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6/25/96 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> ROBERT F. DRIVER COMPANY, INC. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> 4041 MacArthur Blvd., Suite 300 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE POLICIES BELOW. <br /> Jewport Beach, CA 92660-2511 <br /> (714) 756-0271 COMPANIES AFFORDING COVERAGE <br /> n ARNY A Insurance Company of the State of PA <br /> INSURED <br /> Orange County Cities Risk Management Authority COMPANY B <br /> LETTER <br /> and Member City of Brea COMPANY C <br /> LETTER <br /> Number One Civic Center Circle COMPANY D <br /> LETTER <br /> Brea, CA 92621 COMPANY E <br /> LETTER <br /> 1TA1^`.3kW�',. `aSim <br /> THis IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY-PERIOD INDICATED, <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br /> OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSION AND CONDITIONS OF SUCH POLICIES, <br /> LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE <br /> COMMERCIAL GENERAL PRODUCTS-COMP/OP AGG. <br /> LIABILITY <br /> CLAIMS OCCUR PERSONAL S ADV.INJURY <br /> MADE <br /> OWNER'S&CONTRACTOR'S EACH OCCURRENCE <br /> PROT. <br /> FIRE DAMAGE(My one fire) <br /> MED.EXPENSE(My one <br /> ) <br /> AUTOMOBILE LIABILITY C <br /> COO COMBINED SINGLE <br /> ANY AUTO LIMIT <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) <br /> GARAGE LIABILITY PROPERTY DAMAGE <br /> A EXCESS LIABILITY 4295-4286 07/01/95 07/01/98 EACH OCCURRENCE $1,000,000 <br /> UMBRELLA FORM AGGREGATE <br /> $1,000,000 <br /> x OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS ¢-±---- <br /> WORKER'S COMPENSATION EACH ACCIDENT <br /> AND DISEASE-POLICY LIMIT <br /> EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> Lease Agreement dated as of July 1,1996 on Brea Fire Station#3 located at 400 N.Kraemer Blvd.,Brea,CA.Additional Insured <br /> Endorsement to follow. <br /> C FG � _ _ R NC _r0 <br /> Countywide Public Financing Authority SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> and their Respective Members, Officers, EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Employees and Assigns $Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> ATTN: Executive Director BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE OBLIGATION OR LIABILITY OF <br /> 20 Civic Center Plaza ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES <br /> Santa Ana, CA 92701 <br /> rI AUTHOR! E ESENTATIV <br /> I_ L <br />