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· 'CORD' CERTIFICAT F LIABILITY INSURAN CSRE iCSR 09/29/03 <br />PROCUCER THIS CERTIFICATE IS IgSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~-// <br />Cook, Disheroon & Greethouse HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 12909 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oakland CA 94604- <br />Phone .' 510 -437 -1900 INSURERS AFFORDING COVERAGE N~C # <br />INSURED INSURERA: The Hartford Insurance CO. 22357 <br /> INSURER S: <br />MCS Rehabilitation, Inc. INSURERC: <br />3333 Wilshire Blvd. #405 INSURERD: <br />LOS Angeles CA 90010 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH IS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />LTR NSR£ TYPE OF INSURANCE POLICY NUMBER DATE (MMJDD/YY} DATE (MM~D~ LIMITS <br /> GENERAL L~BILrTY EACH OCCURRENCE $ I · 000 · 000 <br /> <br />A X COMMERCIAL GENERAL LIABILITY 57SBANQ5679 09/29/03 09/29/04 PREMISES[JAMA~5~ Iut~l=U(Es occurenCe) $ 300·000 <br /> ~ CLAIMS MADE []OCCUR MED EXP (Any one person) $ 10,000 <br /> PERSONAL&ADVINJURY $ ~·000,000 <br /> GENERAL AGGREGATE $ 2 · 000 · 000 <br /> GEN*L AGGREGATE tlMiT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 · 000 · 000 <br /> POL,CY Loc <br /> ANY AUTO (Ee accident) $ 1 · 000 · 000 <br /> <br /> __~ HIRED AUTOS 57SBANQ5679 09/29/03 09/29/04 <br /> $ <br /> (Per ac~dent) $ <br /> A P~P. OVIZ~ AS TU ~'( )p.~.) EACHOCCUR~NCE $ <br /> R~TENTION $ F~¢PUlY Chy Att >r~y $ <br /> <br /> WORKERSCOMPENSATIONAND ITORYUMjTS I <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> <br /> A Employee 57SBANQ5679 09/29/03 09/29/04 Cr~me $50,000 <br /> Dishonesty <br /> <br /> 30-DAY NOTICE OF CANCEL. 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM. CITY OF <br /> SANTA ANA, ITS OFFICERS· AGENTS, AND EMPLOYEES ARB NAMED AS ADDITIONAL <br /> INSUREDS WITH RESPECT TO ALL OPERATIONS BY THE NAMED INSURED. <br /> <br />CERTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />LYDIA MORGAN <br />1000 EAST SANTA ANA BLVD. #200 <br />S~NTA ANA CA 92701 <br /> <br />ACORD 25 (200~/08) <br /> <br />SANTAN1 <br /> <br />CANCELLATION <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL I~;~1~ MAI L 3 0 DAYS WRITTEN <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT~ ~ ~~H~=E <br /> <br />'"--~-ACORD CORPORATI~ <br /> <br /> <br />