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JAN-3D-03 "11:59AM FROM-PRIDMARK( -Ul'' 714-5692749 <br />AaMa CERTIFICA rr- OF LIABILITY INSU <br />Pri.dem.rk Insurance <br />L820 E. First St-, Ste 8500 <br />Santa Ana CA 92705 <br />Phone:714-569-2700 <br />Orange county Crazies, Inc. <br />SaCherie Karr tt <br />nta•AnnaaiCAS92701 <br />B <br />'4 - aoo3 -074 -3I <br />T-806 P.01/01 F-160 <br />OPIP 3d ..AIFL..H,L.", <br />RAN-14 1 01/29/03 <br />UPON <br />S NOT <br />INSURERS AFFORDING COVERAGE <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSuEO TO THE INSuREP NPmEO ABOvE FOR THE POLICY PERIOD INDICATED NOTWITn STANDmG <br />ANT REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH Tn6 CERTWICATE MAY Be 6SuE0 OR <br />MAY PERTAIN. THE NSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAMS <br />�I $POLICIES. <br />LTR TYPE OFINSURANCE ROLKY NYNBER DATE TE(M MMrtS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />:1,000 0O0 <br />RREPAMAGE(A UZ1.e) <br />A <br />X COMMERCMLGENERALLwBILOY <br />CLAMS MADE a OCCUR <br />154F000103 <br />12/02/02 <br />12/02/03 <br />3100,000 <br />$5 , OOO <br />MEP EAP IAnY one Fxaan) <br />PFRSON aAOv mJvRY_ <br />$_1, 000, 000_ <br />_ <br />GENERALAGGRECATE <br />PRODUCTS-COMPIOPAOG <br />s2,000,000 <br />3 INCLUDED <br />GENL AGGREGATE LIMIT APPLIES PER <br />X Iowci• Eo- Lac <br />_ ' <br />4LuTTR30&LE <br />NABIPTY <br />pryY AUTO <br />COMBIHEO INGLE LIMIT <br />rEa awe OS <br />3 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY irv/uFr <br />(Pw Pwwn) I <br />3 <br />HIRED ADIOS--� <br />NONOWNEO AUTOS <br />Zvi. <br />BODILY W.URY <br />leer eccaxl) <br />T <br />PROPERTY <br />IPw arrR OAMAOE <br />3 <br />GARAGE LNBIyTY <br />h <br />G. <br />_ <br />AUTO ONLY - EA ACCIDENT .5 <br />MY AUTO <br />`, <br />Y <br />A E. SjpRCK <br />eY <br />-- <br />OTHHERTAUTO THM EA AA . s -- <br />— <br />s <br />EkCE55LIABIUT'c�j <br />OcI, CLAIMS MADE <br />- <br />a>� <br />1 <br />EACHOCCURRENCE S <br />AGGREGATE <br />S <br />/ <br />OEPuCTIBLE <br />S <br />RETENTION $ <br />S <br />WORKERS COMPENSATION AND <br />EMPLOYERS ya&uTY <br />TORT LIMITS ER <br />S <br />E L EACH ACCIDENT <br />EL DISEASE -EA EMPLOrEEi <br />_ <br />EL DISEASE - POLICYLIMIT <br />I <br />OTHER <br />DESCRIPTION OF OPERATR*NSA.00ATNINSNEHICLEWEXCLUSK94 ADM MY ENOQR9EMENTWEC" PR WWNS <br />City of Santa Ana, its officers, agents, employees & volunteers are named as <br />additional insured per form CG 2010 (11/85). Except 10 days for <br />non-payment. As respects cancellation by the company. <br />CERTIFICATE HOLDER <br />Y I ADDITIONAL WSuREP: INSURER LETTER. A CANCFU AT)ON <br />C3:TysjW <br />SNOOLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOF <br />DATE THEREOF, THE LSSlANG INSURER WILL IMIZIOMEM MAIL 30_DAYSWRITTEN <br />City Of Santa Ana <br />Community Development Agency <br />P. O. Soil 1988 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO Th£ <br />*A A=XKWXXkr <br />77!Irefle <br />AUTNPRIZEOREPRESENTATIV <br />Santa Ana CA 92702-1988 <br />Jose CaZares , <br />AGURP 25-3 (till I) / / GACONP CORPORATION T9BB <br />