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<br />ACORDru CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYV) <br />03/10t05 <br />PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />John Burnham .Insurance 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 S" <br /> Christina Castenada; 3545 Long Beach INSURER c: <br /> Blvd. #110 A - J...{X)I(. - Do 1 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 BYTHE 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 /> TYPE OF INSURANCE POL.ICY NUMBER PJ>l-~~~:~~~8~\E POL.ICY EXPIRATION L.IMITS <br />LTR NSR DATE MM OOIYY <br />A ~NERAL. UABILlTY TT061 00058 01/06/05 01/06/06 EACH OCCURRENCE 11 000 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $250 000 <br /> l CLAIMS MADE [!J OCCUR MED EXP (Anyone person) 110000 <br /> PERSONAL & ADV INJURY 11 000 000 <br /> GENERAL AGGREGATE $2 000 000 <br /> ~'L AGG~EnE LIMIT APAS PER: PRODUCTS COMP/OP AGG $2 000 000 <br /> PRO- <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (EaeGcident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> - SCHEDULED AUTOS (Per person) <br /> - HIRED AUTOS BODILY INJURY <br /> (PeraGGident) $ <br /> - NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Peraccidenl) <br /> ~~GE LIABILITY APPROVE AS TO FPRM AUTO ONLY - EA ACCIDENT I <br /> ANY AUTO ~(, -#, / //7 OTHER THAN EAACC $ <br /> AUTO ONLY: AGG I <br /> ~~SSIUMBRELLA LIABILITY Laur~ S>1tt Sheedy EACH OCCURRENCE I <br /> OCCUR D CLAIMS MADE <br /> i\.;:,]sti.ln City AUornc AGGREGATE I <br /> I <br /> ~ ,DEDUCTIBLE I <br /> RETENTION I $ <br /> WORKERS COMPENSATION AND T wc STA!U~ I 10Jbl <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT I <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE EA EMPLOYEE $ <br /> If yes, describe under E.L. DISEASE POLICY LIMIT I <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS {VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Cert holder is additional insured as per attached wording from policy form <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WilL ENDEAVOR TO MAil ----6.0.- DAYS WRITTEN <br />Attn: Pat Healy, M/SM-30 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAIL.URE TO DO SO SHALL <br />20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br /> A~o.R~:DR~Ez;.V~ <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#25812 <br /> <br />LEL <br /> <br />@ ACORD CORPORATION 1988 <br />