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Client #c 458248 MASTELECS
<br />ACOR/D -� CERTIFICATE OF LIABILITY INSURANCE
<br />DATEIi1M'DDM'YYI
<br />1 id LiM1! Ulx CON�1Li1:]LJ C:r ANY CC]N -J2ACT pR �DTe -fER DOGU!-0ENT'::IT1 -. ffESA ECT -[�':: F�TGC IYICi
<br />CER TIFIGATE MAY BE ISS UEll ::]H MAY I'CRTAIA. THE
<br />5!1112011
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS
<br />CERT)FlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />TYPE OF INSURANCE
<br />BELOW_ THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER.(S), AUTHOR12ED
<br />A
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFlCATE HOLOE.R.
<br />e
<br />IMPORTANT% 1f the certificate holder is an ADDITIONAL INSURED, the policy(fes) must ba endorsed. If SVBROGATION IS WAIVED, subject to
<br />the terms and Conditions of the policy, Certain polio ios may require an endorsement_ A statement on [his certificate does not oonfer riflhls to lho
<br />- GAVAx,E TCREfiT G
<br />>'ItER1sE&
<br />certificate holder In lieu of such endorsement(sJ.
<br />PRODVCER NAME: Kfl$tFe Martln
<br />Hub lntemational ^
<br />x� ter:
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<br />lN1J�0iio E, =sp: 877 825_2661 c. NoJ 951 231 2572
<br />HUB Int'1 Insurance S@rv. Inc. � E�IIiUL' - -- -
<br />Aonlasss: CA001.ProcessingUnit @ hu biota mational co
<br />4371 Latham St, StD #101 '-PROD - - - - - --
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<br />PEREOYAI A 4G'+ IN.�RV
<br />- MASTELECS
<br />Rivarside, CA 92507 ; cuRTO.IFn Ins. - _____.._...____ -.
<br />' INSVRERISY AFEORDWG COVE RAGS �. NAIG
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<br />INSURED INSURER w: Travelers Indemnity- Company of -- X25682
<br />TSJ Electrical &Communications. Inc_ - - - - - - -- - - - - --
<br />. «suJ:ER N :Travelers Property Casualty Co ;25674
<br />> ItOC'JCTR COUP: C]V AiiG
<br />dtfa Mast @rs Electric - --.. __. _______.. -..
<br />- - --
<br />7490 Jurupa Avenu@ WRURER c . _ ___ ___ -. - -
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<br />L.ISURER o: _ -.... _ -...
<br />Riverside. CA 92504
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<br />� J INSURER E
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<br />DT81 D9011 P041TCT71 04/2012011 04120/207 2 nl =blR1 J cwidL E ,.li -r
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<br />TFI$ 16 Tp CER'IFY TF -4T TI IE POiIC:IES JF INS:JRAN:75
<br />LISTED B6_CYN' H.A'JE tlEEN ISSUE.C7 TU *HF INSLI IaEiJ NAME:] AEiOVE "6Fx i /IF_ ='7LI� Y PE R'DG
<br />N J�CATE D. NO".Y!T 3- ISTANCINO f.NY REOVIREMEN'
<br />1 id LiM1! Ulx CON�1Li1:]LJ C:r ANY CC]N -J2ACT pR �DTe -fER DOGU!-0ENT'::IT1 -. ffESA ECT -[�':: F�TGC IYICi
<br />CER TIFIGATE MAY BE ISS UEll ::]H MAY I'CRTAIA. THE
<br />INSURANCE AFF OHDEi7 RY TI'E %DLI ^,.: F_5 f➢ESCP.19ED HE R£IIti !S SI�gJEC;T TO AL_. iFlt 1 tKl.!S,
<br />ExC_USIOVS AND CC1ND1 ➢ICV5 CF SVC1➢ F'C_IGIES. LIIA:TS
<br />$JIQ•::N MAY HAVE BEEN REDUCED BY P.ilD CL.A.:M1S S.
<br />I
<br />TYPE OF INSURANCE
<br />POLICY EFF POLPCT E %P
<br />POLICY NUMBER IAM.OD, MMIDDfYYri LIJ,IIfR
<br />A
<br />GFJNERaL �ualulr
<br />DTEC09011PO41TCT11 04/2072011 04J20l2012 EAt:I �. nr �L;:3R.:WCE
<br />21,000 000__
<br />-X GKxvf.E arlA_ uF!. =RAE uAPll ltv
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<br />- GAVAx,E TCREfiT G
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<br />-- _- - - - -_i ._ _. _ —_ _-
<br />s300,000
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<br />_J[�.�sY$ -.NAB_ X (Jq C.c-2
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<br />PEREOYAI A 4G'+ IN.�RV
<br />51,000.DOO
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<br />52,OD0,000
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<br />> ItOC'JCTR COUP: C]V AiiG
<br />52ADO,DOO
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<br />AU TOMOBJLE [JABILTY
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<br />511000,000_..
<br />E�DIII:Y INJVHY IYn•:r,+� <n�:-
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<br />ALL O'NNEG -'J-Ob
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<br />DTSMCUP9011 PO4iTIL 04!2012011 04/2072012 enc.- occ,»31zENCE
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<br />ss aoo,00D
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<br />E]tCESR LJ/.tl GIA.N S. \lA:.E
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<br />' A.�GREGAT_
<br />y4,000,000
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<br />X- PETENr10N s 1 O OOO
<br />$
<br />B VJ.ORKER9 GOJrPENSAT➢ON
<br />DTJUB6574R46210 10/1872010 10!1 $!2011 X ''"t STAf U- C:TH-
<br />AND EMPLOYERT LJAHNTY Y ! N
<br />—LCiY LIU:TS__ _L4__.
<br />ANY PF2f.'.PRIF %CK�YAHFNFFj'E %.= l- :i1�VE
<br />gFFICE�i.'YES26ER E.XCLVOEO? �i" NIA
<br />�L EACH A.^JCIGf NT
<br />$11ODO,000
<br />lMa•'�aSwY 1p NNI
<br />EI. lay'F0.tiF -EA Ex.,rLUYEE
<br />511000,000
<br />I.yn Ja %nbo t.cen
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<br />E L Ci5EA5E - rDLIL'Y LIII IT
<br />51 000,000
<br />DERCRIPTION OF OPERATIONR f LOCATONS 1 VEHICLES IAalach ACORO 101. Addhlonal Ramarta Sehw ufe, H IIwIa spau Is .wquaew➢
<br />Th@ Clty of Santa Ana. its DffieerR. employees, aQants. volunt@r_rrc anal repraxr. ntativrifa am a[trf itlnnal
<br />insured in regards to the G @neral Liability policy per attached form CGD246 OB /O5, primary and non
<br />(See Attached Descriptions]
<br />A LA 110N
<br />City of Santa Ana SHOVED 1NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />7 - THE EXPIRATION DATE THEREOF, NOTICE riILL BE DELIVERED IN
<br />20 Civle Canter Plaza ' /l,r � / r ;f I.l ACROR[?ANCE Wirth THE POLICY PROVISfON3.
<br />Santa Ana, CA 92701 -_� � -�� -` - -� -� -''r ` -' "1..
<br />- ~ � AUTHORItE0 N6PEJERENTATNE
<br />J.�r�st IG�Irr.,cs c
<br />® 19882009 ACORD CORPORATION. Ali rlphts reserved.
<br />ACORD 25 (2009!09] 1 of 2 The ACO RD name and logo era registered marks of ACORD
<br />#S 1 1729087M � 155254 K M44
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