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-e .0 , <br />/713d <br />ACQJgt . `CERTIFICATE OF LIABILITY'' INSURANCE _ =4,,86 III, 'L" "1.1 <br />PRODWER �- THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION <br />Witness & eellneaa :Lnauranee ONLY AND CONFERS NO RIGHTS UPOPI THE CERTIFICATE <br />Agency H ULUEKIHI$ 4:: 1': RTIFIGA7EDOESNO7AMEND ,EA:fILNGOR <br />390 Stevens Ave., Hirst Floor ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOW. - <br />Solana BaACh CA 92075 <br />phone:R00 -395 -80755 1ex1858 -519 -0022 i iINSURERS AFFOROINUOOVERAGC NAIC0 <br />INSURED -- ,NSVRER A liQeC ialty Kationa Zuouranca <br />iNWIERR <br />Y404619 Rafael Lopez <br />t 10 -22 -02 <br />1581 eva9na Ave, wNS3VuRREEA R Co: <br />Tuft n <br />CA 92790 ----- --- ..__ -_•. _.,.._,—.._-----}------- <br />�- M f INSURER <br />THE PUI.ItIESS OF MURANCC I.$TCDBELOWHAVE P,EEf;iS$11ED';f+TNF.»lHCkEG NALAiD MOVE FOR THE POLICY FEN1001P ;D "GATED. NO;WI'M$TANDINO <br />ANY RCGJRtEMENT, TERM OR WNDITION OF ANY CONTk,IO1 OR OTHER DOGJNYNT WITH REEPRCT TO W! 111tH T il3 CLKr t$)7L MAY SP 1531JED OR <br />MAY PERTAIN, THE IPAAURA 4ZE AFKrROEC SY THF_ POt.rVES UESCkIBEO HERE IA L, ^SUBJECT TO 41,L TNC TERMS, f AGU.S10T14 AND CCNVIVI -*U CP 3UOI1 <br />POLICIEB AGGRE(UITE LIMITS SHOWN MAY HAVE BEEN REDIgFtl BY PAID CLAIMS <br />MLIr4EFFRCTWE <br />R IN3ftt TYPE Of WSURANOE POLAh NUMaER OATEf n^r DATE NM LIMITS <br />GENERAL LIABILITY <br />I FACHDCCU41RENCE t 1; OO�.000 <br />A ][ COMMERCIAL U1N >I:4L LIAB1el1'r 1 3X'1.12 @45.1 02 <br />10/.72/03 <br />� 10 /d'.d /D pgEM15ES (ED PwwenColl $100.000 _ <br />C!AIMS WDL'. OCrUR <br />I MED EX °(Any nne permit)_ 52, 500 <br />A -.$ MiaC.FrDfea110AA1 <br />.�..._ <br />' PFR80NAL S ADV INJLRY IS 1, 000, 000 <br />1 <br />DENIER ALAGGREGATE $3,000.000 <br />I <br />`GEN'L AOOREOATtLMI7'APP E »PER: <br />- <br />PRODUCTS- COMP/OP AOO $1,000,000 <br />` i Y IDY <br />AIETUYObILE LIABILITY <br />_ -7-- - —1 COM6IWN D`kNGLE LIMIT L <br />�ANYALITD <br />I TEA etck9r11 <br />- <br />ALL OWNWAur0b <br />F <br />SCPIEDULED AUTOS <br />(Fwp.,iN.) <br />' (Per Perenn) <br />- •- y�•� -� - <br />HIRED ALMO5 <br />f pODILY NJURV <br />1potmaleen0 E <br />NON- OWNEDAUTDS <br />: PROPERTY CAMAGE <br />r (PPS ULddent) �' <br />- - - -- - -- <br />GARAOE LMSIlJ7Y <br />-- I DEN " b <br />I AUTO ONLY, EAACC! <br />ANY AUfO <br />CTHEN THAN EA At b <br />AUTQ ONLY AuG IS <br />EXCeeauMnla:LLALI..euuTV' <br />;enekoccu� - RaElre �$ -- <br />OGCUH J ClA1M$ MADE <br />I <br />i <br />AGDREOr1TF_ • ^_ { T <br />APPZOV' t. , iti „r4 5 -Q FUR <br />DEDUCTIBLE <br />' <br />WORKERS COMPWATA)NANO <br />i <br />I H- <br />ORY 1.10115 <br />EMPLOYERS' Le <br />ULfT' <br />8 I 7 <br />-ER <br />CL EACH ACCIDENT <br />-- -- <br />g <br />ANY PNOPRIETGRP ARTNEPJEXECUTIVCP()III <br />OyFFICLekL''MOVEMVXCLUDEO? <br />i �'�TIOTp V <br />- -- <br />11-1.. DISCI AE -FA EraPIOrCEIE <br />SPECIAL P�FO�VI °17N9 h &ax <br />�EL DISEASE . PDLiGV LIMIT b <br />OTHER <br />- <br />A sexual Abuse 3x'Gi.a64s1' -02 <br />i 100,000 <br />300,000 <br />OESCR3PTION OF OPERATIDND I LOCATIONS / VEHICLES! EXCLWIDAS ADDED DY tN0OR8GMENT/ 9PP,OIAL PROV{biONft <br />It in understood and agreed that the following <br />entity is added as an <br />additional insured but only as respects <br />'Jhe operations of tho uamod insured <br />{except that liability resulting from the <br />1 <br />additional insureds sole negligence <br />The City of Banta Ana <br />20 Civic Center Fleas <br />Santa Ana CA 92701 <br />a&rfrav Z. VsIck <br />�1 <br />CE'S'TeAA <br />4140141-0 ANY OF THB AGOYE OEECRIGEiD POLICIES RE CANCELLED BEFORE THE EXMKATIDN <br />DATE THEAEOP. THE 184UING INSURER WIL6 011m MAIL 30 DAYS WRITTEN <br />NOTIDE TD THE GCH?TIPICNE HOLDER NAMED W THE L.EF T, ��� <br />The City of Banta Ana <br />20 Civic Center Fleas <br />Santa Ana CA 92701 <br />a&rfrav Z. VsIck <br />