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<br /> <br />ISSUE DATE (MMlDDiYYI <br />07111/07 <br /> <br />PRODUCER: License No. OC36861 <br />ALLlANT INSURANCE SERVICES, INC. <br />P.O. BOX 6450 <br />NEWPORT BEACH, CA 92658-6450 <br />Ph 949 756-0271 / Fax 949 756-2713 <br />INSURED CALIFORNIA INSURANCE POOL AUTHORITY <br />AND MEMBER: <br />CITY OF BUENA PARK <br />6650 BEACH BLVD <br />BUENA PARK, CA 90621 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. <br /> <br />COVERAGES _ c <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POl.ICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHtCH THIS CERTIFICATE MAY BE ISSUED <br />OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al.l. THE TERMS, EXCl.USION AND CONDITIONS OF SUCH POLICIES. <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />r <br />CO <br />LTR <br /> <br />, COMPANY <br />i LETTE.R <br />I ~?MPANY <br />~TTER <br />, COMPANY <br />I l.ETTER <br />r COMPANY <br />Il.ETTER <br /> <br />COMPANIES AFFORDING COVERAGE <br />A EVEREST NATIONAL INSURANCE CO. ($10MX$2M) <br /> <br />B <br />C <br />D <br /> <br />TYPE OF INSURANCE <br /> <br />POl.ICY NUMBER <br /> <br />POLICY EFFECTIVE <br />DATE MMJDDIYY) <br /> <br />POLICY EXPIRATION <br />DATE (MMlDD1YY <br /> <br />LIMITS <br /> <br />i <br />LGENERAl. LlABIl.ITY <br /> <br />\~t~f[~;~ G~~lL OCCUR ! <br /> <br />- OWNER'S & CONTRACTOR'S i <br />i PROTo ___~ <br />I <br />----t-o <br /> <br />GENERAL AGGREGATE <br />PRODUCT5-COMPfOP AGG.--j---- <br /> <br />PER'SONAl. & ADV. INJURY <br /> <br />EACH OCCURRENCEm. <br /> <br />FIRE DAMAGE (An-y one fire) <br /> <br />AUTOMOBIl.E LIABILITY <br />ANY AUTO <br />ALl. OWNED AU ras <br />SCHEDUl.ED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br /> <br />MED.EXPENSE(Anyone - <br />""'" <br />COMBINED SINGl.E <br />LIMIT <br />BODILY. INJURY <br /> <br />+- <br /> <br />(Per person) <br />BODILY-INJURY <br />(Per accident) <br />l- <br />, PROPERTY DAMAGE <br /> <br />I <br /> <br /> <br />A i eXCESS LIABILITY <br />UMBRELLA. FORM <br /> <br />71 P2000002-071 <br /> <br />07/01107 <br /> <br />07101/08 <br /> <br />EACH OCCURRENce <br /> <br />AGGREGATE <br /> <br />x <br /> <br />SPECIAl. EXCESS LIABILITY <br />F R PUBLI ENTITIES <br /> <br /> <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYER'S LIABILITY <br /> <br />I..mm~ \ STATUT?RY LIMITS CE~, <br />r EACH ACCIDENT =+ <br />m?ISEASE~P?UCY UMI~m_- m" <br />DISEASE-EA'CH EMPlOYEE- --t--. <br /> <br />OTHER <br />DESCRIPTION OF OPERATlON8/l.0CATIONSNEHICLESlSPECIAl. ITEMS <br />COUNTYWIDE PUBLIC FINANCING AUTHORITY 1996 REVENUE BONDS LEASE AGREEMENT FOR COUNTYWIDE 800 MHZ <br />COMMUNICATIONS SYSTEM. <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. <br /> <br />CO <br />CERTIFICATE <br /> <br /> <br />COUNTYWIDE PUBLIC FINANCING AUTHORITY <br />ATTN: TREASURER <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED CONTRACTS BE CANCEl.l.ED BEFORE THE <br />EXPIRATION DATE rHEREOF, THE RISK MANAGEMENT AUTHORITY WILl. ENDEAVOR TO MAIL 30 <br />DAYS WRITTEN NOTICE TO THE HOLDER NAMED HEREON BUT FAIl.URE TO MAIl. SUCH NOTICE <br />SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE RISK MANAGEMENT <br />AUTHORITY, OR ITS REPRESENTATIVES. SUBJECT TO 10 DAYS NOTICE OF CANCELLATION <br />FOR NON-PAYMENT OF PREMIUM. <br /> <br />IIUTHORIZ DRE:f;:.: /' )~~ <br /> <br />G\JpuniIIClpa\Oc-l.labllity\l.lab Cer\ Oc-liab-Xs-Pri.doc <br />