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<br />'¡¡~~.,¡¡".I..III¡J'i!¡~¡.III¡i¡!III.IIJi¡lli....'I~~11¡'IIIII!IIII"~/=Dm¡ <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONL Y 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 /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />Blendal. Insurance Agency <br /> <br />750 Falrmont Avenue <br /> <br />P. O. Box 831 <br /> <br />Blendel. CA 81209-0831 <br /> <br />18181 244-1144 <br />INIURID <br /> <br />COMPANY <br />A <br /> <br />Hartford fir. Insurance Co. <br /> <br />Phoenix Sroup Information SYI. <br />388 Ven N.s. Wey, .730 <br />Torrenoe, CA 80601 <br /> <br />Â- ~tOt- tJ/.f' <br /> <br />COMPANY <br />B <br /> <br />H.rtford Ca.ualt <br /> <br />Ins. Co. <br /> <br />;.;. <br />~.,.::..w. '~'''':''' <br /> <br /> <br />COMPANY <br />C <br /> <br />.w,",', <br /> <br />THI818 TO CERTIFY THA TTHEPOLICIES OF INSURANCELlSTEDBELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVE FOR THEPOLlCV PERIOD <br />INDICA TED,NOTWITHST ANDINGANVREQUIREMENT, TERMORCONDITIONOF ANVCONTRACT OROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br />CERTIFICATE MA V BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br /> <br />co TYPI OF INIURANOS POuey NUM8IR POLtey IFFI!CTIVE POLICY IXPIRATION <br />LTII DATE (MMlDDlVY) DATE (MMlDDlYY) <br /> <br />LlMITII <br /> <br />A GENIRAL UA8LITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE [!] OCCUR <br />OWNER'S & CONTRACTOR'S PRCT <br /> <br />72SBAAB2835 <br /> <br />10/01104 <br /> <br />10/01105 <br /> <br />GENERAL AGGREGATE $ <br />PRODUCTS.COMP/OP AGe S <br />PERSONAL & ADV INJURY $ <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Anyone fire) $ <br />MED EXP (Anyone person) $ <br /> <br />2,000,000 <br />2.000.000 <br />1,000,000 <br />1.000.000 <br />300,000 <br />5000 <br /> <br /> <br />AUTOMOIU LlAILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDUlED AUTOS <br />X HIRED AUTOS <br />X NQN.QWNED AUTOS <br /> <br />72SBAAB2835 <br /> <br />10/01104 <br /> <br />10/01105 <br /> <br />COMBINED SINGLE LIMIT <br /> <br />$ <br /> <br />2,000.000 <br /> <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Per accIdent) <br />PROPERTY DAMAGE $ <br /> <br />GARAGE LIAILITV <br />ANY AUTO <br /> <br /> <br />AUTO ONLY. EA ACCIDENT $ <br />OTHER THAN AUTO ONLY: <br />EACH ACCIDENT S <br />AGGREGATE $ <br />EACH OCCURRENCE S <br />AGGREGATES <br />. <br /> <br /> <br />DOI'I LlA8LITV <br /> <br />UMBRELLA FORM <br /> <br />OTHER THAN Ut.4BRELLA FORM <br /> <br />I WORK.I COMPlNIATION AND <br />IMPLOYBR" LIAILITV <br /> <br />72WECK03N3 <br /> <br />10/01104 <br /> <br />10/01105 <br /> <br /> <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />OTHER <br /> <br />Commerolal Crime Polley <br /> <br />tNCL <br />EXCL <br /> <br />EL EACH ACCIDENT $ <br />EL DISEASE.POLlCY LIMIT $ <br />EL DISEASE.EA EMPLOYEE $ <br /> <br />1,000.000 <br />1,000,000 <br />1 000 000 <br /> <br />5487223 <br /> <br />11118/03 <br /> <br />11118/04 <br /> <br />5916,000 Limit per Occurrence <br />$25,000 Deductible <br /> <br />DIICIIIIPTION OF OPIIIATIONIA.OCAT'ONIlVEHICLIII8PECIAL ITEMI <br /> <br />It Is agraad that the City of Santa Ana Is named Additional <br />Insured ./regard to 6enaral Liability covara.es and par the attached Additional Insured Endorsemant. <br /> <br /> <br />'.Uillffh1i..fMi1Mim¡¡¡W:ÆMJW¡filWiiMilwmMWtm¡:m¡m¡m¡¡W¡J;ii&'ffXiXI(tlfj;\U¡Wt'¡¡tii/l¡mWmWmUn::¡Wii¡¡¡W'nWiiJ:WmW¡nW¡::11 <br />IHOULD ANY Oil THE AIOVE DEIC'UIED POLICIII IE CANC&I.LID II'ORE THE <br />EXPIRATION DATE THEREOF, THE 'SlUINQ COMPANY WLL ENDIAVOR TO MAL <br />3D DAYI WRnTEN NOTICE TO THI CERTIFICATE HOLDER NAMID TO THI LSPT, <br />IUT FALURI TO MAL IUCH NOTte! IHAU. IMPalE NO alUGATlON aR LIAIILITY <br />OF ANY KIND LPaN THE co ,ITa A~' RIPREIINTATIYEI. <br />AUTHORIZED RIPRI NTATIVE!" ".' r <br /> <br />V1W¡nlWUiMfWMMW¡lmWW@iMiii¡n¡¡¡¡¡¡fWmmUIU:WiiMm¡¡ŒW::WUWW¡;:¡W¡¡Jf¡¡¡!ìtfqi:t1:,:~:P~~' If.:., '~r" <br /> <br />City of Santa Ana <br />Attention: Laura Shaddy <br />20 Civic Center Plaze <br />Sante Ana, CA 92701 <br /> <br /> <br />