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Ah <br />Ank <br />,'CORE? CERTIFICAN OF LIABILITY INSUR/WE <br />PRODUCER <br />Andreini & Company <br />300 Esplanade, Suite 100 <br />oe�iiizoo3 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY NO RIGHTHE <br />HOLDER.NTHISONFERS CERTIFICATE DOES NOTOAMEND, EXTENDCATE OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oxnard, CA 93030 <br />COMPANIES AFFORDING COVERAGE <br />(805) 981-9585 F: (805) 981-0161 <br />COMPANY <br />A PHILADELPHIA INDEMNITY INS CO <br />WSURND <br />COMPANY <br />ORANGE COUNTY CONSERVATION <br />B STTA.�� ��j"SAS}AT�4N.INS FUND <br />CORPS FAX NO. 1 (714)-956-1944 <br />700 N. VALLEY STREET, STE. AS <br />COMPANY 1 f�: "*A • "' �'� S <br />C'- <br />ANAHEIM CA 92801 <br />COMPANY <br />��ySl�c WINE �HOPE <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABDVE 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY <br />HAVE BEEN REDUCED BY PAID CLAIMS. <br />CD <br />LTA <br />TYPE OF INSURANCE <br />POLICY NCMBER <br />POLICY EFFECrm <br />DATE (MWDDAN) <br />POLICY EXPIATION <br />DATE (MWOO/YYI <br />LDS <br />A <br />GENERAL <br />LASSITY <br />PHPK0007 <br />07/20/03 <br />07/20/04 <br />GENERAL AGGREGATE <br />s <br />PRODUCTS - COWMP AGO <br />f <br />COMMERCIAL GENERAL LLLBLRY <br />CLAM RUDE ® OCCUR <br />PERSONAL f ADV INAIRY <br />$1,000,NO <br />EACH OCCURRENCE <br />$ODO.000 <br />0M 3 A CONTRACTORS MOT <br />FIRE DAMAGE wl GM fire) <br />S 0-NO <br />MED DfP Wq my pv) <br />i <br />• <br />AUTOMONLE <br />LIABILITY <br />ANY AUTO <br />PHPK055497 <br />07/20/03 <br />07/20/04 <br />COMBINED SINGLE LIMIT <br />s1,000,D00 <br />BODILY INJURY <br />(P„ pef,m) <br />S <br />AL OWNED AUTOS <br />SCHEDULED AUTOS <br />ODDLY <br />ep <br />s <br />HsiED AUTOS <br />NON -OWED AUTOS <br />,Sfii� <br />D <br />roan <br />PROPF30Y DAMAGE <br />f <br />GARAGE LWBLITY <br />ANY AUTO <br />p� <br />Ptl,7 CItY Art <br />tney <br />AUTO ONLY • EA ACCIDENT <br />f <br />OAR THAN AUTO O'4Y: <br />` <br />EACH ACCIDENT <br />S <br />AGGREGATE <br />s <br />EXCESS LNABLRY <br />PHLIB021098 <br />07/20/03 <br />07/20/04 <br />EACH OCCURMNCE <br />$ <br />A <br />UMBRELLA FORM <br />AGGREGATE <br />i <br />S In <br />OTHER THAN VM69SAA FORM <br />Tj <br />WORKM5COMPENSAWNAND <br />EM►LOYEAS' LIABILITY <br />gB.p1205B-03 <br />06/Ol/03 <br />06/01/04 <br />61s�� <br />Ci FADI 4CCIOENT <br />3 <br />THE PROMIETOHI WCL <br />PARTNEICIEFCU 's <br />EL DISEASE - POLICY LIMIT <br />7 <br />EL DISEASE - EA EMPLOYEE <br />f <br />OFFICERS ARE EXCL <br />I <br />OTHER <br />A <br />AUTO PHYSICAL <br />PHPKD55497 <br />07/20/03 <br />07/20/04 <br />DEDUCTIBLE 1,000 COMP <br />DAMAGE <br />DEDUCTIBLE 1,000 COLL <br />DESCRIPTION! OF OFEMTIONLT.00ATIONSNEMNILEf9PECIAL ITEMS <br />RE: GENERAL LIABILITY COVERAGE -THE <br />CERT HOLDER ITS OFFICERS, EMPLOYEES <br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH <br />RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED <br />ENDORSEMENT,ATTCHED.*10 DAY NOTICE <br />OF CANCEL FOR NON -PAY SHALL APPLY. <br />G 'flFfC <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE111D BEFORE THE <br />CITY OF SANTA ANA <br />SUMMON DATE THEREOP, THE ISSUING COMPANY WLLXTgar0"XWXMAl <br />ATTN : ESTHER AKHAVAN/PARK PLANNING <br />_ 30 DAYS WNTTEN NOTICE TO THE CWT FKATE MOLDER HAM® TO THE LM, <br />888 W. SANTA ANA BLVD., STE 200 <br />xBcac)EId90)f6C IIMGCSUCKMKTCEJGRMY za9sscxecT>aaxx <br />SANTA ANA CA 92701 <br />XatXMn >GlawXkBLacxx xaaxaRSDscsTXTCXSc <br />AUTHOR ESENTAl1YE <br />[}'EFT y x Sf <br />AC.�J.T1Lf .FJ' 1' R �.0 q SE ,y '�:`r o k L } 4.�} ff/�Q f <br />.. ...... .5.. ...,.W3 v�J'3Y .df"a'F :. n.R n)ble,Y.iS. OiPYn .... F <br />#'i). ..+�u, A '. NA,,:111WOkI: <br />xa <br />