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Client#: 28330 MARKCOMP <br /> <br />ACORD CERTIFIC/ IE OF LIABILITY INSU .NCE DATE MM,DB YYYI <br /> 05/08/03 <br />PRODUCER ~' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />USI of Southern California ~'~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Li~:# 0351162 *** 818 906-3350 · ~/~t~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 9004 <br />'~ .n Nays, CA 91409'[,~ / ~/~;'~ INSURERS AFFORDING COVERAGE NAIL # <br />iNSURED INSURERA: Lexington Insurance Company LEMAC <br />Santa Ana Creek Development Company INSURER a: The Hartford <br />Dba Mark Company, Inc. <br /> INSURERC: Ins CO of the State of PA <br />2288 Batavia ~NSURER D: State Compensation Insurance Fund <br />Orange, CA 92665 <br /> ~NSURER E: *Except 10 days non-pay <br /> <br />COVERAGES <br /> <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 /> NSR DD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> GE~NERAL LIABILITY 1070309 05/01/03 05/01/04 EACH OCCURRENCE $110001000 <br /> I CLAIMS MADE ~] OCCUR MED EXP (Any one person) $5,000 <br /> X~ BFPD/XCU PERSONAL & ADV INJURY $110001000 <br /> X~ Contractual GENERAL AGGREGATE $21000~000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG $2~000~000 <br /> B AUTOMOBILE LIABILITY 72UENUR1645X 05/28103 05/28/04 COMBINED SINGLE LIMIT <br /> ~-- ANY AUTO (La accide.t) si,000,000 <br /> <br /> C EXCESS/UMBRELLA LIABILITY 42034340 05/01/03 05/01/04 EACH OCCURRENCE $1,000~000 <br /> X~ OCCUR [] CLAIMS MADE AGGREGATE $1~000,000 <br /> $ <br /> RETENTION $ 10000 $ <br /> D WORKERS COMPENSATION AND 046310738 01101/03 01101104 X I TORY LIMITS I I ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $1 ~000,000 <br /> OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYE[ $1~000,000 <br /> SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $1~000~000 <br /> <br />!CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES /~,~ / <br />ARE INCLUDED AS ADDITIONAL INSUREDS AS EVIDENCED BY ATTACHED ENDORSEMENT"~'-.~/?~. <br />PRIMARY) '~'ailr,, ,~',~- * / <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />The Depot at Santa Ana <br />1000 E. Santa Ana Blvd., #108 <br />Santa Ana, CA 92701 <br /> <br />SHOOLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DA~ THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *~N DAYS WRITTEN <br />NOTICE TO THE CERTIFICAIF~ HOLDER NAMED TO THE LEFT, ~L <br /> <br />ACORD 25 (2001/08) I of 2 #M183601 JXF ® ACORDCORPORATION 1988 <br /> <br /> <br />