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Lr <br />OPID <br />DATE( <br />...wE Se••AA aInC _ <br />CERTIFICATE OF LIABILl a Y PACI-12 04/17/ue <br />ACORD. <br />IS ISSUED AS A MATTER OF INFORMATION <br />THIS CERTIFICATE <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PRODUCER <br />ISU Insurance Services- <br />ONLY <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />The R09CX Stone Agency <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />5015 Birch Street <br />Newport Beach CA 92660 <br />URE ORDING COVERAGE NAICN <br />INSSURERA AFScottsdale <br />Phoae:949-757-0270 Fax:949-757-0375 <br />1U3. CO. <br />NSUREO <br />Ir5I.V2Re Liberty Surplus Ina. Corp <br />Pacific Systems ElectziC, Inc. <br />INSURERC klercury Casualty CO 11908 <br />Earl JO¢e <br />31�LirietaaCAa92563� <br />IN@JRER D'. <br />INBI IRER E. <br />COVERAGES <br />10 TTf INSIAEO NAMED P80VE FOR Tr1E P21CY PERIOD INDICATED NOIWPHETNNDNG <br />THF Pa OF INSURANCE LISTED BELOW 1AVE BEEN ISSUFD <br />OL <br />OR OTHER WCJMENT W4TH RESPECT TC WH CI- CERTIFICATE MAY 3E ISSUED OR <br />my REOUREMM7. TERM CO CONDIT ON OF AM' CON;aACT <br />fit THF P01 I0FS EiCRIPFD HEREIN IS SUI <br />"0X LTHE TERMS, EWCLUI_ AND 7-CP4DITNNS OF SIKH <br />MAY PERTAIN THF INSURANIF AFFCANDED <br />KILICIE3AG.RedATF'. IMITS WO•Nr MAY HAVE EEFN REOJCED BY PAID C -NNIS <br />- <br />INS DD''LLTT -- POLICY IAbEER <br />LTR NSIiO TYPE OF INSURANCE <br />LIMITS �- <br />WN(IMIDD DATE (MIND <br />DAT <br />EACH OCCURRENCE 11,000,000 <br />I GENERAL LIABILITYS <br />CLS1463704 <br />02/02/09 02/02/09 PREMISES(E60PI,a 0I 50,000 <br />A X X DUAN IM GENERA-LIABT ITV <br />MED FxP Pm ore Parson) 55,000 <br />c:AIMsvACE X❑ OCCUR <br />CLS1463704 <br />02/02/08 02/02/09 P`R8ORS'BADVINJURY $1,000,000 <br />A X(owner /Cont Prot. <br />02/02/08. 02/02/09 GENERALAGGREGAIt $ 2_,000,000 <br />A X IHlk't Al, Prim/NO CLS1463704 <br />PRI -COMMOP AGG $2,000,000 <br />GEN'L ACGRE-ATE LI MIT A°PLIES PER <br />_1 <br />Hen. None <br />X POLICY "JI:O LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIM T $1,000,000 <br />02/01/08 02/01/09 (Feacud") <br />C X pnYAr,'c AC11063947 <br />ALL OWNEC ALTOS <br />BODILY INBJRY i <br />(PBr pawn) <br />X $crEDJ-_D AUTOS <br />i <br />HREDPLTOs <br />30IDILY'N.LRY $ <br />FP er III <br />NO&OW VED AXOS <br />PROPERTY DANAGE 1 <br />;Per III <br />AUTO ONLY EAACCIpEDW S <br />GARAGE LMSILIN <br />Esc 6 <br />�ANYAJDO <br />!NOT COVERED <br />OTHER T <br />AONLY <br />LTO <br />ALTO <br />i <br />EACH OCCURRENCE_ $4,000,000 <br />EXCESSIUMBRELIA LIABILRY <br />ILaIMs rar-nE <br />3Q,S0048026 <br />02/02/09 <br />02/02/09 <br />AGGREGATE S 4,000,000 <br />$ <br />AIX �X a:cLR `I <br />6 <br />RF-EBITION $10,000 <br />WORKERS COMPENSATION AND <br />TTYRY LIMITS EP <br />i <br />EMPLOYERSLIABILITY <br />EL EACHACCIDEHT <br />E L DSEASE EA EMPLOYEEOFFIC%i <br />CA VE <br />ANY PEOPRIET O <br />Rf/EkCTLLOm <br />. <br />EL.DISEASE-POLICY LIMIT f <br />(lyes. desnoav g <br />SPECK PRO'VISCINSI)00A. <br />OTHER <br />Liab. <br />02/02/08 <br />02/02/09 <br />1,000,000 <br />gate <br />H Pollution <br />,UUSF101763018 <br />aggrePer <br />5,000,000 <br />DESCRIPTION OF OPERATIONe I LDGTSONS f VEHICLES f EXCLUBIDNS AOOED BY ENDORSEMENT I SPECLAL PROVISIONS <br />RE: Electrical work - 20 Civic center Plaza, Santa Ana CA <br />certificate HOldex is named Additional Insured with primary and non- <br />contributory wording Per form CG20100704 <br />attached. <br />*10 day notice of cancellation for non-payment Of Premium. <br />**Revised - this certificate replaces certificate issued on 2/28/08** <br />CANCELLATION <br />CERTIFICATE HOLDER <br />SHOULD AMY OF THE ABOVE DESCREEO POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY9A9 <br />DATE THEREOF, THE aSUING INSURERWLL ENDEAVOR TO MAL *30 DAYSWRRTEN <br />City Of Santa Ana <br />Building i'mintenan'Oe Div. <br />NOTICE TO TIE CERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza <br />IMPOSE PO OBLIGATION OR LIAIILISY OF ANY HND UPON THE INSURER TTS AGENTS OR <br />P.O. BOX 1985 <br />', %� <br />iR9PRESENTATMES. <br />Santa Ana CA 92702 <br />A DRE REB�NfJTTVE <br />w <br />SA <br />®ACORO CORPORATION 1988 <br />ACORO 25 (2001108) 1—f _� [ <br />