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_ Client#: 2791 COMPULMGM <br /> ACORDTM CERTIFICA. = OF LIABILITY INSUF .NCE DATE(MM/DD/YYVY) <br /> 03/10/05 <br /> PRODUCER THIS CERTIFICATE IS 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 <br /> Compulink Management Center QUOx.-03 INSURER A: St. Paul Fire and Marine Ins. Co. 24767 <br /> -a•b1a^ c INSURER B: <br /> Christina Castenada; 3545 Long Beach a <br /> Blvd.#110 A /� / INSURER C: <br /> Long Beach, CA 90807 -07 "f -00 INSURER D: <br /> 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 /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 /> INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DC/YY) DATE(MM/DD/YY) LIMITS <br /> A GENERAL LIABILITY TT06100058 01/06/05 01/06/06 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISES TO <br /> occurrence) $250,000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES-IEPER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> —1 POLICY n PRO-T LOC <br /> EC1 <br /> AUTOMOBILE LIABILITY <br /> ANYCOMAUTO (Ea accident)INGLE LIMIT <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> ;g�y y/�,y yy g� p FORM (Per accident) <br /> GAR AGE LIABILITY APPROVED AS TO FORM AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO EA ACC $ _ <br /> g / OTHER THAN <br /> aA� /, AUTO ONLY: AGO $ <br /> EXCESS/UMBRELLA LIABILITY """�'""' EACH OCCURRENCE $ <br /> Laura S/tt Sheedy <br /> OCCUR CLAIMS MADE /i ES1Sta6; City /�ttOT110 AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND _TORY LI@ LTS OE i <br /> EMPLOYERS'LIABILITY <br /> E.L.EACH ACCIDENT <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> $ <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Cert holder is additional insured as per attached wording from policy form <br /> CERTIFICATE HOLDER CANCELLATION <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 80 DAYS WRITTEN <br /> Attn: Pat Healy, M/SM-30 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Santa Ana, CA 92701 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> AAA, oeita <br /> ACORD 25(2001/08)1 of 2 #25812 LEL © ACORD CORPORATION 1988 <br />