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MAY 13 2003 1:45PM <br />HP LASERJET 3200 <br />1 <br />p.2 <br />ACOBI� CERTIFI <br />ATE OF LIABILITY INSURANCE OS /08/2003 <br />PAODUCEI 241- 526 -5646 <br />Dexter & Company <br />3601 Cedar Springs Rd. <br />Dallas, TX 75219 <br />SAX ( 214) 526 -8125 <br />THIS CERTIMATE IS ISSUED AS A NATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOT AMEND, EXTEND <br />HOLDER. THIS <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES S OW. <br />INSURERS AFFORDING COVERAGE NAIL e <br />w,m,, HISpAN C B <br />KLYE KTNO KSCA KRCD KR <br />6SS North Central Ave <br />Suite 2500 <br />Glendale. Ca 91203 <br />TIN <br />V <br />INlcItER& Vigilant Ins. Co. <br />m"FRa Chubb Indemnity <br />INSURERC Federal Ins. Co. <br />INSURERE <br />NGURERI <br />THE POLICIES OF INSURANCE LISTED BE <br />ANY REOUIP"AENT, TERM OR DONDn1C <br />ANY PERTAIN, THE INSURANCE APFORDI <br />POLICIES, AGGREGATE LIMITS SHOWN W <br />OW HAVE SUN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERKED INDICATED. NOTYATHSTANDIN( <br />I OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />D BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COHDfTIONS OF SUCH <br />ky HAVE BEEN REDUCED BY PAID CLAIMS. <br />wR <br />CITY OF SANTA ANA <br />IYIepwUMNCE <br />POUDYmamsR <br />POWCYaFS.CW <br />POLICY <br />1.110" <br />AND REPRESENTATIVES <br />GENEIUL LIABILITY <br />35345949 <br />02/14/2003 <br />02/102004 <br />BACH OCCIAIRENCE <br />s 1,000,00( <br />TD RENTED <br />! 100 <br />SANTA ANA, CA <br />X COMIFRCNLGENERALIYIBILITY <br />J. Carter/ 3UISES <br />ACORO 25 (2001108( FAX: (714) 47 -6956 <br />LIED EXP (M)'glP Pxsml <br />! SIM <br />APPROVED 1S TO FORM <br />ClA MLDE OGCIF' <br />Deputy City Attorney <br />A <br />PEReONALa ADV INRRfY <br />: 1.000 0 <br />GENERAL AGGREGATE <br />1 10,009 <br />GENL AOGPEGATE UNIT, MPI JIM PFI: <br />PPOOIICT!- COMPgP AOD <br />$ 1,000, <br />POLICY ZmE LOC <br />AUUWBIEuAaUTr <br />X <br />AHYAllTO <br />7323$719 <br />02/14/2003 <br />02/14/2004 <br />CW,,,MSINGUIUWT <br />tHa rm <br />f I DOD, <br />BODILY INJURY <br />(Fx P..) <br />f <br />B <br />X <br />X <br />ALLOWNED /WIGS <br />6CMEWLEDAVT05 <br />HRED AUTOS <br />N014-0WNED AUro9 <br />BODILY HAIRY <br />(Px �I <br />f <br />PRO AM F <br />! <br />GARAGE I ,Motu Y <br />AIfIG ONLY -FA ACCmEM <br />f <br />OTHERTHAN FAAOC <br />f <br />ANY AUTO <br />f <br />AUTO OXY. AGG <br />EXCrl m mma LPAMM <br />79664120 <br />02/14/2003 <br />02/14/2004 <br />E OCCURRENCE <br />s 10 000 <br />X OCCUR �CWMS LLAOE <br />AGDREOATE <br />f 10,000, <br />C <br />s <br />I <br />DEDULTeIF <br />7 <br />RETEMIDN f <br />wDRRTms oolsmaATRXI ANG <br />71609337 <br />02/14/2003 <br />02114/2004 <br />wcsrwru- <br />C <br />aILAfYlRCLUBUW <br />ANY PPMETORPARrHEPIEXECUTNE <br />RO <br />OFf10ER.MEIASERE UDED1 <br />E.L. E AOIACCm@fT <br />3 500, <br />EL. plEASE - FA EMPLOY <br />f S00 <br />161PE-C b aP Z N <br />S biIPw <br />EL. OOEAlE- POLICY <br />DLYT <br />1 f 500.0 <br />A <br />OTTER <br />7 nercial Property <br />35345949 <br />02/14/2003 <br />02/14/2004 <br />Rental Equipment <br />Deductible $10,000. <br />DBSCRIPIlONOF OPFMIIOMB /LOCATXW I Vmll <br />I EXCLLGIWS ADDED W BOORMOBAITI tRGUL PIIdASIDN! <br />ERTIFICATE HOLDER IS NAMED <br />ADDITIONAL INSURED. <br />SIIOIRG ARV GF THE ABG1I6 DESaaa®PGUnes aE cANCm.Lm eeoRenlE <br />CITY OF SANTA ANA <br />EXPmpnGN WTF TIINEOF,tHE roSMNO NluRER wRL 1Rdf)00805 MAIL <br />ITS OFFICERS, EMPLOYES, <br />AGENTS, VOLUNTEERS <br />i+.LDAYa TfGIT�I NDTacE TD nIe CERTFRCAIEHaiasR NAII®roTHE IFFC <br />AND REPRESENTATIVES <br />CLERK OF THE CITY COU <br />L <br />X <br />20 CIVIC CENTER PLAZA <br />(N -30) <br />AUTNDRem MRFaSJTAINE <br />"¢ <br />SANTA ANA, CA <br />J. Carter/ 3UISES <br />ACORO 25 (2001108( FAX: (714) 47 -6956 <br />OUICORD CORPORATION 1988 <br />APPROVED 1S TO FORM <br />Deputy City Attorney <br />