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<br />~ <br /> <br />. <br /> <br />.-JC. <br /> <br />acDBQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (M MlDDiVYVY) <br />04/01/2004 <br />DueER (11411) 152-0909 FAX (949)852-1131 THIS CERTIFICATE IS ISSUED AS A MATTER DF INFORMATION <br />lestone Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />.0. Box 19598 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />Corporate Park, Ste 130 <br />"vine, CA 92623-9598 INSURERS AFFORDING COVERAGE NAIC# <br />JRED R.J. Allen, Inc. INSURER A: landmark American Insurance Co <br />10392 Stanford Ave. INSURER B. <br />Garden Grove, CA 92840 INSURER c: <br /> INSURER 0: <br /> INSURER E: <br /> <br /> IV <br /> HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE;D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NQTWITHSTANDINI <br /> NY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> lAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> QLlCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ! ;.~~' ~ TYPE OF INSURAfiCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA110N LIMITS <br /> GENERAL LIABILITY LHA125187 12/31/2003 12/31/2004 EACH OCCURRENCE S 1,000,000 <br /> f7.- . <br /> X COMMERCIAL GENERAL LIABLlITY DAMAGE TO RENTED , 50 OO( <br /> I CLAIMS MADE 0 OCCUR MEO EXP (Any ooe person) S Excl udec <br /> PERSONAL &. ADV INJURY S l,OOO,OO! <br /> '-- .2,OOO,00( <br /> GENEAALAGGREGATE s <br /> I-- <br />. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG S 1,000 ;OOC <br /> h POLICY !Xl ~~g n lOC <br /> AUTOMOBILE LlABIUTY COMBINED SINGLE LIMIT <br /> '-- , <br /> ANY AUTO (Eaacciáent) <br /> I-- <br /> '- ALL OWNED AUTOS RECEIVE[ BY BODILY INJURY <br /> S <br /> SCHEDULED AUTOS ~ENT DIVISION (Per person) <br /> f-- DOWNTOWN DEVELOP <br /> HIRED AUTOS 80DILY INJURY <br /> '-- , <br /> NON-OWNED AUTOS (Peraccidenl) <br /> ~ APR OZ ZOOt, <br /> '- PROPERTY DAMAGE " <br /> (Per accident) , <br /> GARAGE LIABILITY CITY OF SA' :fA ANA AUTO ONLY. EA ACCIDENT , <br /> ~ ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> =KJESSJUMBRELL.A LIABILITY LHA211043 01/16/2004 12/31/2004 EACH OCCURRENCE S l,OOO,OOC <br /> X OCCUR 0 CLAIMS MADE AGGREGATE S 1,000,000 <br /> , ~ i \ '. S <br /> ". : j <br /> -I' /1 <br /> ~ DEDUCTIBLE ~L ' s L <br /> / ,úlu <br /> RETENTION , ^,:,', S <br /> (I v ," L I ." .. I.WC STATU- I I?J~- <br /> WORKERS COMPENSATION AND <br /> EMPL.OYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L. EACH ACCIDENT S <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYE S <br /> II yes, desçriheunder <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S <br /> OTHER <br /> ..' <br /> ..:; ~ <br />SCRIPTION OF OPERATIONS / lOCATIONS' VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS ' <br />e City of Santa Ana, its Officers, Agents, and Employees are added as Additional Insureds per RSUI <br />001 endorsement attached. <br /> Various Street Corners, L <br />: 305 East Fourth Street, Santa Ana CA . .' <br /> , " <br /> .., , <br />xcept ten (10) days notice of cancellation for non payment of premium. ' <br /> <br />"" m'D <br /> <br />"'^",rt:1 I ^TIf'\J.1 <br /> <br />. .8 <br /> <br />City of Santa Ana <br />Downtown Development Division <br />Attn: Oanell Mercado <br />305 East Fourth Street #201 <br />Santa Ana, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL"-ED BEFORE THE <br />EXPIRATION DATE THEREOt', THE ISSUING INSURER WILL ~X~ MAil <br />';'l{L DAYS WRITTEN NOìlCE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, <br />I(¡)jjOOO(_X¡(K~~KKII.KI(¡)¡)'¡¡t)(¡)¡Jò)iXIlJúX>X¡(XX <br />I{i(J;J¡.JiJÐ(¡XIó¡¡ (JQJ€(itj(¡)¡!:IX)tXXI<OOtKK¡(XIi!óX~XXXXXXXX <br />AUTHORIZED REPRESENTATIVE .1) ñ,f <br />Roxan Hona/ROX L/lt~JXCV¡~ 'f.J-C~'YL-Ô~ <br /> <br />CORD 25 (2001/08) FAX: <br /> <br />(714)647-6939 <br /> <br />@ACORD CORPORATION 1988 <br />