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r <br />,4�C-0-RO. CERTIFICATE OF LIABILITY INSURANCE <br />D011311200(MMIDD1� <br />PRODUCER <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 />INSURED <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />r•r%%1=0 A r: G C <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 />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DDNYI <br />POLICY EXPIRATION <br />DATE (MMIDDM) <br />LIMITS <br />6ENERALLIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE L ^ J OCCUR <br />X111111111 <br />- <br />01/01/2001 <br />01/01/2002 <br />- <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE (Anyone fire) <br />$ 5O,O(w <br />MED EXP (Any one person) <br />$ -5,000 <br />PERSONAL & AOV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 ' <br />OEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY M PRO- LOC <br />PRODUCTS-COMPIOPAGG <br />$ 2,000,000 <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X222222222 01/01/2001 01101/2002 <br />SEE ATTACHED ADDITIONAL <br />INSURED ENDORSEMENT <br />COVERAGES DEPEND ON TYPE <br />OF AGREEMENT/CONTRACT <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />{Per accident) <br />$ <br />GARAGELIABILITY <br />ANY AUTO <br />AUTOONLY- EAACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR 0 CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ - <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />,I!APLOYERS' LIABILITY <br /># <br />XXX333333333 <br />01/01/2001 <br />- <br />0110112002 <br />X WC STATU- OTH- <br />E.L.EACHACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />-$ 1.000,000 <br />OTHER <br />Professional Liability <br />PL444444 <br />01/01/2001 <br />01/01/2002 <br />Each Occurrence 1,000,000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Certificate- Holder is additional Insured per attached. <br />Project No. _ <br />rFRTIGIrATF "pi nFR I I Anni-rmNAI INRIIRFn- INSIIRFR I F-rrFR' CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED EiEFORF; THE EXPIRATION <br />City Of Santa Ana <br />20 Civic Center Plaza - Ross Annex (M- <br />DATE THEREOF, THE ISSUING INSURER WILL - MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, <br />Santa Ana, CA 92701 <br />AUTHORIZED -REPRESENTATIVE . ' <br />ACORD 25-S (7197) <br />L <br />OAcaRQ GORFV ATiLIN 7Udd <br />