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<br />Client#. 11546 <br /> <br />LONGE <br /> <br />A CORDm CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDDIYYVY) <br />01/22/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Ashbrook-Clevidence, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />575 Anton Blvd. #610 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />License #0188788 <br />Costa Mesa, CA 92626 INSURERS AFFORDING COVERAGE NAIC# <br />INSUR"D INSURER A' Travelers Property Casualty <br /> Messreni DBA: Longevity INSURER B, <br /> 34188 Pacific Coast Highway INSURER C <br /> Dana Point, CA 92629 INSURER 0' <br /> rJ-~OO3/0W INSURER E' <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REDUIREMENT. 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />POLICY EFFECTlV" POLICY EXPIRATION <br />DATE MM{DDIYY DATE MMIDDIYY <br /> <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />1660372X8910TCT04 <br /> <br />01/19/04 <br /> <br />01/19/05 <br /> <br />A <br /> <br />EACH OCCURRENCE <br />DAMAGE TO RENTEÓ-- <br />PI" <br />MED EXP lAo, '"' P'~'") <br /> <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br /> <br />PRODUCTS - COMP/OP AGG <br /> <br />LaC <br /> <br />COMBINED SINGLE LIMIT <br />IE'"dd,ot) <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />BOOIL Y INJURY <br />IP"p'~oo) <br /> <br />SCH"DULEDAUTOS <br />HIRED AUTOS <br /> <br />BODILY INJURY <br />IP" "ddool) <br /> <br />NON-OWNED AUTOS <br /> <br />PROPERTY DAMAGE <br />IP""""ot) <br /> <br /> <br />AUTOONLY-EAACCIDENT $ <br />EAACC $ <br />AGG $ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />ANY AUTO <br /> <br />OTHER THAN <br />AUTO ONLY, <br /> <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR D CLAIMS MADE <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />Ify", d""ib, "d" <br />SPECIAL PROVISIONS b,'ow <br />OTHER <br /> <br />E.L EACH ACCIDENT <br />EL DISEASE - EA EMPLOYEE $ <br /> <br />E.L. OISEASE - POLICY LIMIT $ <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES { EXCLUSIONS ADDED BY ENDORSEMENT {SPECIAL PROVISIONS <br />City of Santa Ana, its officers, agents, employees and volunteers are named as additional <br />insureds. *10 days for non-payment of premium. <br /> <br />LIMITS <br /> <br />,$1.000.QQL- <br />$100000 <br />$5000 <br />$1 000000 <br />$2000000 <br />$2 000 000 <br /> <br />OTH- <br /> <br />JAN29'O4 14'45 RC!JU <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Police Dept. AUn: Lt. <br />AUn: Lt. Provence <br />60 Civic Center Plaza, 4th Fl. <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#S9929/M9914 <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />~ <br />