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Feb 2G 03 11:33a YOUTm -OMMISSION 714-54 <br />'UZ714/03 12=O4 FAX 200 672 88, ANERICAN SPECIALTY Its. <br />7746 P.1 <br />Q 002/004 <br />Date fssuM. 14-Fab-n3 <br />COMFICATE OF UISURANCE <br />CERTiFICATEHOLDER <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENY AGENCY <br />P O90X 19" <br />SANTA ANA, CA 92102 <br />kiourance Sem=. Inc <br />80fing. Inc <br />142 North Main Street <br />One OtymplC Plaza <br />Roanoke, kwd n 46783 <br />Cdaado Spina$, CO 80909 <br />IWs ce fftazte is i55uad as a matter or <br />SANTA ANA SO)ONG CLUB <br />intonrayon only and Confers no dghb Upon <br />1850 E 1TTM ST, STE 218 <br />0* C010katehalder. This CwKxzte does <br />SANTA ANA, CA 92705 <br />not amend. e►tend. or after the covarage <br />a(lordod by the policy below. <br />CO S -.7"m is TO CERTIFY THAT THE POLICIES OF INSURANCE LAMB BELOW VE BEEN 1SSUW TO THE INSURED AHED ABOVE <br />FOR THE POLICY PERIOD YAWATED, NOTWITHSTANDING ANY REOUAREMENT, TERM OR CONWM OF ANY CONTRACT OR OTHER <br />DOQA WNT WRH RESPECT TO WHIQI THIS CERTIFICATE MAY BE WSUM OR MAY PERTMN, THE OZURANCE AFFORDED BY THE POLICIES <br />DESCRIBED HERBM 15 SUBJECT TO ALL THE TERMS. EXCLUSIOMS AND CONMION OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS <br />_ - pay GL Pettey Nurnbsr OOBel�tlB General Aggregate <br />United Steles Fidelky era Guwanry Com -- Unlit <br />3,800,000 <br />Elfediva;0'IJ/YN-07 12:O1 AM EI�fre5:01.tAN-03 72:01 AM <br />led Opaetioy A99ta0ay Lfnst <br />. PwWnW <br />ParSorpl dAd AOvertistng mNury lLtrd <br />arld Ad <br />1 ODAM <br />Each O=Kfenoe Linn <br />1.0M.000 <br />Damam b Premises Rented to You (Any One <br />601000 <br />• The C MORcalch0*1 is Only an Addi6010 kwxW with respect b tiabRly Ca)srd by Ow rwgligeat ads oramiasiars Of the Heated hwased, and ardywith <br />respect to supervised dub approved p-Mm and aalnkg of USA 994rg member alhteles to USA 8aeimg sandloned events. <br />• Camefts is oxduded toe any martial arts, kak-b0mg, aoaw activty" ml spedfic* approved in advenoe by USA li0odrq. repamdIM Of v"MOr Or trot <br />They are pat Of a USA 803mq sandalled acrfft.0r cub activity. <br />Coverage Is effec ve February 14. 2M3 dwough Oecember 31, 2003, <br />Form No. USWOD0001 <br />Cerafirfe No. 1000225112 <br />NOTICE <br />AS TO For <br />LISP E. STORC�tr <br />p sislant City Atto�s. <br />BUT FAM-URE TO VIAIL <br />✓Of✓ QI/ <br />Davit Harris <br />Authorized Representative <br />