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ACO D CERTIFICA* OF LIABILITY 1NSUR E °o~io"sizDO3' <br />PROOUeER (;Ol) 733-2530 FAX (301)791-1478 <br />Keller-Stanebraker Insurance, Inc. <br />1120 C Professional Court THIS CERTIFICATE 18 I88UED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIF{GATE <br />HOLDER, THIS CERTIFICATE DOER NoT AMEND, EXTEND oR <br />ALTER TH C VERAG A FO DE BY THE POLICIES 'LOW <br />PO BOY 609 ' <br />Hagerstown, ND 21741-0609 <br />INBURERSAFFORDINGCOVERAGE <br />NAIClA <br />INMIN:O a LT rary rpOrat OII INBURERA: Hart ord Casua ty Ins. 29424 <br />CARL Corporation, Inc., ETAI INSURER B: Hers ord Fire Insurance Co. 19682 <br />Research Park INEURERC: TWTn City Fire Insurance Co. <br />InwOOd, {iV 25428 INSURER °: <br /> INEYRfiR 2: <br />,-ewaeenee <br />THE POLICIES OR INSURANCE LIBTED BELOW NAVE BEEN ISSUED TO 7HE INSURED NAMED ABOVE FOR THE POLICY PERRJO INDICATED. NOTWITHSTANDIN <br />ANY REgUIREMlNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPHCT TO WHICH THIS CERTIFICATE AMY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIGIEB DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS 9MOWN MAY NAVE BEEN REDUCED eY PAID CLAIMS, <br /> 7YIE OP INBUMNCE PODGY XUMaER PO PECTNE PW PI I ply <br /> GENHRALLWNJ7Y 42UUNUA1381 05/26/2003 05/26/2004 PACHOCCURRENCE s 1,000,00 <br /> K COMMERCWLGENERALLIABILITY DAMAGETOR N EO ! 300,00 <br /> CIwIMB MADEOCCUR MED EIV (AM/arc pcnanl i 1D,OD <br />A PERBOWILSAOV WJURY S 1 GOO, OO <br /> GENERAL AGGREGATE f 3 OOD,OO <br /> GENL AOGRlWTE UMrt APPUEE PER: PROOUCTS•COMPr°P AGG a 3 000.00 <br /> POLICY JHC LOC <br /> AUT OMOBILE LUwuiY 42UENUA1452 05/26/2003 05/26/2004 COMBM1E061NGLE OMIT <br /> <br />X <br />ANY Aura <br />fES 1Cai°'Ml f <br />1, 000 , 00 <br /> ALL OWNED AVraa <br />BODILY INJURY <br />E <br /> <br />8 HCHeDULED AUTOB fPw puRb,q <br /> X <br />X VIREO AUTOS APPRO D AS TO FOAM BoDq.TINAIRY <br />(Pw EaadonD s <br /> NON-0WNBD AUTDB <br /> PNOPERTY DAMAGE <br /> <br />(-w ROOW,R) S <br /> OANA6B LNBNJTI' <br />D AUTO ONLY •EA ACCIDHNT S <br /> eputy City orney <br /> AN.ALrrD EAAcc <br />DnxRTHAN s <br /> AUTO aNLr AGG s <br /> EzcESfwMaafRULUUXrn 4ZRHUUA1427 05/26/2003 OS/Z6/2004 EncNxcuRNeNCe s ;,000 D00 <br /> X Dccw ~ cuuME MADe AoGREGArE I s 3 , 000, DO <br />A + <br /> Df°uttlBle s <br /> X RlRNTION f 10,00 f <br /> waRNeaseoMPENBATroNAND <br />' 42WBGU1360 01/29/2003 01/29/2004 D <br /> <br />~ EM-1.0 <br />YEIW LWlun <br />ANT MOPRIETOW}gRTNERIf1BClfnlrH <br />EL BACK INCIDENT <br />i 1,000 OD <br /> OFPIC EXCWDEDT EL. OMVEASe •EA BMPLO i 1.000,00 <br /> b yyam~,, QuCiW unbN• <br />BPECIpL PRONBIONB bMaw <br />!.L OIfBASB • POLICY LBAIT <br />a 1, 000, 00 <br /> onIER <br />a/ny N GP OPERAnONE! w TgNE I VEMICLEB I E:CLU6NfNE AODP.D BY ENDORB~x ENT I BPECU,L -NDVIBIONE <br />ty oT Santa Ana, o flcers, agents, volunteers antl employees era additional insured as <br />aspects the general liability, <br />0 day cancellation except notice of cancellation for non-payment of the premium will 6e 10 days, <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.D. 8oH 1988 <br />Santa Ana, CA 92702 <br />ennOn 7S IfMAlna1 <br />iNOULO ANT OF THE ABOVE DEBCa1BEp POLICIES BE CANCELLED BEPORE THE <br />E7iPIRATION OATe TNEREOP, THE gBUING WBUREiI WLLL PJJDEAVOR id MAIL <br />L OATS WRITTEN NOTCH TO THE CERYInC11T! NOLOHR NAMED TO THE LEFT, <br />M-3O 8UT FAILURE TO MAIL SUCH NOTICH HNALL IMPOEC NO OBLIOATON OR LIABILITY <br />AUTHORIZED REP0.ESENTATNE _ ' <br />CORPORATION 1888 <br />Z d b3NCbH3NL~1S ~J3~~3~i Wd0ZIE0 E8, eZ '1~t <br />