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V 09� 2003 1:37PM HP If1SERJET 3200 <br />' y <br />2p03_07,f--.z5 <br />DATE Im"M <br />CERTIFICATE OF LIABILITY INSURANCE 06/03/20 <br />. B00) 843-6054 FAX (909) 307-1245 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br />: rr & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />.:cst State Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOV <br />` <br />. edlands. CA 92373 <br />I INSURERS AFFORDING COVERAGE I NAIC # <br />5001 Newport Coast Dr. INSIJRERB: <br />Irvine, CA 92612 �w e:: <br />TN3VRER D. <br />INSURERS: <br />RAr.FA <br />n ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOIN( <br />H`:OUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />+ PERTAIN THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />JGIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. <br />TYPEOFINSURANCE <br />PDLH:YNUSIBER <br />POUCYEFIE THE <br />POLICY EXPmATION <br />UMRS <br />GENERAL LIABILITY <br />1169-029 <br />06/01/2003 <br />06/01/2004 <br />EAOHOCCURRENCE <br />f 1,000.0 <br />X COLNAERCIKGENERALUABILITY <br />OAIA C TORENTED <br />f 1,000,000 <br />CLAIMS MANE [x]OCOUR <br />NEDEXP("..pFNm) <br />S 10,000 <br />PER30NALAADV YJAAiY <br />1,000, <br />" ..IE%tensions <br />OENERALAOGREWTE <br />S 3,000 ,0001 <br />OR 'MT AFT <br />PRODUCTS-COMPIOP ADD <br />S 3,Qoo,DOC <br />lOFECk <br />NJGY RID <br />AUT01010&LE <br />LIABILITY <br />V;Y AUTO <br />COMSINED SINGLE UNIT <br />IEA Faidanq <br />f <br />ALL ONNED AUTOS <br />3CHEDULEDAUTOS <br />S TO <br />BODILY INJURY <br />RODILY14JURY <br />(�Yd8en1j <br />f <br />HIRED AUTOS <br />NOILOINWOAUTOS <br />APPROVED <br />REERTY DAMAGE <br />PROPERTY <br />S <br />I <br />ce y <br />_ <br />OARADE UABILTTY <br />L._i ANY AUTO <br />f)WNQtY city nll <br />T <br />AUTO ONLY - EA CADENT <br />S <br />O4 RTHAN EA ACC <br />AUTOONLY. AGO <br />f <br />f <br />EXCE33AIMBRELLAL."BI <br />EACH OCCURRENCE <br />f <br />OCCUR CWNS MADE <br />AGOREGATE <br />f <br />f <br />S <br />DEDOCTIM <br />S <br />.'EMICN S <br />��DNPENSATION AND <br />1215-622 <br />09/01/2002 <br />09/01/2003 <br />X WCSTATU- oTw <br />YEES'WBILITY <br />IR. 'N FTORMARTNEREXECUTIVE <br />'•EMBEREXCIUiii <br />EL. E,LCH ACCIDFM <br />i 1,0�,00 <br />E.LDISEASE-EAEMPLOY <br />S 1,000,00 <br />Y MN <br />-i TiOVISNx13 NHw <br />E.L DISEASE-PoLX:YIMT <br />S 1,000, DD <br />�NIEA <br />3CRPI10N OF OPERATIONS I LOCATIONS I VEHICI.ESI "OLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS <br />e. Community Development Block Grant <br />-tificate holder is named as additional insured per attached endorsement <br />'+'ATE HOLDE13 CANCELLATION <br />,. 34OVLOANYOF THE ABOVE DESCRIBED P MISS BE CANCT3IED BEFORETHE <br />EXP TION DATE THEREOF. THE ISSUING INSURER WILL bKKX18W9 MAIL <br />City or Santa Ana. its officers, agents, 30 DAYS MIMN NOTICETO THE CERTIPIOATE HOLDER NAMED TO THE LEFT <br />employees & representatives yy:Xi(dptlWX4(KXyfCKy1Ya[N1GlrKiifWdtl4Yi51Ufdy,IBNibW)D(XX <br />P.O. Box 1988 <br />Civic Center Plaza If11l1MFX1{K XXXXXXXX <br />Ana, CA S2702-1988 '4- AUTNORNFD P A n <br />1r..7JLJaCJ <br />zaalroal <br />. <br />®ACORD CORPORATION 19aB <br />