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Sent By: IBM INSURANCE; 714 6327197; Feb- 10:02AM; <br /> <br />ACORD_.. CERTIFIC,.,'E OF LIABILITY INSU._.ANCE' <br /> <br />Page 1/2 <br /> <br /> o~/25/o3 <br /> <br />IBM INSURANCE BEOKERS <br />P.O. BOX 17939 <br />ANAHEIM, CA 92817 <br />LICENSE # 0532703 <br />PHONE %(714) 688-1167 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON rile CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AliENS, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE <br /> <br />BOYS AND GIRLS CLUB OF SANTA <br />ANA, A CALIFORNIA CORPORATION <br />950 WEST HIGHLAND <br />SA/~TA ANA, CA 92703 <br /> <br />tOYERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO tHE INSUREO NA~ED ABOVE FOR THE POLICY PERIS0 INDICATED. ~DTWITItSTANSING <br />ARY 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 AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUE]JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />'~'~: I 8502CY073003 <br /> -5 <br /> <br />C <br /> <br />Xj NON.OWNeD AUTOS <br /> <br />1002CY073004-5 <br /> <br />OTHER <br /> <br />460CY073010-5 <br /> <br />APPR~ AS T( <br /> <br /> ORIel'tHE LEE SF <br /> Deputy City Affor <br /> <br />12/20/02 12/20/03 <br /> <br />1000000 <br /> <br />!12/20/02 <br /> <br />kW <br />ey <br /> <br />12/2o/o3 <br /> <br />50000 <br /> <br />5OOO <br /> <br />1000000 <br />3000000 <br />1000000 <br /> <br />1000000 <br /> <br />~=.....OE !~ ~oooooo <br />^OOREaATE 4 0 0 0 0 0 0 <br /> <br />E.L DtS;-a~E - EA EMPLOYE,; $ <br /> <br />OE$C~P~ONOFOP~ATION$iLOOATIONS~HIC~$1~C~SIONSADDEO~RSEME~ISPECIALPROVI$1ONS <br /> <br />R~; THE CITY OF SANTA ANA, ITS OFFICERS, AOENTS AND EMPLOYEES AND <br />REPRESENTATI1~ES AR~ NAMED AS ADDITIONAL INSUREDS WITH ~EGARD TO LIAE~ILITY <br />AND DEFENSE A~ISING FROM THE OPERATIONS ia=ND USES PERFORMED BY OR ON BEHALF <br />OF THE NA~ED INSURED. <br /> <br />=ERTIFICATEHOLDER ix IADOITmo~ALINsuRE=;INsuRERLE!?~:- <br /> <br />T~ CITY OF SANTA ARA <br />20 CIVZC CENTER PL~A M-32 <br />SANTA ANA, CA 92701 <br /> <br /> ATTN~ ALMA FLORES <br />~.CORD 25-S (7/a7) <br /> <br />CANCELLATION <br /> <br />...... ~ ~ ACORD CORPORATION 1988 <br /> <br /> <br />