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- - ti, <br />TT . 9 03 10: 33p - A4003,074-Y$ <br />°-WCORD <br />TAI CERTIFICATE OF LIABILITY INSURANCE I DAT JUL .: <br />t: KEF -ROMERO & ASSOCIATES INSURANCE BROKERS, INC. THIS CERTIFICATE IS ISSUED A MATTER OF AT <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TEN•RADO PLAZA #238 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND <br />TN• CA 91723 ALTER THE COVERAGE AFFORDED BY THE POLICIES Ei <br />?NL. 626-332-2258 I <br />R26-339-9921 1 INSURERS AFFORDING COVERAGE <br />_ _ __ Ay-11c7 LicY_C733340 _ <br />INSURERA: Travelers Insurance Company _ <br />'UN( IL ON AGING OF ORANGE COUNTY (INSURER B: <br />e 4TH ST. SUITE 200NSURER C. <br />=-J:A 4NA CA 92705-3917 INSURER O: <br />INSURER E: <br />(_-VERAGES - <br />IFS OF INSURANCE I-ISI LD r,T -IA HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T4E POLICY PERIOD INDICATED, NOTWITHSTANDING <br />'REMENT. )LHfI OR CONJn a :•T �.NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH CH THIS CERTIFICATE MAY BE ISSUED OR <br />III:. THE INS JRAs:CE AT CY.}Eii HI THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />IGGRE GAT'L".I:TS SHOV N H+-VL BEEN REDUCED BY PAID CLAIMS, <br />T YPH OF INSURANCE POLICY NUMDER PoLKV EfPEernE eOLKY E%oIBATnON LIMITS <br />:ENt?AL LIABILITY 660.791X7380 <br />N `. nJA¢RCIAL GEIJrRAL LIAHI.I', <br />_ <br />.;•AIMS MAN; X'_';'I'q. <br />N 30FCSSONAL LIA511 IT' <br />•. 13GREC.ATF_I.'l APPLIES P=r. <br />JUL 103 <br />JUL 104 <br />EACH OCCURRENCE IS <br />E <br />S <br />S J <br />S <br />E <br />DAMAGE TO AENi <br />HEi.LElamnIX41__ <br />MED. EXP(Any One Person) <br />PERSONAL B ADV INJURY <br />GENERAL AGGREGATE <br />PROOVCTS-0OMP.'OP AGO. <br />- 1;71dOBILE LIABILITY^ 660-791X7380 <br />VY AUTO <br />_L OWNED AV -OS I <br />CNEDULF0 AJTOS <br />1 <br />l REDALTOS <br />• ON<3NNED AU IDS <br />JUL 103 <br />JUL 104 <br />COMBINED SINGLEUMIT <br />(Ea aeebevp) 'S <br />E <br />E <br />S <br />BODILY INJURY <br />(Per Dawn) <br />BODILYINJURY <br />(Pa I <br />PROPERTY DAMAGE <br />E LIABILITY <br />J \'F.:)TO <br />AUTO ONLY - EA ACCIDENIT <br />S <br />OTHER THAN EA ACC E <br />AUTOONLY: AGO S <br />.1� UMBERELLA LIABILITY <br />., ]COF; <br />APPRi <br />.DUCTIP,LL <br />3EfJTION <br />S IO i=ORiv <br />EACH OCCURRENCE <br />S <br />S <br />AGGREGATE <br />E <br />S <br />R: <br />RRS COMPENSATION AND ❑ra Sili <br />4:LOVERS' LIABILITY <br />- oRIETOR?ARTNER'E%ECUTIVC l�l'h L.I V LILY !ii(GT <br />. MAMRER ENu.Nnfnv <br />. ... +Rc•nslons wl:,,, I <br />ley <br />WTQBY M OTHER <br />EL EACH ACCIDENT <br />S <br />E.L. DISEASE -EA EMPLOYEE <br />S <br />E.L. DISEASE -POLICY LIMIT <br />S <br />RIPTION OF OPERATIONS/LOCATIONIVEHICLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS <br />_ i T IF IJATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: <br />OF tiANTA ANA <br />101i DEVELOPMENT AGENCY M-25 <br />Ox 988 <br />JIC CENTER PLAZA <br />' ;A ANA CA 92702-1988 <br />ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOP <br />)ON DATE THEREOF, THE ISSUING COMPANY WILL MAIL 20 DAYS <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />.000 <br />,000 <br />000 <br />11W <br />-•PD 75 (2001108) Certificate 4 1165 11 Qii <br />