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ACORD CERTIFICATE OF LIABILITY INSURANCE Koo -i 12/09/03 <br />pROOUCE~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />G. S. T.evine Tnsurance ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />services, Thc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3377 Carmel Mountain Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego CA 92121 <br /> Phone: 85 8-4 81-8 6 92 INSURERS AFFORDING COVERAGE NAIC # <br /> 600 The city Parkway, ~310 <br /> Orange CA 92868 <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 AFFORDEC 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 /> <br /> j CLAIM3 MAD~ ~ OCCUR MED EX* (Any or,e personl $ <br /> <br /> Liabilit~ A~. $2,000,000 <br /> <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />City of Santa Aha <br />Public Works Agency <br />Attn: Taig Higgins <br />20 Civic Center Plaza, ~-36 <br />Santa Aha CA 92707 <br /> <br />ACORD 25 (2001108) <br /> <br />CITSAN- <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA~ON <br /> <br />DATE THEREOF, THE ISSUING INSURER ~LL ENDEAVOR TO M~E 3 0 * DAYS WRen <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO T~E LEFT, BUT FAILURE TO OD SO SHALL <br /> <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UpON T~ INSURER, IT~ AGENTS OR <br /> <br />REPRESENTATIVES <br /> <br /> © ACORD CORPORATION 1988 <br /> <br /> <br />