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<br />
<br />CERTIFICAT
<br />
<br />F LIA8ILr!Y_INSU~~ --' O~A;I;';;;IQ
<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 POUCIES BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />,"ODUCER
<br />Andreini & Company
<br />300 Esplanade, Suite 100
<br />Oxnard, CA 93030
<br />(805) 981-9585 F: (805) 981-0161
<br />
<br />COMPANY
<br />A
<br />
<br />PHILADELPHIA INDEMNITY INS CO
<br />
<br />,"SURED
<br />
<br />ORANGE COUNTY CONSERVATION
<br />CORPS FAX NO. 1(714)-956-1944
<br />700 N. VALLEY STREET, STE. AB
<br />ANAHEIM CA 92801
<br />
<br />COMPANY
<br />B
<br />
<br />
<br />FUND
<br />
<br />COMPANY
<br />C
<br />
<br />COMPANY
<br />D
<br />
<br />.'!lØýií:ii,jij!j!l:m,¡b{""".".,.",."",.,.,...""",.,.,.,'x,'x",'"""""""""""""""""""""",,"'",""",',',',',",',.,."..",.".."...".."...,.,.....,'it/,..."...,..".,."...,...,....,..."., """""""""""'.""',?""""',"""""""...,.,.,.,.,...,.,."""""';.",.,."....,.....",.,."""'....'. ...'"';;¡\'it;"..".,,,.,')\f't'f't(..,., \HIfF;fl?'
<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. NOlWlTHSTANDING 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 CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
<br />
<br />CD
<br />LTR
<br />
<br />TYPE DF ,"SURANCE
<br />
<br />POUtY NUMBER
<br />
<br />POLICY EFFECTM! POUCY ""'A11ON
<br />DA'" IMUlDDIYV) DA'" IMMlDDIYV)
<br />
<br />UMITS
<br />
<br />A AUTaIlO.'" LIABILITY
<br />ANY AUTO
<br />,AlL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />
<br />
<br />PHPK055497
<br />
<br />07/20/03 07/20/04 GENERAL AGGREGATE
<br /> PRODUCTS - COMPIOP AGG
<br /> PERSONAL. ADV I/WAY
<br /> EACH OCCURRENCE
<br /> FIRE DAMAGE IMy "" "'1
<br /> MED EX!' IMy "". po'..'1
<br />07/20/03 07/20/04 COMBINED SINGLE LIMIT &1,000.000
<br /> BOD" IN..\JAY
<br /> IP" po""'1
<br /> FORM BODILY I/WAY
<br /> IP" .cc.'"~
<br />
<br />PHPKO5S497
<br />
<br />
<br />PROPERTY DAMAGE
<br />
<br />UMBRELLA FORM
<br />
<br />O"'ER T1iAN UMBRELlA FORM
<br />
<br />B WORKERS CDMPENSA11ON AND
<br />EMPLOYEnS' LIABILITY
<br />
<br />46-012055-03
<br />
<br />06/01/03
<br />
<br />
<br />AUTO ONLY. EA ACCIDENT
<br />O"'ER "'AN AUTO ONLY'
<br />EACH ACCIDENT
<br />AGGREGATE
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />PHUBO21098
<br />
<br />07/20/03 07/20/04
<br />
<br />"'E PROPRIETOfI/
<br />PAATNERSÆXECUTIVE
<br />OFFICERS ARE'
<br />O"'ER
<br />
<br />,"Cl
<br />EXCl
<br />
<br />EL EACH ACCIDENT
<br />B. D~EASE . POliCY LIMIT
<br />B. D~EASE - EA EMPLOm
<br />
<br />A
<br />
<br />AUTO PHYSICAL
<br />DAMAGE
<br />
<br />PHPK055497
<br />
<br />07/20/03 07/20/04 DEDUCTIBLE
<br />DEDUCTIBLE
<br />
<br />1,000 COMP
<br />1,000 COLL
<br />
<br />DESCRIPTION OF OPERA11ONII\.OCA11ONSlVEHICLß/SPECIAL ITEMS
<br />RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES
<br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH
<br />RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED
<br />ENDORSEMENT,ATTCHED.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY.
<br />
<br />CITY OF SANTA ANA
<br />ATTN:ESTHER AKHAVAN/PARK PLANNING
<br />888 W. SANTA ANA BLVD., STE 200
<br />SANTA ANA CA 92701
<br />
<br />
<br />:'..,j¡jik¡
<br />
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