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�RCO�i—. CERTIFIC OF LIABILITY <br />INSU NCE o6/27/2 03 <br />PRODUCER (949)8S2-0909 FAX (949)8S2-1131 <br />Milestone Insurance Brokers <br />P.O. Box 19598 <br />8 Corporate Park, Ste 130 <br />Irvine, CA 92623-9598 <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 />INSURED Saint Joseph Ballet Company <br />1810 North Main Street <br />Santa Ana, CA 92706 <br />A-aoo3-pr/¢-¢q� <br />INSURER A: Travelers Indemnity Co. of CT <br />INSURER B: <br />NSURER C: <br />INSURERD: <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, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMrDIVYY) <br />POLICY EXPIRATIONIm <br />DATE IMMfDDfYYI <br />LIMBS <br />GENERAL LIABILITY <br />660S29X3803 <br />06/24/2003 <br />06/24/2004 <br />EACH OCCURRENCE <br />$ 1,000,00w <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE EKOCCUR <br />FIRE DAMAGE (Any one fire) <br />$ SO OO <br />MED EXP (Any one person) <br />$ S 00 <br />A <br />PERSONAL S ADV INJURY <br />$ 11000,0001 <br />GENERAL AGGREGATE <br />$ 2.000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG <br />$ 2,000,00 <br />POLICY JE° LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />56OS29X3803 <br />06/24/2003 <br />06/24/2004 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1 000.000 <br />BODILY INJURY <br />(Par parson) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />AGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />ANY AUTO <br />P <br />$ <br />EXCESS LIABILITY <br />OCCUR CLAIMSMADE <br />CUP346H8103 <br />06/24/2003 <br />06/24/2004 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />AGGREGATE <br />$ 1,000,00 <br />A <br />DEDUCTIBLE <br />APPROVED AS <br />TO FORM <br />$ <br />$ <br />RETENTION $ <br />h, <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />L uTg $}1Ci c�V <br />TORV LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />DeplLy -11Y fir(`^T' <br />y <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATION&VEHICLEWEXCLUSIONS ADDED BY ENDORSEMENT/SPEIAL PROVISIONS <br />he City of Santa Ana, 20 Civic Center Plaza, Santa Ana,CCalifornia 92701; its officers, employees, <br />gents and representatives are named as Additional Insureds/ Primary as respects General Liability <br />per the CG 2010 attached for the "City of Santa Ana's Community Development Block Grant." <br />Ten (10) day notice of cancellation for non payment of premium. <br />City of Santa Ana <br />Community Development Agency <br />M-25 <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL *XWOtl(aXa6 MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Xj=X6Y11 XXX <br />