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ACORD. <br /> <br />CERTIFICATE OF LIABILITY INSURANCF p ,.s <br /> <br />PRODUCER <br />BOSWELL INS AGENCY (#0A96080) <br />Agents & Brokers, Inc. <br />P.O. Box 4648 <br />Mission Viejo CA 92690 <br />Phone:949-855-0430 Fax:949-837-5828 <br /> <br />INSURED <br /> <br /> Harold Wells Associates. <br /> 741 E. Ball Rd. Ste. 205 <br /> Anaheim CA 92805-5952 <br /> <br />COVERAGES <br /> <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 /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURERA: CNA Insurance Companies <br /> <br />INSURERB~ Royal Surplus Lines Ins. Co. <br />INSURER C: <br /> <br />INSURER D: <br /> <br />INSURER E: <br /> <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 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 />I POLICY EFFECTIVE POLICY EXPIRATION <br />~1~ TYPE OF iNSURANCE POLICY NUMBER DATE {MMIDD/YY} DATE {MMIDD/YY) LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE $ I x 000,000 <br />A X COMMBRCIALGENERALLIABILITY Bl17696473 12/01/02 12/01/03 FIREDAMAGE(Anyonefire) $ 1001000 <br /> r CLAIMSMADE [] OCCUR UEDEXP(Anyonepemon) $ 51000 <br /> PERSONAL & ADVINJURY $ 1~000 t000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ l~000t000 <br /> O CY PRO- <br /> l× IPLI jECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODiLy INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNEBAtrros APPROVED kS TO FBI :M (Petaccident) $ <br /> (Per accident) $ <br /> GARAGE LIABILITY =~/' AUTO ONLY. BA ACCIDENT $ <br /> ~aur~t Sheedy / <br /> ANYAUTO Deputy City Att( rney AuToOTHER THANoNLY: EAACOAGG $$ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> I OCCUR [~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> <br /> WOBRERS OOMPERSATIO. A.D __X! T_O._.~LI_~L_!~R _ ___ <br />A EMPLOYERS' LIABILITY WC173347435 10/01/02 10/01/03 E.L. BACH ACCIDENT $ 110001000 <br /> E. LDISEASE-EAEMPLOYEE $ lt000 f000 <br /> EL DISEASE - POLICY LIMIT $It 000~000 <br /> OTHER <br /> <br />B Professional Liab K2HR801496 07/10/03 07/10/04 Ea Claim 1,000,000 <br /> Ag'~ Limit 1,000,000 <br />DESCRIPTION OF DP ERATION S/LOCATION SNEHICLESIEXCLU SlO NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />'10 da~s notice of cancellation for non-pa!anent of pre~um <br /> <br />CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: __ CANCELLATION <br /> <br />City Attorne~ <br />Cit~ of Santa Ana <br />20 Civic Center Plaza (M-29) <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />CITYA-1 <br /> <br />ACORD 25-S (7/97) <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *~ 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIAB~LITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br /> <br /> ©ACORD CORPORATION 1988 ' <br /> <br /> <br />