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AGORA CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDNM <br />1 09/19/20031 <br />PRODUCER (949) 709-8800 FAX (949) 709-1668 <br />Comprehensive Insurance Services <br />22342 Avenida Em resa <br />p <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED America on Track, Inc. <br />dba: Orange County On Track <br />P.O. BOX 4141 <br />Tustin, CA 92781-4141 �1 pp--,,1 ''77% <br />��OIO(i���!%'-� <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE OF <br />CA <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( <br />ANY 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 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 />INSR <br />D' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />2003-06180-NPO <br />09/01/2003 <br />09/01/2004 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 100,00 <br />CLAIMS MADE O OCCUR <br />$ 10,000 <br />MED EXP (Any one person) <br />A <br />PERSONAL& ADV INJURY <br />S 1,000,00 <br />GENERALAGGREGATE <br />$ 1,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMPIOPAGG <br />$ 1,000,00 <br />POLICY jEp X LOC <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />2003-06180-NPO <br />09/01/2003 <br />09/01/2004 <br />COMBINED SINGLE LIMB <br />(Ee ecWcent) <br />$ 1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />ALLOWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per deciCme) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESSNMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />E <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STATLLLIMITS OTH- <br />Ea <br />EMPLOYERS' UABILRY <br />ANY PROPRIETORIPARTNERJEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />R Yes,e under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />NS GeIow <br />SPECIALALPROVISIONS <br />OTHER <br />,ZPERTIFICAT HOLYIER LrgA NAMEDNA$/DITJVNAL INSUREffSPER ATTACHED SP CIAL CITY ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />"REPLACING CERTIFICATE ISSUED 9/1S/03" <br />CITY OF SANTA ANA, ITS OFFICERS <br />EMPLOYEES, AGENTS AND VOLUNTEERS <br />20 CIVIC CENTER PLAZA $7 <br />P.O. BOX 1988 �i'1�71sr�OVU AS 7 U F <br />SANTA ANA, CA 92702 „� <br />ACORD 25 (2001/08) L ICI, <br />S(ccdV <br />90ULy Cily Attorney <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL YIXKX*WX MAIL <br />* 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />�i1dO dN4X�fIXIGXXX: <br />©ACORD CORPORATION 1988 <br />