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Client: 2791 <br />COMPULMGM <br />ACOd4D <br />CERTIFICATE OF LIABI LITY INSURANCE <br />D~I <br />,a 02/73/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />John Burnham Insurance Svcs 21 <br />2415 Cam us Drive, Suite 200 <br />P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612 <br />949 833-2462 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED '/ '~// INSURER A: COIOny Insurance Company 39993 <br />Compulink Mgmt. Center Inc. L~ -aQO~-DO 7 INSURER B: <br />3545 Long Beach Blvd.#110 <br />INSURER C: <br />Long Beach,CA 90B07 INSURER D: <br />Attn: Jack Adams INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAV 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 /> <br />LTR <br />NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE M / /YV POLICY EXPIRATION <br />A I LIMITS <br /> GENERAL LUIBILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> CIAIMS MADE ~ OCCUR MEO EXP (Any ane person) 3 <br /> PERSONALBADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PE OT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANV AUTO (Ea a¢idenl) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accitlenl) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY, pGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> 1 !! $ <br /> DEDUCTIBLE " y /~~7 ~~ $ <br /> ~ ~ <br />V <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />-' WC STATU- OTH- <br /> EMPLOVERS' LIABILITY <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUOED9 E.L. DISEASE -EA EMPLOYE $ <br /> I(yes, tlescribe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br />A DTHER professional BINDER44896 02/13/04 02/13/05 Each claim: $1,000,000 <br /> Liab Coverage Aggregate: $2,000,000 <br /> Claims Made 2/13/2004 retro date <br />DESCRIPTION OF OPERATIONS I LOCATONS /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Evidence of Professional Liability coverage <br />City of Santa Ana <br />Attn: Bruce Fruchter <br />24 Civic Center Plaza, M-42 <br />Santa Ana, CA 92702 <br />ACORD 25 (2001/08)1 of 7 813747 <br />LD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~t'D_ DAYS WRITTEN <br />E TO THE CERTFlCATE HOLDER NAMED TO TKE LEFT, BUT FAILURE TO DO SO SHALL <br />{E NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />1 n a nrnan <br />