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<br />ACORD," <br /> <br /> <br />DATE IMMIOD/yYI <br />8/31/04 <br /> <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 /> <br />. ..COMPANIES ilI.FORDING CO"EIlAGE <br /> <br />PRODUCER <br /> <br />DRIVER ALLlANT INSURANCE <br />1620 FIFTH AVENUE <br />SAN DIEGO, CA 92101 <br />PRODUCER: CARMEN SCOPPETTUOlO <br /> <br />The Omega Group Inc <br />5160 Carrol Canyon Road, 15t Fl. <br />San Diego CA 92121-1775 <br /> <br />.A - ~ 003 - 09-<-1 <br /> <br />r----- <br />, COMPANY <br />I c~f'- ff""^","""^," CO""," <br /> <br /> <br />COMPANY -SS"::P201(.q 13~04 RC(;~~ <br />C <br /> <br />INSURED <br /> <br />COMPANY <br />o <br /> <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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />------------- ------- -r- - "--'-'i~ I <br />co I POLICY EFFECTIVE I POLICY EXPIRATION I <br />l TR TYPE OF INSURANCE I POLICY NUMBER DATE (MM/DD/YYl ; DATE (MM/DO/YYl <br /> <br />A L_~~_~ERAL LIABILITY I 35797495 <br />i X : COMMERCIAL GENERAL LIABILITY ! <br /> <br />LIMITS <br /> <br />8/27/04 <br /> <br />8/27/05 <br /> <br />GENERAL AGGREGATE <br /> <br />2000000 <br /> <br />ClAIMS MADE <br /> <br />X OCCUR <br /> <br />'~PRODUC~S--~-~c:~Pi~-~GG <br />PERSONAL & ADV INJURY <br />---------- --- <br />EACH OCCURRENCE <br />: FI~E _I?~~_~~~~~Y_ o~~_f~r~) <br />; MED EXP IAny on~ person) <br /> <br />2000000 <br /> <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />1000000 <br />.1000000 <br />1000000 <br />10000 <br /> <br />A 1--~_UTOM03lLE LIABILITY <br />, , ANY AUTO <br />r=--: ALL OWNED AUTOS <br />1___ j SCHEDULED AUTOS <br />, X I HIRED AUTOS <br />1- x-I NON-OWNED AUTOS <br /> <br />74891759 <br />HIRED CAR PHYS. <br />DAMAGE: <br />$500 COMP & COLL <br />DEDUCTl8LES <br /> <br />8/27/04 <br /> <br />8/27/05 <br /> <br />COMBINED SINGLE LIMIT <br /> <br />1000000 <br /> <br />BODILY INJURY <br />IPerperson) <br /> <br />---.. <br /> <br /> <br />BODilY INJURY <br />(Peraccidsnt) <br /> <br />~GARAGE LIABILITY <br />i --1 ANY AUTO <br />1------. <br /> <br /> <br />; PROPERTY DAMAG~ <br />I <br /> <br />I <br /> <br />AUTO ONLY - EA ACCIDENT <br />_____.~__n <br /> <br />A <br /> <br />EXCESS LIABILITY <br />X UMOR~LLA FCRM <br /> <br />79822226 <br /> <br />8/27/04 <br /> <br /> <br />--t <br /> <br />8/27/05 <br /> <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT <br />AGGREGATE <br />EACH OCCURRENCE <br /> <br />1000000 <br />1000000 <br /> <br />THE PROf'I,I[Tl)Ri <br />PARTNERS/EXECUTIVE <br />I OFFICERS ARE <br />A OTHER <br />'I PROFESSIONAL <br />LIABILITY E & 0 <br /> <br />INCL <br />, tXCL I <br /> <br />I__A_~_~REGATE I $ <br /> <br />!----r:-!:~::~~~:N> Ol~ <br /> <br />: t :~ ~ISE.ASE - ~_O_L~~Y LIMIT <br />EL DISEASE - EA EMPLOYEE <br /> <br />: an:ER THAN UMBRELLA FORM <br /> <br />! WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />35797495 <br /> <br />8/27/04 <br /> <br />8/27 /05 <br /> <br />! $1,000,000 CLAIMS MADE. <br />$1,000,000 ANNUAL AGGREGATE <br />$25,000 DEDUCTIBLE. <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br />THE CITY, ITS OFFICERS, AGENTS, VOLUNTEERS AND EMPLOYEES ARE <br />ADDITIONAL INSURED. <br /> <br /> <br /> <br />SANTA ANA POLICE DEPARTMENT <br />ATTN: BRIAN SHELDON <br />60 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br /> <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPA);!\" WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIfICATE HOLDER NAMED TO THE LEFT, <br />BUT fAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> <br /> <br /> <br />M <br />