�?Xuxlll <br />_�EC-ATE <br />C i <br />DECUCTIBLE !XL25994 11/20/20081 8 130/2009 <br />X <br />D I WORKERS COMPENSATION AND <br />Ex 1=17TTIJE <br />EMPLOYERS' LIA BILITY <br />i <br />r�y,-ROPRTTCRVPARTNEFIE;(ECUTIVF <br />EXCLUDE _LL EACH AOC <br />$ 1,000,000 <br />S 1,000,000 <br />-11 <br />i 8/31/2008 8/31/2009 E . OE- A EMOE <br />SP- A aRi ✓ici -45 <br />S 11000,000 <br />i OTHER <br />DESCRIPTION OrOPERATION&LOCATIONSNEHICLESIEXCLUSIONSADDED BYENDORSEMENTISPECJAL PROVISIONS <br />Certificate holder is hereby named as additional insured in regards to the General liability, Umbrella and Auto <br />policy, Workers COMP is verification of coverage only, '10 Day notice of cancellation for non-payment of premium. <br />bwatson@santa-ana.org <br />Santa Ana Fire Department <br />1439 S. Broadway Ave. <br />Santa Ana, CA 92707 <br />ACORD 25 (2001108) <br />Imcn,yr ­­­, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />--hrystal We_'1s/CFPWET.1 <br />Q ACORD CORPORATION 1988 <br />