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<br />OF LIABILITY INSUR <br /> <br />E <br /> <br />DATE ,"'1>0 YV) <br /> <br />/' .CQR;;)N <br /> <br />CERTIFICA <br /> <br />PRODUC" <br />Andreini « Company <br />300 Esplanade, Suite 100 <br />Oxnard, CA 93030 <br />(805)981-9585 F:(805)981-0161 <br /> <br />I 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 />INSURED <br /> <br />COMPANY <br />A <br /> <br />PHILADELPHIA INDEMNITY INS CO <br /> <br />COMPANY <br />B <br /> <br /> <br />FUND <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 />C <br /> <br />.J""":!" <br />-",. ...'>.,. . <br />COMPANY . o' . 'ì <J. ,,"'1 <br />D . ~;m:f¡: '":"' ': ~,"""_T- -u¿:-:---- <br />§¡m§ßì~~ÎÌi)M¡Œ¡¡¡1iH*iIHìltîf¡¡tjŒî!iIlWtM~W\\[t:t;J¡m%\\!¡Mttm¡¡¡@m¡¡;¡¡W¡¡¡¡¡¡¡mH¡¡¡ii1¡¡¡¥jjWHÆMM¡¡¡¡%j¡¡¡ii1g¡¡;¡Mlf@l1l1%tnjH¡¡;f1H¡HH}i1~¡¡¡H; <br />THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PDUCY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT. 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCUUSIONS AND CONDITIONS OF SUCH POUCIES- UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CD <br />Lm <br /> <br />TYPE OP INSURANCE <br /> <br /> <br />EXC"S UABILITY <br /> <br />UMBRELLA FORM <br /> <br />OTHER THAN Uto1!IRELLA FORM <br /> <br />B WORkEIIS CO""'SA11ON AHD <br />EMPLOYEI1S' UABIUTY <br /> <br />A <br /> <br />THE PROPAIET,,", <br />PARTNERSÆXECUTIVE <br />OFFICERS ARE' <br />OTHOR <br /> <br />A <br /> <br />AUTO PHYSICAL <br />DAMAGE <br /> <br />POUtY NUMB" <br /> <br />POUtY EFfECTIVE POUtY EXPIRA11ON <br />DATE (IIMIDDIYV) DATE (MM/DDIYV) <br /> <br />UlllTS <br /> <br />PHPKO55497 <br /> <br />07/20/03 07/20/04 GENERAL AOOREOATE <br /> PRODUCTS. CaMP^'" AGG <br /> PERSONAL . ADY INJURY <br /> EACH OCCURRENCE <br /> FIRE OAMAGE (An, one ~e) <br /> MED EX? (Any one """,,) <br />07/20/03 07/20/04 COMBINED SINGLE LIMIT S1,ooo,ooo <br /> BODILY IN..,RY <br /> (Po< ",""') <br /> FORM BODILY INJJRY <br /> Po< ecc'denQ <br /> <br />PHPKO55497 <br /> <br /> <br />PROPERTY DAMAGE <br /> <br />AUTO ONLY. EA ACCIDENT <br />OTHER THAN AUTO ONLY, <br />EACH ACCIOENT <br />AGGR£GATE <br />EACH OCCURRENCE <br />AGGR£OATE <br /> <br />PHUB021098 <br /> <br />07/20/03 07/20/04 <br /> <br />46-012055-03 <br /> <br />06/01/03 06/01/04 <br /> <br /> <br />INCL <br />EXCl <br /> <br />El 01SEAS.E - POLICY LIMIT <br />El DISEAS.E - EA EMPLOYEE <br /> <br />PHPKO55497 <br /> <br />07/20/03 07/20/04 DEDUCTIBLE <br />DEDUCTIBLE <br /> <br />1,000 COMP <br />1,000 COLL <br /> <br />DESCRIPTION OF OPERA11ONS/LOCA11ONSIVEHICLES/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 />þgðiî!1¡;:Atßj!ìþ~p§ì!1¡¡@¡¡¡¡¡W;¡mm¡¡¡¡@;m::¡¡:¡¡@m¡¡¡¡¡¡¡¡¡mmn¡¡nmm::¡¡¡¡¡¡M1ç§t!(*!!Q!'I¡¡¡¡tim¡¡mnm¡¡¡nmm¡¡iW¡gmW¡¡¡¡m¡mM@Mltdm;¡¡ti,¡¡¡ <br />SHOULD ANY OF THE ABOVE DESCRIBED POUtIU BE CANCELLED BEFORE THE <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 />AUTHOR <br /> <br />..!!An¡:¡¡¡ti~ijji@ <br /> <br />,~ <br />