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&ACAMP, CERTIFICAT F LIABILITY INSURA E <br />09/04/200 <br />PRODUCER (949)263-0606 FAX (9 263-0906 <br />Complete Insurance, Inc. <br />California DOI #0437762 <br />19000 MacArthur Blvd., PH Flr <br />Irvine, CA 92612-1447 <br />THIS CERTIFICATE IS SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Van orpe Chou Associates, Inc. <br />295 North Rampart Street, <br />Suite A <br />Orange, CA 92668 <br />INSURERA. Greenwich Insurance Company <br />INSURERS: (c/o XL Insurance) <br />INSURER C: <br />NSURERD <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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 />INSR <br />kDD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE 1 <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE O OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />$ <br />MED EXP (Any one Person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />POLICY F7 PRO- <br />JECT 71 LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />A P'. O Y <br />i_J.J ii:S i3 <br />i ri+��eb <br />COMBINED SINGLE LIMIT <br />(Ee emident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per aaident) <br />$ <br />PROPERTY DAMAGE <br />(Per amiEent) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />La i;. ,,,{tC <br />DepULY City <br />tly <br />AIInTnCY <br />_____..__. <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />8 <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />It yee, describe untler <br />SPECIAL PROVISIONS below <br />WC STATU- OTH- <br />TS ER <br />E.L. EACH ACCIDENT <br />$ <br />E. L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />I $ <br />A <br />ro essional Liability <br />PECO012128 <br />07/01/2003 <br />07/01/2004 <br />$2,000,000 Per Claim Limit <br />$2,000,000 Annual Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />0 day notice applies to non-payment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />City of Santa Ana, and its officers, agents, <br />employees & volunteers 30 DAYS WR TTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Office of City Attorney BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />P.O. BOX 1988 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE '55�O <br />ACORD 25 (2001/08) CACORD CORPORATION 1988 <br />