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JLIN-03-2003 17 47 RON RISK SUCS 212 792 2519 P.02iO4 <br />1 4 <br />/1' /�O /�iD� <br />UA I tiMN4U W T1 t q <br />"ICER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />no Risk Services ,Inc. of Washington, D.CJ Hunt] <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />n ^oth Street NW <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />.:_hington DC 20036 <br />ALTER THE COVERAGE AFFORDEDY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY Columbia Casualty Company <br />'�DNE • (686) 256-4157 FAX - (8t1�) 467.7847 <br />A <br />COMPANY <br />ding Together With fca003 014-$7 B <br />:,as in Aprirand its Affiliates COMPANY <br />t' loth Street NW C <br />ngton, OC 20016 USA <br />COMPANY <br />- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICES LNMTS SHONM MAY HAVE BEEN REDUCED BY PAW CLAMS. <br />RTYPE <br />OF INSURANCE <br />POLICY NUMeBR <br />oA•Trrowm1eSFio m <br />DA�� Yl IOh <br />LIMITS <br />..^IERAL LIABILITY <br />PCL223466205 <br />03t1%3 <br />031`1664 <br />GENERAL AGGREGATE <br />$1,000,000 <br />:,..+(ERCIU GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />PRODUCTS• COMIOP AGO <br />$2,000,000 <br />PERSONAL L ADV INJURY <br />$1,000,ODO <br />;.CLAIMS MADE ❑OCCUR <br />EACH OCCIAMENCE <br />$1,000,000 <br />OMER'S B CONTRACTOR'S PROT <br />FINE OAMA(IE(Anrolemel <br />S50,WO <br />LIED FJ�IMYarM wAotll <br />$5,000 <br />11*IOMLE LABILITY <br />COMBINED SINGLE LIMIT <br />:VTO <br />-_JWNED AUTOS <br />BODILY INJURY <br />:DULEO AUTOS <br />(PAr P�) <br />BODILY INJURY <br />J AUTOS <br />NON -OWNED AUTOS <br />(PAL wCOMOM <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />ANY AUTO <br />OTIER7TNNAUTOONLY: <br />EACH ACCIDENT <br />• <br />AGGREGAT <br />... <br />: 7ESS LIABILITY <br />EACH OCCURRENCE <br />-,MBRELLA FORM <br />AGGREGATE <br />OTHER THANUMSRI3IAFORM <br />Y <br />bD i',S .1 <br />FORT <br />WORKER'S COMPENSATION AND <br />WC ATU- <br />TJTH. <br />ER <br />EMPLOYERS' LIABILITY` <br />-- <br />EL EACH ACCIDENT <br />THE PROPRIETOW INCL <br />'tRTNERS(EXECUTNE <br />.1 Ill t' <br />�\ttorne <br />EL DISFASEPOLCVLM4T <br />3 ARE I JEXCL <br />:._-rally C <br />Y <br />EL IXvZASC-EA EMPLOYEE <br />EBCRIPTION OF OPERATIONSILOCATWNSIVVEf//CLE718PEf.`ML ITEMS <br />HE CITY OF SANTA ANA, CITY OF IRVINE, CITY OF FOLLERSON, CITY OF LAGUANA ROODS, CITY OF HUNTINGTON BEACH, SANTA <br />.NA FEDERAL EMPOWERMENT ZONE AND COUNTY OF ORANGE ARE.3NCLUDED AS ADDITIONAL INSURED. CG 2010 11 85 ENDORSEMENT <br />.TTACHHD. . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELI rn BEFORE THE <br />REBUILDING TOGETHER ORANGE COUNTY` EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL SWAVOR-W MAIL <br />ATTN: STEVE CARPENTER 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />P O. BOX 329 <br />TUSTIN CA 92781-0329 USA <br />AUTHORIZED REPRESENTATNE <br />"ircace no: 511m)(463726m Holder lderNNler: <br />