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.AC0BD,M CERTIFICA OF LIABILITY INSU E 09/04/200 ) PRODUCER (949)263-0606 FAX ( )263-0906 Complete Insurance, Inc. California DOI #0437762 19000 MacArthur Blvd., PH Flr Irvine, CA 92612-1447 THIS CERTIFICATE ISMSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Van orpe Chou Associates, Inc. 295 North Rampart Street, Suite A Orange, CA 92868 INSURERA. Fidelity and Guarantee Ins. Co. INSURERS: Fidelty & Guaranty Ins Co INSURERC: St. Paul Fire & Marine Ins Co NSURERD: (O/O St. Paul) NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR NDVL TYPE OF INSURANCE POLICY NUMBER POLICYEFPECTIVE POLICYEXPIRATION LIMITS GENERAL LIABILITY BKO1510223 07/01/2003 07/01/2004 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500,000 CLAIMS MADE O OCCUR $ 10.000 MED EXP (Any one person) A PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PRO- JECT F_JLOC AUTOMOBILE LIABILITY ANY AUTO BA01464SOO 07/01/2003 07/01/2004 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 00 X B ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROVL'D AS CCCI Y TO FORM BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X Deputy City ACC IICy PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY BKO1510223 07/01/2003 07/01/2004 EACH OCCURRENCE $ 1,000,00 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WVA8004695 07/01/2003 07/01/2004 X we STATu- oTH- EMPLOVERS'LUIBILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEIVMEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 OTHER 10-day notice applies to non-payment and/or non -reporting DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ertificate holder is additional insured as respects general liability but only if required by written contract with the named insured prior to an occurence and as per coverage form CL/BF21810401. Waiver of ubrogation endt. WC040306 included as respects Work Comp only. Coverage subject to all policy terms, conditions and limitations. City of Santa Ana, and employees & volunteers Office of City Attorney P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 7t5 officers, agents, EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Alicia Igram/MICHMA ✓`'{�' c(,y ACORD 25 (2001108) CACORD CORPORATION 1988