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Sent By: ZRM INSURANCE; 714 6327197; Feb-2f 10:02AM; <br /> <br />ACORO.. CERTIFIC .,'E OF LIABILITY INSU.-.ANCE <br /> <br />"RD~CeR IRM IN~Uz~ANCE BROKERS <br /> <br />Page 1/2 <br /> <br />/ DATE(MM/DO?PO <br /> o~/2s/o3 <br /> <br />INSURED <br /> <br />P.O. BOX 17939 <br />ANAHEIM, CA 92817 <br />LICENSE % 0532703 <br />PHONE %(714) 688-1167 <br /> <br /> BOYS A_ND GIRLS CLUB OF SANTA <br /> ANA, A CALIFORNIA CORPORATION <br /> 950 MST HIGHLAND <br /> SANTA ANA, CA 92703 <br /> <br />~.OVERAGES <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 AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERA.~E <br /> <br />THE POLICtES OF INSURANCE LISTED BELOW WAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. t~TWITHBTANDING <br />ANy REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENt' WrTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDrTIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS. <br /> <br />x ~ "- ~ ~ ~.~ '- '.' ~,'.,~v 8502CY073003-5 12/20/02 <br /> <br />12/2o/o3 : oooooo <br /> FiRE DAMAGE (ACy one ~rei !! 50000 <br /> <br /> ) PRODUCTS - COMPIOP AGO $ [000000 <br /> <br />~L~OMO.I~ ~mU~ 1002CY073004-5 12/20/02 12 / 20 / 03 ' CO~EO S,N~LE U.~ <br /> <br />460CY073010-5 <br /> <br />APPR__~ AS TC <br /> <br /> CRISl~ LEE SH <br /> Deputy CIt? Attorr <br /> <br />12/20/02 <br /> <br />M <br /> <br />~W -- <br />ey <br /> <br />12/20/03 <br /> <br />$ 1000000 <br /> <br />4000000 <br /> <br />4000000 <br /> <br />E.L EACH ACCIDENT <br /> <br /> OTHER <br /> <br />OE$CRIE33ON DF DP F. RATION $/LQCATIO NS/VEHICLES/EXC LUS[ONS ADDED ~1~ ~RSEMENT/SPECIAL PROVISIONS <br /> <br />R:~; T~E CITY OF S~A ~A, ITS OFFICERS, AGE'S ~ ~PLOYEES ~ <br />REPRESE~ATI~S ARE N~ED AS ~DITION~ INS~EDS WITH REGA~ TO LIabILITY <br />~ DEFENSE ~ISING FROM THE OPE~TIONS ~ USES PERFO~ED BY OR ON BEeF <br />OF THE N~ED INSURED. <br /> <br />;E RTIFICATE HOLDER <br /> <br /> T~ CITY OF SANTA A~A <br /> 20 CIVIC CENTER PLAZA M-32 <br /> SANTA ANA, CA 92701 <br /> <br /> ATTN~ ;LLHA FLOP. ES <br /> <br />~CORD 2S-S (7/97) <br /> <br />CANCELLATION <br /> <br /> <br />