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RightFax 9/11/2003 7:28 PAGE 2/3 RightFax <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 <br />1 09/1172003 <br />PRODUCER 877 -559 -6769 <br />THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willi. Worth Anncica, Inc. - Regional C.rt Cent. <br />11201 a. Ratua 31.d. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suit. 3 <br />Suit. s00 <br />A <br />Az 85021 <br />INSURERS AFFORDING COVERAGE <br />INSURED .51s . of ft. J..Ph of Orange <br />4150 South Batavia �/,y `^ - �A•l.A1� <br />O.. raoga, Q 92868 <br />INSURERA: Anamcan Drutty Gxaup Ltd 00929 -001 <br />EAraIOCO:RRIENCE <br />NSIATERo- <br />RRECAMAGE An o Aa <br />i <br />INSURERE' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOICATED. NOTW MFWANDNG <br />ANY REOUIREAENT, 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 ALLTHE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH <br />POUT2E9.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPEOFNBUaANCE <br />PoLICYNUW801 <br />POLICY 94EC E <br />P <br />UNITS <br />A <br />OWERALLIABBITY <br />DKI -CGL -03-01 -019 <br />6/30/2003 <br />6/30/2004 <br />EAraIOCO:RRIENCE <br />j <br />RRECAMAGE An o Aa <br />i <br />COMIR MLOENERALLIABILITY <br />MAMSMADE [Z OCCUR <br />HEppry ow <br />i <br />PERSONAL&AD✓RUURY <br />t <br />GENERALAOGREGATE <br />t 2,000.000 <br />APPRO <br />Ell AS T <br />FORM <br />OBTLAUO(CiUTE <br />P9i: <br />PRODUCTS - COMP.OFAOG <br />t <br />FOUCY <br />-APPLIES <br />♦UTOYOBILE <br />UAIUTY <br />ANYAWO <br />Laura Slit, <br />COMBDiEDSINGLEUIlT <br />(E'Bruda10 <br />i <br />dy <br />x.LOWEDAUGD <br />SOHEDU EDAUT08 <br />Deputy Cil <br />Y Attorney <br />BODILY Y <br />(P -P-M) <br />t <br />(PLYa f) <br />t <br />NIEDAUTDS <br />I D EDAJTOS <br />rP.ERTYIOAMAUE <br />t <br />OARAGEIIANUTY <br />AIJTOONLY • EAACCM1ENi <br />j <br />OTHER TIMN EAP6 <br />AUTOONLY: AGO <br />i <br />NIYAUTO <br />QCBIGINNLTTY <br />OCCUR CLAWMADE <br />EACHOCCURRENDE <br />j <br />AGGREGATE <br />t <br />j <br />DEDUCTIBLE <br />t <br />A <br />j <br />fET@JTIOII <br />IMPLY O- LANUTTIONAND <br />B'PLOYEgi'LaNLITY <br />EL EACH ACCIDENT <br />i <br />EL DISEASE -EA EMPLOYEE <br />t <br />EL OGEA - POLICY LIST i <br />OTHER <br />DESCMpTION OF OPEMGGNBILOCATIONWVE Ei4IOLUBIONS ADDED BY ENOIMERA MPBCWL PROVIBIONB <br />Certifieats Solder added as Additional Inntrod by andoraaaent to policy 'ub�ect to the tera' Wet <br />forth in the andoreesent. SSJO db, Taller San Jose, Block Grant, 810 N. Poinaetta, Santa ]tea, CA <br />92701 <br />CrRTIRPATC MI RCD <br />a IJLD ANY OFTHEAROVE OESOMBED POLICIES BE CANCELLED REDRE THE FZPIMTION <br />DATE TNERSOF, THE MBUND IMURER WLL MDEAVOR TO OWL 30 DAn aRRTEN <br />City Of Wants a ' its Officers, agent' NOTICE TO THE CENTIRGTE HOLDER NAMED TO THE LEFT, MWOMBOMMOUnna <br />and MWI.yee r..— •,..Ity DRValopeent Agency <br />20 Civic Cantor Plena <br />No. M25 - P.O. Boa 1980 <br />Aitn: Lucy Flora' ♦ . ED P OENTATVE <br />Banta aGA, CA 92702 •, <br />ACORD 25-S (71M C011.812178 TP1:202105 Celt: 414504 © ACORD CORPORATION T RBR <br />/-1wj. <br />