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Dale ElTtered 8/29/2008
<br /> 054: i U ~ 41
<br />Pc,~IGy nj UI11bET ~ DATE (MM/DD/YVYY)
<br />
<br />ACORD I a/29~2o0s
<br />RANCE
<br />U
<br />INS
<br />ERTIFICATE OF LIABILITY
<br />D AS A MATTER OF INFORMATION
<br />M
<br />I
<br />T
<br />I
<br />E
<br />RIGHTS UPON THE CERTIFIGAT
<br />,--_
<br />PRODUCER
<br />RIJi1~Y ~
<br />nj Insurance AgerlcY I ONLY AND CONFERS NO
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br />THE POl1CIES BELOW.
<br />RDED BY
<br /> ~F .
<br />f(i1efS Insurance ~ ALTER THE COVERAGE AFFO
<br />~67~ alley VIeW, $U~@ ~~ NAIC #
<br /> Mirada, CA ~~ INSURERS AFFORDING COVERAGE
<br /> :as~1Pl !~e ,FARMERS INSURANCE GROUP
<br />wsuRE° XONOV A TECgNOLOGIES LLC ,A
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<br />19200 ~
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<br />ON T(p,RMEN AV #602
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<br />4TH 4 '~~~~
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<br />Z R V I CA 9 2 612 _.---------- - ---------------
<br />COVERAGES
<br />ICIES OF i
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<br />K D(SURMF NNAW?(1 RF SF E:C.~ROtWrilC.ri '~HIS~RIRTIF DITF M D 8O ISSIUED OR DING
<br />CONDITIONS OF SUCH
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<br />THE POL
<br />ANV REOUIREMEN
<br />- OR ()TRE
<br />T
<br />ION OF ANV C'ON R C
<br />M OR CONC)DT
<br />ER
<br />AFFORDED BY 'HE POLiU ES DE bCRIBED HEREIN I ; 5FJ FiJE~, 1 U ALL i riF TERM4 EXC~tiSIQNS AND
<br />'
<br />MAY PERTAIN iH
<br />POLICIES AGGRF~ I
<br />A URANC;E
<br />E LIMITS SHOWN MAV HAVE 9F EN REDUCED RY F IC - AIM`` trEr E E,~)LI r ezPIRA IC d uMlTs
<br />---_-
<br />INSR ADD'L MM ,Il YL _
<br />POLICY NUMBER __j1'TF~_ ,. 1 ~ OQO , OOO
<br />i~E1~_-._._. r 1 ~ _ E
<br />IF s $75,000
<br />GENERAL Li~61 nr 8/`29/2008 8/29/2009 ~I I t
<br />~~ 09421 03 41 X5,000
<br />~~ „(, , 1 , 000 , 000
<br />,E. H ,1E ,, `2,000,000
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<br />., Its .( M~~
<br />"F. N~ A<„; E-. %-~E ,iMI' ht~I'~ if S t>Fu
<br />AIITOMORI E IARILITY
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<br />GARAGI L~RII.ITV
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<br />1M H,Nf , -,w . t l °Mn s 1 , 000 , 0
<br />09421 (73 41
<br />E.n ,ycr. it5rtn:'
<br />;~.It , 'N.ri u , S
<br />r f„rs,
<br />8/29/2008 08/29/2009 t.<;[ rr,ll,~. _
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<br />F. %CE SSIU [i El1A lIAH11.liY
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<br />WORKERS COM F. ATION AND
<br />C MPL OYE RS LI ! TY
<br />~~~MI MRE t ! L~'
<br />~..., ~f,.~, .. -)r,
<br />~p~~
<br />OTHER
<br />DESCRIPTION OF OPE A IONS' LCif_ATIONS ' VEHICLE S ' E%[:L USIONS ADUED E3Y ENI OH SC ME NT SVECIAL PRfr VISIONS
<br />THE CITY OF TA ANA, ITS OFFICERS, EMPLOYEES AGENTS AND VOLUNTEERS ARE NAMED THEREIN AS ADDITIONAL
<br />INSURED. THZ NSURANCE IS PRIMARY AND NON CONTRIBUTORY TO ANY INSURANCE HELD BY THE CITY OF SANTA ANA,
<br />ITS OFFICERS MPLOYEES, AGENTS, VOLUNTEERS, AND SUBSIDIARIES.
<br />CERTIFICATE H DER __ _ CANCELLATION
<br />SHOULD ANY OF IRE AROVE OE:SC RIAED POI.iCIES RE CANCELLED BEFORE THE E%PIRA TION
<br />THE ~~ TY OF SANTA ANA DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_.. DAYS WRIl1EN
<br />.'U 'I IC CENTER PLALA NOTlCL 10 iHF CER TIF ICAIE HOLDER NAMED EO THE LEFT. 8(1T FAILVRE TO DU SO SHALL
<br />SAN T ANA. CA y2'7~1. IMPOSE NU OBLIGATION OR LIARII.ITY Of ANY KIND UPON THE INSURER. Ii5 AGENTS OR
<br />___
<br />REPEtE SE NTAi1VE.5. ~---
<br />AU7HORIZEpHEPRESENTAiIVE I
<br />©ACORD CORPORATION 1988
<br />ACORD 25 (200 f 8)
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