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<br />ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY) <br />03/10/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />John Burnham .~nsurance Svcs 21 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License 0099753 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2415 Campus Drive, Suite 200 <br />Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: 51. Paul Fire and Marine Ins. Co. 24767 <br /> Compulink Management Center INSURER B: <br /> Christina Castenada; 3545 Long Beach INSURER c: <br /> Blvd. #110 A -.J.t.vl(. -iXJ1 INSURER 0: <br /> Long Beach, CA 90807 INSURER E: <br /> <br />Client#. 2791 <br /> <br />COMPULMGM <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LT' NS. TYPE OF INSURANCE POLICY NUMBER PDO..N~1J~r68~lE Pg~fJ,~~gtC'~N LIMITS <br />A ~NERAl LIABILITY TT061 00058 01/06/05 01/06/06 EACH OCCURRENCE $1 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $250 000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10000 <br /> - PERSONAL & ADV INJURY $1 000000 <br /> - GENERAL AGGREGATE $2 000 000 <br /> ~'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $2 000 000 <br /> PRO- <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Eaaccident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> (Per accident) $ <br /> - NON~OWNED AUTOS <br /> - PROPERTY DAMAGE $ <br /> (Peraccidenl) <br /> ~~GE LIABILITY APPROVE ) AS TO FPRM AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO ~l ..-1.// //7 OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> 3~SS/UMBRElLA LIABILITY Laura )'-iLL Sheedy EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> '\';:::.hUIIJ Clly Altornc <br /> $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 1. wc STAJU: I 1OJ,~- <br /> EMPL.OYERS' LIABILITY $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under E.l. DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I lOCATIONS / VEHICLES I EXCL.USIONS ADDEO BY ENDORSEMENT f SPECIAL PROVISIONS <br />Cert holder is additional insured as per attached wording from policy form <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.lED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil ---60..- DAYS WRITTEN <br />Attn: Pat Healy, M/SM-30 NOTICE TO THE CERTIFICATE HOL.DER NAMED TO THE lEFT, BUT FAIL.URE TO 00 SO SHALL. <br />20 Civic Center Plaza IMPOSE NO OBLIGATION OR L.IABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br /> A~~RIZEDR~EZ;V~ <br /> <br />ACORD 25 (2001108) 1 of 2 <br /> <br />#25812 <br /> <br />LEL <br /> <br />'" ACORD CORPORATION 1988 <br />