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<br />Nov, 1, 2005 10:53AM <br /> <br />No, 3207 p, 3 <br /> <br />~~ <br /> <br />I'ro-I'onn Insurance Services <br /> <br />15 Allstate ~~ay. Sui~e 220 <br />Ma."\o"J".am, Qr.tat!o L3R ~ <br />Phor.lI05.:!05.1054 <br />Tc~ Free 1.a(X)-361.9080 <br />FfL\C. 9C5.305-1 093 <br /> <br />JflSlJfafIce It Flnancl81 SeTV/ces <br /> <br />WW\N'JWbontlrio.Qom <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />TO: <br /> <br />Clerk of the City Council <br />City of Santa Alia <br />20 Civic Center Plaza (M-30), P.O. B011988 <br />Santa ADa, CA 92702-1988 <br /> <br />THIS IS TO CERTIFY THAT lnslInmce has been effected as shown below: <br /> <br />INSURED: <br /> <br />mI Group, and other insureds who may be identified in the policy. <br /> <br />INSURER: <br /> <br />XL Speeialty Insurance Company <br /> <br />POLICY NO.: <br /> <br />DPR 94094Z5. <br /> <br />POLICY EXPIRY: <br /> <br />Apri130, Z006, 12:01 A.M. Local Standard Time <br /> <br />COVERAGE: <br /> <br />pROFESSIONAL LIABILITY INSURANCE <br /> <br />LIMIT OF LIABILITY: <br /> <br />USS2,OOO,000 each claim and in the aggregate annually USSZ,OOO,OOO <br /> <br />This certificate is valid at the date of issuance. The Insurer will provide the Certificate Holder with thirty (30) days written <br />notice of cancellation of the policy. <br /> <br />This certificate is issued for information only, and confers no rights on any holder and imposes no liability upon the insurer, <br />which assumes no responsibility whatsoever in furnishing this certificate. <br /> <br />The Policy contains all the terms and conditions of coverage. The policy is not limited to claims by or in connection with the <br />above-noted certificate-holder. The Limit ofUability may be inclusive of damages and claims expenses; the aggregate limit is <br />the maximum available for all covered claims. <br /> <br />PRO-FORM INSURANCE SERVICES <br /> <br />Dated: November 1, 2005 <br />ffiJ.134 <br /> <br />By: <br /> <br />~&tWIm Re~r.s.ntative <br />. nsura cr: <br />Services <br /> <br />,\PI'RO'100 AS TO FOKM <br /> <br /> <br />LJ.L:li1 Sf:lt SLs(Jy <br />A..,,::,i,:Uut City :\1turi,ev ' <br />