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._ AC4DRD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MM07/ 03 INTBR 5 10 07 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Chapman & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91117-0455 Phone:626-405-8031 Fax:626-405-0585 INSURERS AFFORDING COVERAGE NAIC# INSURER A: 0.lvarpart Iuurenw CoRaaY A— Ada3 — o55 INSURERB: Ales North America Ins Cc Interval House INSURER C: P.O. Box 3356 INSURERB Seal Beach CA 90740 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR =IN TYPE OF INSURANCE POLICY NUMBER PATE M DATE MWDONY LIMITS GENERAL LL489M EACH OCCURRENCE $1000000 A % COMMERCIALGENERALLIABILITY RP0004364 10/01/03 10/01/04 PREMISES Eaocaxxrcs) $100000 CLAIMS MADE ® OCCUR MED EXP(Any o Perecrl) $5000 PERSONAL B ADV INJURY $ 1000000 .• Owner/Cont Prot. • Prof r 1 Liab/Abuse GENERAL AGGREGATE S 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP ADD $3000000 $ I POLICY jEa LOC lEmp Ben. 1000000 AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea a derd) $ BODILY INJURY .(Per pere ) ALL OWNED AUTOS SCHEDULED AUTOS.. - _ .. ... BODILY dN ) (Per (Per ecadeM) S HIRED AUTOS .. . NON -OWNED AUTOS - � ...... ... . - _ _. _ PROPERTY DAMAGE. (Per aowwd) $ GARAGE LIABILITY APPROVED AS TO FORM AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG EXCESSNMBRELLA LABLITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE TB. lel dy eputy City ttorney $ $ DEDUCTIBLE S RETENTION S B WORKERS COMPENSATION AND EMPLOYERS! LIABILITY ANY PROPRIETORIETORIPARTNER/EXECUTNE OyFaFIICERIMEMSER EXCLUDED? WC1002628 02/01/03 02/01/04 TORYLIX-f I I ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $100 OO O0 SPECIALe PROVISIONS Eebx E.L. DISEASE -POLICY LIMIT $10 00 0 OO OTHER A Crime Section RP0004364 10/01/03 10/01/04 Dishonest $110,000 - Forgery $110,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The certificate holder is named as an additional insured as respects their interest in the business operations of the named insured, with the exception of workers, compensation. (CG 2026 Rndt attached) City of Santa Ana Comm Development Agency M-25 20 Civic Center Plaza Santa Ana CA 92702 25 CTYSANT I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER VALL augamcwzzmAit. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT .