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ACORD CERTIFICATE OF LIABILITY INSURANCE 9/8%2009 ` PRODUCER (760)241-7900 FAX: (760) 241 -1467 ISU Insurance Services - ARMAC AgyP;!(1?j _3 17177 Yuma Street vii - Victorville CA 92395 A i f THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O AND CONFERS NO RIGHTS UPON THE CERTIFICATE �MER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. `? '. aN$f� S AFFORDING COVERAGE NAIC # INSURED Cazcom, Inc.., 17181 Jasmine Unit B Victorville rnVPPAnPQ DBA: Hi Desert Communications Street CA 92395 GENERAL LIABILITY "ASGRERA: Peerless Insurance INSURER B: Travelers Pro /Casualty 25674 INSURER C: Star Insurance Company A INSURER D: X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I—XI OCCUR INSURER E: 8/30/2009 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, 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 AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR T ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM /OD" LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I—XI OCCUR CBP8315374 8/30/2009 8/30/2010 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MEDEXP (Any one arson' $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO J ECT LOC PRODUCTS - COMP /OP AGG $ 2,000,000 AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accdent) $ 11000,0001 B ALL OWNED AUTOS SCHEDULED AUTOS BA- 9389N619- 09 -SEL 8/30/2009 8/30/2010 BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS - .,,,....T Al'P BODILY INJURY (Per accident) $ t Y PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY +y> AUTO ONLY - EAACCI DENT $ ANY AUTO �' V OTHER THAN EAACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR FI CLAIMS MADE p S9�st �7 t1. �bt Cif, V ka EACH OCCURRENCE $ AGGREGATE $ ey $ $ DEDUCTIBLE RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- X T RY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERIEXECUTiVE OFFICERIMEMBER EXCLUDED? If yes, describe under WCMSTRO508024 8/31/2009 8/31/2010 E_L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE- POLICY LIMIT $ 1.000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONS NEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The City of Santa Ana, its officers, employees, agents, volunteers and representatives are hereby named as additional insured in regards to the General liability per attached CG 2010 (0704) actual form to follow and Auto policy.. Insurance is primary per attached GECG 0602 on the general liability,. Workers comp is verification of coverage only,. 10 Day notice of cancellation for non - payment of premium,. bwatson @santa- ana.org The City of Santa Ana its officers, employees, agents, voluntee and representatives 1439 S. Broadway Ave.. Santa Ana, CA 92707 ACORFI 95 i9nni rnal INS025 {oloa) oaa 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 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Chrystal Wells /CHRWEL— D ACORD CORPORATION 1988 Page 1 of 2