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<br />from:.Sa",an'" Rambo At: Lyons Insurance FaxlD: 302-658-1253 To: Laura Sheedy <br /> <br />Date: 412/04 04:06 PM Page: 2 ot 2 <br /> <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID s~ OATE (MMlOÜfff'fY) <br />PADCO-1 04/02/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Lyons Insurance Aqency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Powdermi11 Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3844 Kennett Pike, suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />wilmington DE 19807 <br />Phone:302-658-5508 Fax:302-658-1253 ' INSURERS AFFORDING COVERAGE NAiC # <br />INSUREO INSURER A st. Paul companies 24767 <br /> INSURER B The progressive Companies 10192 <br /> ~~c~i1I~'c. rritz, Jr. ¡N&URER c <br /> ~~~~l¡fi~ ¡ln~8Sî~d, Ste 300 INSURER 0 <br /> INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF "'SUR'~CE LlS'lED BELOW ".'.VE BEEN ISSUED TO THE "'SURED ""MED ABOVE FOR THE POLICY PERIOD "'D!C.'.1ED, NOTW!THST.'NDING <br />ANY RCQUiRCMCriT, TI:RM OR CGOIDmON Of ANY CCITR'.OT OR OTII[R DOOUMUIT wm: R[SP[CT TO V"~ !iO: : T! !IS ceRTifiCATe I!AY DC 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 HilVE BEEN REDUCED BY PAID CLAIMS <br /> <br /> <br /> <br /> <br />DATE (MMIOONV) DATE (MMIODNV) LIMITS <br /> EACH OCCURRENCE $1,000,000 <br />07/27/03 07/27/04 PREMISES E' "'oo"" 1250,000 <br /> MED EXP (Aoy '" p""') $ 10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGA'IE $2,000,000 <br /> PRODUCTS - COMPIOP AGG $2,000,000 <br /> COMBINED SINGLE LIMIT $1,000,000 <br />08/20/03 08/20/04 (E, """"1 <br /> BODILY INJURY <br /> (P"""d"l1 <br /> PROPERTY DAMAGE <br /> (P"""d"'1 <br /> AUTO ONLY - EJ\ACCIOENT $ <br /> OTHER TH,oN EAACC $ <br /> AUTO ONLY AGG $ <br /> EACH OCCURRENCE $ <br /> ACCkcCAle $ <br /> $ <br /> $ <br /> $ <br />07/27/03 07/27/04 $ 1000000 <br /> E L DISEASE- EAEMPLOYEE $ 1000000 <br /> E L DISEASE - POLICY LIMIT $ 1000000 <br /> <br />POLICY NUMBER <br /> <br />VP06302482 <br /> <br />LOC <br /> <br />B <br /> <br />X ANY AUTO <br /> <br />CA046942992 <br /> <br />ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />HIRED AUTOS <br /> <br />NON-OWNED AUTOS <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />A ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDEO? <br />It",.d""b",d" <br />SPECIAL PROVISIONS b,low <br />OTHER <br /> <br />WV16311503 <br /> <br />A PERSONAL PROPERTY <br />(SPEC:rAL rOIUlll) <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDEO BY ENDORSEMENT f SPECIAL PROVISIONS <br />RE: THE CITY or SANTA ANA, ITS OFFICERS, EMæLOYEES, AGENTS, VOLUNTEERS & <br />REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED AS RESPECTS TO THE <br />GENERAL L:rABILITY. <br /> <br />VP06302482 <br /> <br />07/27/03 <br /> <br />07/27/04 <br /> <br />$1000000 <br />$1000. <br /> <br />LDaT <br />DEDUCT. <br /> <br />CERTIFICATE HOLDER <br /> <br />I <br /> <br />CANCELLATION <br /> <br />SANTAAN <br /> <br />SHOULD ANY OF THE ABOVE OEseRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />U'" 'H'.'U'. 'H">SUON" 'N"U.'. W""NU""VU. IU MAIL 10 UArs W.""N <br /> <br />THE CITY or SANTA ANA <br />20 CXVJ:C CENTER PLAZA <br /> <br />NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT. BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br /> <br />--.. n ----- <br /> <br />.. ~n.T""".......~.- <br />