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<br />ACORD," <br /> <br /> <br />PRODUCER <br /> <br />DATE \MMIDDNY) <br />8/30/05 <br />THIS CERTIFICATE IS ISSUED 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 />COMPANIES AFFORDING COVERAGE <br /> <br />DRIVER ALLlANT INSURANCE <br />1620 FIFTH AVENUE <br />SAN DIEGO, CA 92101 <br />PRODUCER: CARMEN SCOPPETTUOLO <br /> <br />INSURED <br /> <br />COMPANY <br />A <br /> <br />FEDERAL INSURANCE COMPANY <br /> <br />COMPANY <br />B <br /> <br />The Omega Group Inc <br />5160 Carrol Canyon Road, 151 FI. <br />San Diego CA 92121-1775 <br /> <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />D <br /> <br /> <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCAIBED HEREIN 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO <br />lTR, <br /> <br />TYPE OF INSURANCE <br /> <br />A GENERAL UABllITY <br />X COMMERCIAL GENERAL LIABILITY <br />ITJ CLAIMS MADE 0 OCCUR <br />H OWNER'S & CONTRACTOR'S PROT <br /> <br />'---I-~-~ <br /> <br />A AUTOMOBILE LIABILITY <br />B ANY AUTO <br />; All OWNED AUTOS <br />~ SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> <br />GARAGE LIABILITY <br />I ANY AUTO <br />,-, <br /> <br />POLICY NUMBER POLICY EFFECTIVE POLICY fXPIRATION LIMITS <br />(lATF IMM/DDtvYI OATF. (MM/DnrvYJ <br />35797495 8/27/05 8/27/06 GENERAL AGGREGATE <br /> PRODUCTS - COMP/OP AGG , <br /> PERSONAL & ADV INJURY <br /> EACH OCCURRENCE <br /> FIRE DAMAGE (Anyone fire) <br /> MED EX? ,Anyone person; , <br />74991759 8/27/05 8/27/06 COMBINED SINGLE LIMIT <br />HIRED CAR PHYS. <br />DAMAGE: BODilY INJURY <br />$500 COMP & COLL (Per person) <br />DEDUCTI8LES <br /> BODILY INJURY <br /> (peraccidentl <br /> PROPERTY DAMAGE <br /> AUTO ONlY - fA ACClOENT <br /> OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT , <br /> AGGREGATE , <br />79822226 8/27/05 8/27/06 EACH OCCURRENCE <br /> AGGREGATE <br /> <br />A i EXCESS L1ABIUTY 1000000 <br />X UMBREllA FORM 1000000 <br />OTHER THAN UMBRELLA FORM <br /> <br />I WOflj(ER~ COMPENSATiON AND <br />EMPLOYERS' LIABILITY <br /> <br />THE PROPRIETOR/ ~ INCL <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: EXCl <br />A OTHER <br />I PROFESSIONAL <br />: LIABILITY E & 0 <br /> <br />35797495 <br /> <br />81 <br /> <br />o&-f~ <br /> <br />"' O-DA Y NOTICE <br />FOR NONPAYMENT <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAlITEMS <br />ADDITIONAL INSURED ENDORSEMENT ATTACHED. <br /> <br /> <br />'1 O-DA Y CANCELLATION NOTICE FOR NONPAYMENT OF PREMIUM. <br /> <br />CITY OF SANTA ANA, ITS <br />OFFICERS, AGENTS, VOLUNTEERS & <br />EMPLOYEES, POBOX 1988 <br />SANTA ANA, CA 92702-1988 <br /> <br />!l.QORtl2!i:J;UI951 . <br /> <br />........::;~~(\.... <br /> <br />. ..--..,..--...,...."..,--...--......,'...','..,...,','....,','.','.','..--'..--''',.','.'..,'' <br /> <br />2000000 <br />2000000 <br />1000000 <br />lGGGGOG <br />1000000 <br />1GGOO <br /> <br />1000000 <br /> <br />,EGA TE <br /> <br />) BEFORE THE <br />VOR TO MAIL <br />I TO THE LEFT, <br />II OR L1ABlllTY <br />RESENTATIVES. <br /> <br />. ..IilACPIlOCPllPOl'iAttOI\l.19S11 <br />