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<br />02/20/2004
<br />
<br />PAGE
<br />
<br />02/03
<br />
<br />17:52
<br />
<br />17145585525
<br />
<br />WMOC
<br />
<br />FEB. 19.2Ø10
<br />
<br />P.2/3
<br />
<br />Da.: (MM/DD/YY)
<br />2120/2004
<br />
<br />16 CERTIFICATE IS ISSU¡¡D AS A MATTER OF INFOR .1ATION
<br />ONLY AND CONF~RS NO RIGHTS UPON TH;: C¡:RTlfICATE
<br />OLDER. THIS CeRTlfICAT. po~ NOT AMEND, exTEND OR
<br />LTER THE COI/£RAGE AFFORDED BY THE POLICIES BELOW.
<br />U DING CO RAGE
<br />ACE Ameran Insurance Company
<br />Indemnity Inourance company of NorU1 America
<br />lIIoliD"ollJ!liD" Fire _,0- Ccrnpony of PjIIsÞ~I\IÞ, PI'.
<br />
<br />Alilld Wor1d I\oSUranco Compl"y, ~td.
<br />
<br />6:37PM
<br />
<br />
<br />
<br />CER
<br />
<br />""OþUt;EN
<br />L_I"...-A_oI_"'",II1c:.
<br />~~:~~iHÒ:~"" 020
<br />"'-2.0-S'381f'!1OO8)
<br />0'."112-105' IF">
<br />hlo Cerifflt0t8 Voide ""d a_del OIlY p-Iy Inold ..-.
<br />INSURED; WAST!! MA(IIAGI!MI!NT and
<br />alte Mal181lem8l1l of Orange C~ty
<br />1800 SOuth Grs"d Avenue
<br />SentaAI18. CA 92705
<br />
<br />Insurer A:
<br />Insurer B:
<br />Insurer C:
<br />Insl.lrer D:
<br />Insurer E::
<br />
<br />TIfE PO\.IOII'S OF IN8U"""CE LISTEP BE~OW HAI/£ B¡œN ISSUIEO TO THE ,"BUftEl> - ABOVE FOft THJ I'OLICY I'fiRI0O INO""'TIiI>.
<br />NomTHSTANClNO - ftEOUIIEMI'NT, TEl'II ON CONorrloN OF ANY OON11'AÇf ON O'IHER DOC"""NT W!TI1 ~ESPECT TO WH (:~ 1tt1$
<br />CENTlfIOATE WlY lIE ISSUIEO OR WlY PERTAIN, '!HI' INBUIWICEI\FFO~1ItI8Y'!H! FOUCIES QØCftllllDHi!l\EiN IS SUIJECTTQALL THI TIIAMS,
<br />EXCLU81ONS AND CONDlT1ONsOF SUCH POLICI !;S, AØðREGATE LIMITS ~ MAYBE EX!1AUSTEO BY I¥\ IJ CUlIMS,
<br />
<br />~'" POUCYNUMII¡¡R EI'_~'"
<br />
<br />A
<br />
<br />
<br />LNTS
<br />VoCH OCCURft¡¡NCE
<br />FIRE PAMAGE -...-
<br />111/2000 Ml'DEXP"",_,
<br />f'tiR8Qf<f.L 6 APvINJURY
<br />Gf'NI'lIAl AGGREGATI'
<br />PftOOUCTSICOMP,OP. AGG
<br />
<br />$ 5,000,000
<br />. 5,000,000
<br />$ 5.000,000
<br />$ 1>,000,000
<br />$ 6,000,000
<br />$ 10,OOO,COO
<br />
<br />X °OOl_C",'S.,.,...""""LITY
<br />X OCOO",,--
<br />X ."" If'Ot-uDEp
<br />S_At"'f!O""TliL~TAPp¡.IOlP"",
<br />X """seT
<br />X LOCATJON
<br />AUTDMglIl~ LIAIIIUTY
<br />X 'I<Y AUTO
<br />X "'.00 AIITOS
<br />X N"",~oAIJTo,
<br />XII"'"
<br />nCES5 UAIIIL IU
<br />X OCCURR"""
<br /><'-'""'WoO.
<br />
<br />HOO G21693D54
<br />
<br />11112004
<br />
<br />A
<br />
<br />¡SA H0801D948
<br />
<br />1/112004
<br />
<br />COMBINED SINGLE LIMI1'
<br />1/1/2- ( 01 I
<br />
<br />LI.A
<br />
<br />EACH OCCUll!lEIoICI!
<br />11112008 AGGREGATti
<br />
<br />$ 100,000,000
<br />$ 100,000,000
<br />
<br />A
<br />C
<br />D
<br />
<br />XOOG21B08234
<br />876-3254
<br />Coo1389/OO2
<br />
<br />1/112004
<br />
<br />WOR SATION
<br />Bind eMPLO-œRS LIABILITY
<br />A
<br />
<br />WLR <:43972785
<br />SCF C43972728 (WI)
<br />
<br />1/112004
<br />
<br />WQft¡œ \S' COMl'1!NSATION STATUTORY
<br />1/112005 ELIACHACCIDENT $ 1,OOO,ooD
<br />~. DISEAS~"" """.OYEE $ 1,000,000
<br />ELDIS(;AS~.pOLICHIMIT $ 1,000,00
<br />
<br />""MAI'I<S: "ICRIf'T1QNOFC>I'I!AATION8ILOCA"O_"'~ O""_IIY~~PCflS_PIIOVI6IO"""
<br />
<br />.ox IIL_W"""'_ATIOPIOORA"""""'A.."..OIll'MOA"'_""A"'- """'0"""""""""_000""_0_.
<br />
<br />¡:¡ç 0111_."'_" ItA_.. A!'AOomøllAL '~O"'.f-"'-"co.P/Ii. ............ 'O""""""'__""" BYWIIImN CO_CT,
<br />Ro: 1Io1f1nolll8dfa<..laphYslcaldorn8ll"
<br />Ad_""' ","III8d In 1Ivo, "'City 0/8""'" A"", 1\8 oIIIoon ~ MId om""',... (on III polloln..cop\Wo",","'
<br />OomP8l1..l1onII!I-lwhe.. """ ta "'0 ooctont.. requll'IIII by wrlll,8ft 00-' Th6 Above AIItO LhobIIIty po loy provld..11ob1t11y
<br />10"""'_- IhoCI 01_",,"-... - moI- W....M..o ""'nlorOron CO
<br />
<br />CERTIFICATE HO 'DER: CANCEI.LATJON:
<br />
<br />ULp " O~.C"'-~D""-""""""'tI'L'-'P"f'"
<br />g"'¡:==W~J;.~o~..I\':~~ _MA~ "'..,.. ""IITON NO1I",
<br />
<br />City of Sonia Ani
<br />20 CIvic: Co"I.,. Plaza
<br />P.O. no>( f9B8
<br />San'" Ana, CA 92701
<br />
<br />AUTIiORI;Z:ED REPR Õ8ENTATIV Õ: ~--~
<br />
<br />
<br />APPROVE S TO HJRM
<br />
<br />
<br />icl~el Vig.""",_c ~ -
<br />Deputy Cit\ M,nflT"--'-=-
<br />
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