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Ssp-30-ZO'03 OI:BT~T From-IBI GROUP IRVINE 194085365lt T-OBI ~OOZ/O06 F-4B5 <br /> <br />Pno-Foma I#$URANCE ~ERVICES <br /> <br />15 Afl,TarO Par~way. Suite. 220 <br />L.aR <br /> <br />WVAV. hubhltern~ionnl, eom <br /> <br />TeL: 1~05) ~05-t 054 <br />F~. (905) 305-1093 <br />To~I Fr~ '1 800 ~1-g08~ <br /> <br />I)g~fOrllt~Jlehulagrmlp.r. orn <br /> <br />CF. RTIFICATE OF INSURANCE <br /> <br />TO; <br /> <br />Clerk of the CI~y Council <br />Cit~ of Sama Ann <br />20 Civic Center Plaza (M-36), P.O. Box 1988 <br />Santa Aria, CA 92702-1988 <br /> <br />THIS IS 'FO CERTIFY Tit ~T insurance ha~ been etTected as shown below: <br /> <br />INSUP~D: <br /> <br />INSURER: <br /> <br />POLICY NO.: <br /> <br />POLIC¥ £XPIgY: <br /> <br />COVERAGE: <br /> <br />LIMIT OF LIABILITY: <br /> <br />~ pod other in~.,r~d~ who may be identified in the pohc7. <br /> <br />Sceurhy Insurance Company of Hartford <br /> <br />950960 <br /> <br />April 30, 2004, 12:01 A.M. Local Standard Time <br /> <br />PROFE.~.~IONAL LIABILITY INSURANCE <br /> <br />CDN$2,000,000 each cla/m and in tl~ agl/re~te ann~lly CDN$2,000.000 <br /> <br />This ceatficate ts valid m ~¢ date of is~ance. The insurer will provide dxe Certificate fiolder with 30 drys notice of <br />caltccHation of the pohcy. <br /> <br />This cetxificate is i~sued tbr t lfomumon only, and coniC:rs no rights on any hold~ and impO.~$ i~o liability upoi] the <br />which assumes no re~pon~ibi .ity whatsoever in/hmtshml~ this certificate. <br /> <br />Tim Policy comams all the t,~m~ and eond/tions ofcowrage, lhe policy is not limited to clam~ by or in eoon~t~n with th,: <br />above-noted cer~ificate-hold~. The Limit of Liabiht~ may be inclusive of damages and claims expenses; the agg~e~a~ limit <br />the maximom available for al I covered claims. <br /> <br />PRO-FORM INSURANCE S£RVICKS INC. <br /> <br />Dated: September 11, 2003 <br />lB! 076 <br /> <br />By: <br /> <br /> A u thorized ~'epre~entativ e <br />Pro-Form Insurance <br /> Ser¥1¢e Inc <br /> <br /> <br />