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<br />eKUUUC". <br />Insurance Services <br />Of .'hous.lnd Oaks. Inc. <br />PO Box 7329 <br />Thousand cJaks CA 91359 <br />Phon!; I 805-495-4634 Fax: 805-494-0781 <br /> <br />....---......-,..-.-.-----..-. <br /> <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENO OR <br />ALTER THE COVERAGE AFFORD EO BY THE POLICIES BELOW. <br /> <br />--- <br /> <br />- J:~I~ #- <br />===:c- - <br />=------=-----L=--~ <br /> <br />INSURED <br /> <br />11- ~()O4 -6/4 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURERA. CBIC Insurance CO. <br />INSURER BI <br /> <br />i~~~l:¡O~ï~nrŠtar Dr. <br />Huntington ieach C,," 92649 <br /> <br />INSURER C <br /> <br />INSURER D' <br />'NSUREREI <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCO lOSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER'OD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMONT WITH RESPECT TO WHICH TH'S CERTIFICATE ,""Y BE ISSUEO OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AOOREOATO LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />A X <br /> <br /> <br />POLICY NUMBER <br /> <br />~F- <br />DATE MMlDDIYY <br /> <br />P <br />DATE MMIDDIYY <br /> <br />INSCE:l326 <br /> <br />02/211/04 <br /> <br />02/28/05 <br /> <br />LIMITS <br />EACH OCOllRRENco "1000000 <br />~~~~~ut.;;:;'~;~'J , 300000 ~ <br />MEDEXPIAnyooe"""onJ , 5000 <br />_.,- <br />PERSONAL&AoV INJURY $1000000 <br />GENERAL AGGREGATE , 2009..Q.Q.O......... <br />PRODUCTS,COMP/OPAGG '2000000 <br /> <br />LTR NSR <br /> <br />COMBINOO SINGl~ ' <br />lea ",,'ent) <br />~~,""' i= <br />r"o,~~Lci;~,:{Y RY s <br />PROPERTY DAMAGE' , <br />IP"",,,,'en!) <br /> <br />~AGE LIABILITY <br />, , ANY AUTO <br /> <br />AUTO ONLY. EAACCIDENT $ <br /> <br /> <br />OTHER THAN <br />AUTOONLY' <br /> <br />EAACC , <br />AOO'S-~' <br /> <br />EXCES5IUMBRELLA LIABILITY <br />OCCUR 0 CLAIMS MADE <br /> <br />EACH OCCURRENCE <br /> <br />--,,--_. <br /> <br />--L--- <br /> <br />AGGREOATO <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br /> <br />--- <br /> <br />WORKERS COMPENSA110N AND <br />OMPI.OYERS'LiABILITY <br />I å~i,t~2,":i~~W~~~m~~6!'ECUTIVE <br />~~~~I~Fr~';5J:š1ó~s below <br />OTHER <br /> <br />E,LDIS..SE.POLICYLIMIT $ <br /> <br />DESCRIPTION OF OPERA110NS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISJONS <br />The City of Santa Ana, its officers, agents and employees are named <br />additional insured. 10 day notice of cancellation may be given for <br />non-payment. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SANT AAN <br /> <br />SHOULO ANY OF THE ABOVE DESCRIBED POLICIES SE CANCE"ED BEFORE THE EXPIRA110N <br />DATE THEREOF, THE ISSUING INSURER wILI.-alla_TO MAIL ~ DAYS WRlerEN <br />NOTICE TO THE CER11F1CATE HOLDER NAMED TO THE F! . <br /> <br /> <br />The Depot at Santa 1u>a <br />1000 11. Santa Ana Blvd. <br />Suite 108 <br /> <br />Santa Ana CA 92701 <br /> <br />.-- "'1' '", <br />AUTHORIZEo REPRESENTA11VE <br /> <br />Lisa Grizzle <br /> <br />ACORD 25 (2001/08) <br /> <br />G'd <br /> <br />1 ::Ilq 1.1 <br /> <br />eSO:O1 vO 61 ~ew <br />