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AtWMV, UtK 11HUA I t Uf LIAWLI I Y MbUKAIVVC <br />1 01/03 /2008 <br />;ODUCER (949)756 -5730 FAX (949)756 -5740 <br />pectrum Risk Mgmt. & Insurance Services <br />.A Lic . #OC77485 a _ o Q S —� � <br />74 Discovery A • aOb{o - oa3 <br />[rvine, CA 92618 A -aoob -3a5 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />SURED TSCM Corp. <br />18281 Gothard St.,Ste.109 <br />Huntington Beach, CA 92648 <br />A- .-2QQ' -005 <br />N ~Iggq -�1) <br />A <br />A--"00'4 —d-�3 <br />INSURER& Navigators Ins. Co. <br />42307 <br />INSURERB` General Ins. Co. of America <br />INSURERC St.Paul Fire & Marine Ins. Co. <br />GENERAL LIABILITY <br />INSURERD. Cypress Insurance Company <br />10855 <br />INSURER E: <br />EACH OCCURRENCE <br />CC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />3R <br />R-INSR <br />DWL <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />DATE iMM/DDNY) <br />LIMITS <br />GENERAL LIABILITY <br />06CGL000481 -02 <br />01 /01/2008 <br />01/01/2009 <br />EACH OCCURRENCE <br />$ 11000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />MISFS (Jnrr„rP <br />$ 50,0001 <br />CLAIMS MADE a OCCUR <br />MED EXP (Any one person) <br />$ S,000 <br />PERSONAL & PAV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />5 2,000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMPIOP AGG <br />$ 1,000,000 <br />POLICY jE O LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />24- CC- 153067 -2 <br />01/01/2008 <br />01/01/2009 <br />COMBINED SINGLE LIMIT <br />(£a accident) <br />$ 1,000,000 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />3 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON OWNED AUTOS <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY AGG <br />$ <br />R ANY AUTO <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />QK04500369 <br />01/01/2008 <br />01/01/2009 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />x OCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />$ 4,000,000 <br />$ <br />C <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10,000 <br />WORKERS COMPENSATION AND <br />3310010909 -071 <br />0710112007 <br />07/01/2008 <br />X wcSTATU- FR <br />D <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E.L EACH ACCIDENT <br />$ 1,000,00C <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00C <br />If yes describe undsr <br />SPECIAL PROVISIONS below <br />E.L DISEASE -POLICY LIMIT <br />$ 1,000,00( <br />OTHER <br />)ESC RIFT ION OF OPERATIONS) LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />e: Parking lot sweeping services. <br />he City its officers, agents, employees are named additional insureds with resepect to the GL and auto <br />iability per the attached forms. <br />e: Notice below: 10 days notice for non - payment of premium and /or non - reporting of payroll. <br />The City of Santa Ana /la <br />Attn: Carolyn Fullerton <br />20 Civic Center Plaza M -25 <br />Community Development Agency <br />Santa Ana, CA 92701 <br />ACORD 25 (2001/08) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />— EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL lM98T0 MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED REPRESENTATIVE <br />Jim Waterhouse /GINNIE <br />(DACORD CORPORATION 1988 <br />