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<br />-\l~ <br />Cllent#: NCROS <br />.MxlBIJ. CERTIFICATE OF LIABILITY INSURANCE <br />N-;:J.OO/--/73 <br />!J_;;"OO;;).-173-J <br />A-~C03- o-;¡4 <br />A -aoo3 ~ 1% <br /> <br />NOY 13 2003 11:17AM <br /> <br /> <br />HP LASERJET 3200 <br /> <br />p.l <br /> <br />PROOUCER <br />Pealey, Renton & Associates <br />199 S Los Robles A.ve Ste 540 <br />Pat Ja. CA. 91101 <br />626~070 <br /> <br />DATE (Mt.oDDIYYJ <br /> <br />10/31f03 <br /> <br />'I1i1S CEllTIACATE IS ISSUED AS A M',TrER Of INfORMATION <br />ON~Y AND CONfERS NO RIGHTS UF~N THE CERTIFICATE <br />HOLDER. 'I1i1S CERTIFICATE DOES NOT AMEND, mEND OR <br />A~TER T1iE COVERAGE AFFORDED BY 'I1iE POLICIES BE~OW. <br /> <br />INSURERS AfFORDING COVERAGE <br /> <br />IIIISUf'E1;) <br /> <br />Urban Crossroads, Inc. <br />41 Corporate Park, Suite 300 <br />Irvine, CA. 92606 <br /> <br />INSURER A United States Fidelity & Guaranty <br />INSUREAS. SL Peul Fire & Marlnelna. CO. <br />INSURER c: <br />INSURER D; <br />INSURER E: <br /> <br />COVERAGES <br />THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOLRREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCuMENT WITH RESPECT TO WHICH THIS CERTifiCATE MAY BE ISSUED DR <br />. MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmoNS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND ClAJMS. <br />Sf! TYPE or: I~ANce POUCY Ht.II&ER POUCY EFFECTIVE UCV EXPflA110N <br />A ØENEAALUASLm' BK01237606 11/01/03 <br />X COMI\4ERCN..GENEßAlllABlury <br />CLArwlS MACE [Æ OCCUR <br /> <br />11101/04 <br /> <br /> <br />A AIJ'roMOIIIU! L\A!ItJTY <br />ANY .<uTD <br />All OWNED AUras <br />SCHEDULED AIJTOS <br /> <br />L.OO . <br />BK01237606 <br /> <br />11/01f04 <br /> <br />11/01103 <br /> <br />X HIRED AUTOS <br />X Nœ<>Y/1'.EI) AVTœ <br /> <br />.) '0' E\.' <br />j, °i p.. . <br />, -,>-' <br /> <br />i <br /> <br />, ') \.. .J~'" j'; <br />" <br /> <br />G.\RAGE LIABILITY <br />Am AUTO <br /> <br /> <br />~----,. -' <br /> <br />Q:CESS UASIUTY <br />OCCUR 0 ClANS hIAD~ <br /> <br />CEDUCT1BU;: <br />RETENTION S <br />B WoRKERS COMPENU,lIOH AND <br />E"'PLOYERS' UABlIJJY <br /> <br />WVA.7735900 <br /> <br />11/01103 <br /> <br />11/01/04 <br /> <br />B <meR Professional <br />lability <br /> <br />QP03804176 <br /> <br />11f01f03 <br /> <br />11/01f04 <br /> <br />DESCRÞT10N OF OPERAT10HM.0CATlONSNEHlCLES/EXa.USIONS ADDEO BY ENOORSe"'I!NTlSPfQAL PROVISICWS <br />Clly of Santa Ana, Its officers. agents. volunteers and employees are <br />named as additional Insured 115 ra.pedS generalllabUlty for claim. <br />arl91ng from the operatlona of the named Insured. <br /> <br />CERTIFICATE HOLDER <br /> <br />ADDJT1QIALIIStJRIEC-INSUR£RI.ETTER; <br /> <br />EACH OCCURRE,\Gè. <br />mE QA,MAQE (My ana 11'1) <br />ME[) EX? (h,/ one ptl1OM) <br />PERSONAL 8. ADV INJtßY <br />,GENERAL AGGAEGATE <br />PROOUCTS .OOMPIOP AGG <br /> <br />COUBlNED SINGLE UMIT <br />(EaKCidem) <br /> <br />BOOILY JNJUf( <br />(Perperson) <br /> <br />BOOILY 1NJl.f1V <br />(PérllCCldllfTtJ <br /> <br />PROPERTY DA'J;G~ <br />W9I' acc¡dsî.t} <br /> <br />AUTO O'tIL Y . EA ACeI DENT S <br />""ACe . <br />Aoo $ <br />$ <br />S <br />$ <br />$ <br />S <br /> <br />OTItER THAN <br />~O'IILY: <br /> <br />EACH OCX:URREHŒ <br />AGGREGATe: <br /> <br /> <br />u..,.. <br /> <br />f2 000 000 <br />8300 000 <br />110 000 <br />f2 000 000 <br />000 000 <br />14 000 000 <br /> <br />52,000,000 <br /> <br />1 <br /> <br />5 <br /> <br />s <br /> <br />X WCSTATU. <br /> <br />E.L EACH ACCIDENT s1 000 000 <br />E.LDI$EASE .EAEMf'lDVE s1 000000 <br />E.L DISEASE. POUCVUMJT 1 000000 <br />$1,000,000 per claim <br />$2,OOO,()[è .,,,11 aggr. <br /> <br />'--./ <br /> <br />City of Santa Ana <br />20 CiV1c Center Plaza <br />Santa Ana, CA 92701 <br /> <br />CANCELUTlON <br />SHOULD ANYOF11iE ABOVE DE~B!C POUCIES BE CANCELLED BeFORE THE EXF'IRAl1ON <br />DATE THE.REOF, THe ISSUING INSlÆR WILL ~~~'MVtOMNI.. aD..--DAYSWFITTEN <br />NGßCr:TOTHE CeRllFJCA'Æ HOI..tlERNAN~C TOTHE L.£FT, BKJtIJI! IþtUnØMImtNXXX <br />-~_KJ:_~.'"",_JIJ: <br /> <br /> <br />ACORD2&S(7J'37)1 <br /> <br />of 1 <br /> <br />tlM94630 <br /> <br />NL5 <br /> <br />ø ACORD CORPORATION 19BB <br /> <br />fl~...l.'( . <br />r ," <br />