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<br />. 06/0.2/2004 1§.: 02 FAX 4155417108 ACORDIA OF CA 141002 <br /> CERTIFICATE OF INSURANCE ISSUE DATE: <br /> 6/2/2004 <br /> PRODUC£R: THl5 Cl:KnfICATP..lS ISSUED AS A MA'1"fEJ OF INFORMATION ONL.Y AND CONFmS NO rUGHL'S <br /> UPON TH.£ CFRTWlCATE HOLDER. nflS mTIF1ÇA.TI! DDES NOT AMiNO. EX'TF.ND on ALTER <br /> OTHI!P. COVERAGE AFFORORn UYTI-m l'OuC::1SS t:I£LOW, <br /> ACOROIA OF CALIFORNIA INSURANCE SERVICES, INC. COMPANIES AFFOlUJINC COVERAGE <br /> 45 FREMONT STREET. SUITE ~OO COMPANY Everest IndemnitY Insurance CQmpany <br /> SAN FRANCISCO, CA 9410S LICENSE NO. 0352275 tBTTJ:R ^ <br /> l!-1 5-541-7900 C:::OMfANY Hartford Fire Insurance Company <br /> LE1-rl:tl{lI <br /> INSURED: A- ~ ;;W03 - ;J...;;ls COMrANY Zurich American Insurance Company <br /> t.ETTIUt C <br /> Able Building Maintenance Company, Inc. COMPANY Federal Insurance Company <br /> L.I:!1T£1(l) <br /> (OMI~f\NY <br /> <br />COVERAGES AND LlMIT.S <br /> <br />'1'HlS 15 TO CnRTID" THAT uiE 'POTJCTtS Of INSuMNa: Ll,t:¡TTlD 8I!Lt1W ttAVE BERN T&<;UI!D TQ THE lNSU {¡;(¡ NAMF.D ADOVIZ Fan THE 1'l1L¡CY PERTon TNDICATED, <br />NQTWU"HSTANDTNC ANY lU5QUIRJ:;M£NT.'rF.RM ORCc.mDrnON OF ¡\NY CONTltAC.ï un OrtiEI' I)OCUMP.NT INITI-I RESrl!l1'TO WH.lCt-l TI11$ Ç¡:-RTIFICATI! MAY In:: ISSUED OT< MAY <br />PERTAIN" THE rNSURANa! AFFOlWl:i:D t '~' TT-TP. rouar:s DESCmø£D H,,!?RF.IN IS SU'BI!CI TO ALL THE T1?RMS, T!XCLUSIONS ANl) CúNL)j'l'[ONS ()P StJqT POl.1CII!S. UM!'l$ SHOWN ~JA V <br />HAVE BEHN 1l6.0UCEI) flY PAID CLAIMS. <br /> <br />CO. 'IYPe or INSURANCë <br />Ln <br /> <br />CA: <br />WC629825701 <br />All OTher States: <br />WC829825801 04/01/04 04/01/05 DISEASE. ,^CII """T.OYEn <br />DF.5GR11'1l0N OF OPERATI0N5/LOCA110NS/VEHlCLIlS/SPECtJ\I.. ITEMS: <br />60 Civic Center Plaza <br />CitY 01 Sðnl:e Ana its officers. employees, agents, volunteers i!lnd representatives ara namad iJS Additlonallnsuredls) par the attached Endorsement <br />with re5pacts to the abo'le- <br />Subject to 10 days notice of cancellation for non-p,¡,vment of premium. <br /> <br />2601 SOUlh Figueroa Slreel, Mall SlOp ffH299 <br />Los Angele. CA 90007 <br /> <br />LETrER Ii <br /> <br />roUl"'Y NOM1!EJ!. <br /> <br />POLlCY 1:.)(1'. <br />DAT£ <br /> <br />DESCRJ..t'1'10N <br /> <br />roUL""f l1ff. <br />D^T~ <br /> <br /> GENERAL LlA.Bß..JT)' GEN"F..RA1_ACCIU!CõATE <br />A 0 COMM. GE~.RAt tIA'B. 51 GLOO0501.041 04/01/04 04/01/05 PF01).COMP jor AGG. <br /> 0 CLAIMS MADE 1'P.RS &I ADV. INJURY <br /> ŒJ OCCUIUŒNCE EACH QCCUllRENCë <br /> 0 QVoINU'S & CúNl1<AcrS 'PROT f1RE DAMAGt:: (On... Plre) <br /> ŒJ r:ERfRCJJJ::¡Cr ^GI..~R'P.CATE MfÙ1CAL ÐCP'PNSF. (Onl:! r!!t5on) <br /> AUIÙMOa:rteT.TADD..ITY <br />B 0 ANY AUTO COM8JNJm SINGLE UM11' <br /> ŒJ ALL OWNED AUIOS WDILY INJUKY (1jè'r Pef501') <br /> D ~1:IUL£DAU"fOS 57UENUP6665 07/20/03 07/20/04 BODILY LNjUJ<'(U'è'I' ^(( ,1~nl) <br /> ~ HIRED AUTOS ¡'ror.ë!i.TY LJ^~1¡\CP, <br /> ŒJ NON-ÚWNED AVTQ!; MHH(¡\IJ P'I\Y <br /> 0 GAKAGE LT MHI.ITY \.JNrNSURr.n/UNnT!RINSUiU!D <br /> Mol"OWSr& <br /> EXQSS uA'9rLrrv LACH occunRFNCr.. <br />D GJ UMHRP.I.T.AJ:"ORM 79520671 04/01 /04 04/01/05 AGGREGI\TP. <br /> D O'IHER IHAN lJMB'R:'gT.T.A 'FORM <br /> <br />G <br /> <br />WORKERS' ÇOMI'IiNSATION <br />AND <br />'P.'rw11'T.OYEn'S tIABILITY <br /> <br />GJ &"I'ATUT01WUMm <br />£ACHACCIDENT <br />U!SëAS£. POUCY l-TMIT <br /> <br />04/01/04 <br /> <br />04/01/05 <br /> <br />u{'5i~x;h! //s <br />---..--.. / <br /> <br />NAME IIND ADDRESS OF CERTlf!CA TE HOLDER <br /> <br /> <br />UMfJS <br /> <br />2,000.000 <br />1.000,000 <br />1.000.000 <br />1,000,000 <br />50,000 <br />Excluded <br /> <br />1,000.000 <br /> <br />1,000,000 <br />1.000,000 <br /> <br />1,000.000 <br />1,000,000 <br />1,000,000 <br /> <br />City of Santa Ana Police Department <br />60 Civic Center Plaza <br />Santa AM, CA 92701 <br /> <br />5MOUI..1') ANY C.JI'" "L"HJ::: .'\UOVli !:1,a:;CRInED r01.TCTT":-S RF. CANÇELEU ~J:::"'01::.£ "l"lll! <br />J::¡)U'IltATION OATP. TTIP.p.p..m, TH~ ISSUING <.:t1MfANY WILL P.NDF.AVQR TO MAn. <br />3Q DAYS WRrrr£N NOTlC"!? TO T -m arn.TIFICATE HOLD:ëR NAMEr) TO TIm UIT, <br />BUT r-AItURE TO MA.jL~I.I(;H NOI'I('P. !;JlAI.!. tMroSE NO OBLIGATION (W I,JA!!IUTy <br />0('1 ANY KIND UPON THE U)MP¡\(\'Y, 11<; .'\CIZNT~ OR RErn~S~"TAT]Vt.S, <br /> <br />AOTHOtUZ.P:T) REYR'E..<;¡¡;N1"ATIVE <br /> <br />~~ f2nL~ <br />