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<br />ACGRD~ CERTIFICATE OF LIABILITY INSURANCE CC;!, "'"
<br />l'ODC 03 11 2004
<br />,,~""'" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORl<AOION
<br />GROSSLIGHT INS/PHS ONLY AND CONFERS NO RIGHTS U'ON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />250765 P: (866)467-8730 F:(877)905-0457 ALTER THE CgVERAGE AFFORDED BY_!.~E roLIcrEs BELOW. ..
<br />P. O. BOX 33015
<br />SAN ANTONIO TX 78265 INSURERS A,'FORDING COVERAGE
<br />"mn N- dJJO4-0;;1. S! INS,"" "Hartfor-d- Casual tv Ins CO
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<br />EDWARD CAPRIELIAN """eN',
<br />613 33RD STREET ~R~!'..O,-__---------- ~--~---- -- -,---
<br />MANHATTAN BEACH CA 90266 IN,"", "
<br />
<br />COVERAGES
<br />TH' POCIcas OF INSURANCE LISTED BEL'" HAVE BEEN ISSUSO TO THE lNSDRSD NAJ1òD ,,"eVE FOR THE POLICY P"'DJ INDI,,-,TEL. NOTW"PSTAND'C
<br />.'.NY "QUORS"ENT, TE1<1< OR CONDITION CC ANY ,IDNTRAOT OR OTH'R DOC':ME"T WITH RBSPE,:T Te "",CH THIS OERnn""E MAY BE ISSUW OR
<br />MAY ","T"", THS INSURANCS AFFORDED 3Y THE POCI"E' ",'OROPEO HEREm IS SUBeECT ,RCL THE TERMS, 'XC.."'O,, ANDrONDITIDNS OF F',
<br />POLICIES. AGG"G,"S LIMITS SHOWN MAY HAVS BE"' RED'JeSe BY PAlO CL"MS.
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<br />SBA CK6708
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<br />'03/06/04
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<br />,000,000
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<br />Those usual to the Insured's Operations. City of Santa Ana is named as
<br />additional insared per the Business Liability Coverage form SSOO08 at~ached to
<br />this policy.
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<br />CERTIFICATE HOLDER
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<br />X ^'OmONAL ""'EO, """" L""~-Å
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<br />CANCELLATION
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<br />S"OU~O ANY OF THE ABevs DES'RIBeD PCLIcas BE C.MOSDLSD BEFORE ',-,;sl
<br />EX' ',PORA?ID,N ,D,','OE T"EREOF " THE "saU"G INSURER WILL, ENDSh VO,R TO ""'L1
<br />30 DAYS WPiTTEN NOnOE (10 DAYS FOR NON-PAYMENT) 00 THE CERImOAT
<br />HOLDER NAMED TO THE ""T, BOO FAILURE TC DO 50 SH_'1L ]MPDSE NO
<br />CEL1GATJON OR LIABleI"" OF A>IY K1NO UPCN THE INSORER, ITS AGEN'S 0
<br />REPRESE"'ATI"E' -
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<br />OJ ACORD COR.ORATrON 1988
<br />
<br />City of Santa Ana
<br />Personnel Services Department
<br />Att~.: Jim Stikeleather
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />
<br />-------------
<br />
<br />ACORD 25-S ['/97)
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