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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(NMIDD(YYYYI <br />07/09/2008 <br />714-779-6999 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOD <br />THE CERTIFLCATE <br />RAEORD, <br />)i -,;go 5--23lf-G / <br />MCRAE 8 ASSOCIATES n <br />ONLY AND CONFERS NO RIGHTS UPON <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF <br />THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />PATRICK MCRAE INSURANCE SERVICES <br />ALTER <br />1290 N HANCOCK ST STE 210 <br />NAIC <br />INSURERS AFFORDING COVERAGE _ <br />ANAHEIM HILLS CA 92807 — <br />LIBERTY SURPLUS INSURANCE 10725 <br />INSURED <br />INSURER <br />UNITED NATIONAL INSURANCE CO 11445 _ <br />CROSSTOWN ELECTRICAL 8 DATA, INC, <br />wsuRERB: <br />INSURERC AMERICAN ZURICH INSURANCE CO 40142 <br />5463 DIAZ STREET <br />NSURERD. COMMERCE WEST _ 13161_ _ <br />IRWINDALE,CA 91706 <br />DGL-SF-184763-036 <br />OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND( A <br />ANY MAY PERTAIIN,TED NOTWIjHPIANUINN3 <br />NTHETINSURANCE AFFORDED BY HE POLICIES C ES DESCR BED HERENTRACT OR OTHER IN 5 SUBUMENT JECT TO ATH LL THECT TERMS RMS EXC US ONWHICH THIS S AND CONDITIONS OFESUCH <br />_____.__.....�............. a eV uAvP RFFN REDUCED BY PAID CLAIMS. -- '- <br />POLICIES. <br />[__CLUBONS ADDED ITr <br />DESCRIPTION OF OPERATIONS I LOCATIONSI V EHICLE_Sr. <br />AGtittCUn oLiM„S ;l •„•-•••••....----- <br />—. <br />POLICYEFFECTIVE POLICYEXPHRATION <br />LIMITS <br />_. <br />ISR ADD' <br />POLICY NUMBER <br />1.000,000 <br />EACHOCCURRENCE $ <br />GEHERALLUMUTY50,000 <br />DGL-SF-184763-036 <br />06/03/2008 06103!2009 <br />PREMIA_ S4E«e� - S <br />— <br />A <br />X COMMERCIALGENERALLIABILITY <br />MEDEXP(AnTon 018W)�I S EXCLUDED <br />GLAIMSMADE I_X OCCUR <br />( PERSONAL S ADV INJURY $ <br />1.000.000 <br />X XCU <br />y <br />IIS_ GENERALAGGREGATE 'E <br />2.000.000 <br />X OCP <br />PRODUCTS COMPIOPAGG S <br />2,000,000 <br />GEN'L AGGREGATE LIU IT APPLIES PER: <br />$5,000 DEDUCTIBLE <br />l POLICY 1� PRO LOG <br />COMBINED SINGLE LIMIT S <br />1,000,000 <br />AUTOMOBILE LIABILITY <br />CVA0388720 <br />02!02!2008 02/02/2009 <br />(Ea eccMent) <br />D <br />ANY AUTO <br />BODILY INJURY S <br />A.LOWNEDAUTOS <br />q <br />(Par Parson) <br />SCHEDULED AUTOS <br />X HIREDAUTOS <br />INJURY <br />BODILYRY S <br />(Por LY NJU <br />I` X NON,OWNEDAJTOS <br />PROPERTY DAMAGE S <br />-- <br />fPor am dentl <br />TO ONLY SEA ACCIDENT i <br />GARAGE LIABILITYAUI <br />If EA ACC E <br />OTHER'THAN <br />ANY AUTO <br />y <br />AUTOONLY ASG $ <br />FACHOCCURRENCE S <br />2,000.000 <br />! EXCESwUMBRELLALIABIDTY <br />FCX0005465 <br />06/03f2008 06103!2009 <br />AGGREGATE S. <br />2.000.000 <br />B <br />OCCUR G'�11MS MADE <br />PRODLIGTS•COFM !GP S <br />2,000,000 <br />S <br />DEDUCTIBLE <br />S <br />RETENTION E <br />WCSTATU OTW <br />X <br />WORKERS COMPENSATION AND <br />WCO283135400 <br />06103!2008 06/03/2009 <br />T $. <br />EL EACH ACCIDENT E <br />1,00_0,000 <br />C <br />EMPLOYERS'LIABILITV <br />ANY PROPRIE'OWPARTNERIEXEGLT.VE <br />E.L. DISEASE, EA EMPLOYEES <br />1000900_ <br />OFFICERNEMBER EXCLUDED? <br />' <br />1.000.000 <br />PYesAasmt. undw <br />SQECIAL PROVISIONS b.bW <br />I <br />EL DISEASE, POLICY L.MIT S <br />OTHER <br />..`.uew,emoa, oA.-M-11AlON5 <br />--- .-.._ <br />CITY OF SANTA ANA, ITS AFFILIATES. REPRESENTATIVES, ASSIGNS, OFFICERS, DIRECTORS, EMPLOYEES, AND VOLUNTEERS <br />"SERVANTS" ARE NAMED AS ADDITIONAL INSURED WITH RESPECTS TO PROJECTMASTER AGREEMENT <br />CROSSTOWN JOB NO 1695 <br />'10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM <br />CITY OF SANTA ANA <br />P 0 BOX 19881 M-43 - <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLYlIQ"UXIAIL 30- DAYS <br />SSyWyRIITTEN <br />AY.&vTY,aSfYYdl3'HX'LC <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)j6 <br />THORUIED REPRESENTATIVE ' <br />PATRICK MCRAE%�� <br />RD CORPORATION 1988 <br />