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ayoRD.. CERTIFICATE OF LIABILITY INSURANCE _ DATE(MM,DOTY) <br />_ /2003 <br />PRODUCER <br />Andreini & Company <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA11ON <br />ONLY NO RIGHTSTHE CERTIFICATE <br />HOLDER.NTHISONFERS CERTIFICATE DOES NOTOAMEND, EXTEND OR <br />300 Esplanade, Suite 100 <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 />INsuRED <br />COMPANY <br />ORANGE COUNTY CONSERVATION <br />B S INS FUND <br />N <br />CORPS FAX NO. 1 (714)-956-1944 <br />700 N. VALLEY STREET, STE. AB <br />ANAHEIM CA 92801 <br />COMPANY d4 63.f, <br />C ws • :.'r "":, ". <br />COMPANY ` <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW <br />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 <br />HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MWDD/M <br />POLICY EXPIRATION <br />DATE (MWOONY) <br />UNITS <br />A <br />GENERAL <br />LIABRTTY <br />PHPK055497 <br />0 7/ 2 0/ 0 3 <br />07 / 2 0/ 0 4 <br />GENERAL AGGREGATE <br />$ ,pomp <br />PRODUCTS - COMPIOP AGE <br />S <br />COMMERCIAL GENERAL LIABILITY <br />CLAM MADE ® OCCUR <br />PERSONAL A AOV INJURY <br />$ <br />EACH OCCURRENCE <br />f <br />OWNERS 5 CONTRACTORS PROT <br />FIRE DAMAGE (Any one Be) <br />f <br />NED EXP (My oiw Parson) <br />f 9-000 <br />A <br />AUTOwoBKE <br />LIABLRY <br />ANY AUTO <br />PHPK05549T <br />0 7/ 2 0/ 0 3 <br />07 / 2 0/ 0 4 <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />BODILY I <br />(Palperson)) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Par aeoitlanq <br />5 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />J� <br />! <br />PROPERTY DAMAGE <br />f <br />GARAGE WLBUITY <br />AUTO ONLY - EA ACCIDENT <br />5 <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACH ACCIDENT <br />$ <br />AGGREGATE <br />$ <br />EXCESS UABLTTY <br />PHUB021OU <br />07 / 2 0/ 0 3 <br />0 7/ 2 0/ 0 4 <br />EACH OCCURRENCE <br />$ <br />A <br />UMBRELLA FORM <br />AGGREGATE <br />S <br />RE <br />5 <br />OTHER THAN UMBRELLA FORM <br />I <br />B <br />WORKERS COMPENSATION AND <br />EMKOYERS' LIABBft1' <br />4"1205543 <br />06/O1/03 <br />06/Ol/04 <br />s.NT&E f <br />EL EACH ACCIDENT <br />5 <br />THE PROPREE WCL <br />PARTNFRSffkECUTNE <br />EL DISEASE - POLICY LIMIT <br />$ <br />EL DISEASE - EA EMPLOYEE <br />f <br />OFFICERS ME: EXCL <br />OTHER <br />A <br />AUTO PHYSICAL <br />PHPK055497 <br />07/20/03 <br />07/20/04 <br />DEDUCTIBLE 1,000 COMP <br />DAMAGE <br />DEDUCTIBLE 1,000 COLL <br />DESCRIPTION OF OPMATIONL1ACATMWIRNICLES'SPICNL ITEMS <br />RE: GENERAL LIABILITY COVERAGE -THE 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 OF CANCEL FOR NON -PAY SHALL APPLY. <br />EgTIF7pATEHO ,R ;n,,g.tgt1QELLA9tQN, <br />CITY OF SANTA ANA <br />ATTN:ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD. , STE 200 <br />SANTA ANA CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE THE <br />EXPIRAnON DATE THEREOF, THE ISWING COMPANY WILL)MISS11011XTUXLIAIL <br />'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />xS4Xktl0uMdc WOX IUGKwtlTk:tXHNJ( tlBKXWNI(X <br />xokxwl wwloxxllFx w4c )coo wx0cX9xolo>�sczaoroc <br />AUTHOR SENTATIW <br />U v U <br />