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<br />12/14/20B5 <br />. D e ~ 6 <br /> <br />13: 22 <br />2005 <br /> <br />71457142B9 <br />.O'PM <br /> <br />,.1/-:)00 <br /> <br />"t -OJ/r-O/ <br />PARKS AND RECREATION <br />57-':7'11'1/ <br /> <br />No 7325 <br /> <br />PAGE <br />P <br /> <br />B2 <br /> <br /> - I - , ~SR ~T' D"'re I~WDDrf'VYVl <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE :; J2/06/05 <br />"DOUDbll Tlil$ C~RTIFlCAT~ IS ISSUED AS A MATTER OF INFORMATION <br />Oleyal Insurance Services ONLY AND CON~~Q NO 1tlGH1l!l UPON T>l1l CIlRTI~'CATE <br />Lio. OCP4257 MOLD.,.. TllIS CEI<l1FICATE DOES NOT AMEND. EXTEND OR <br />P. O. Box 2933 AI.. TER THE COV~RAG~ AFFORD~D BY 1lt~ POUOl~1 /lELDW. <br />FlUJoort"", CA P2837 <br />PhoDe,714-447-PIPl Fax,714-525-PI91 INSURERS AFFORDING C()VI!RAG~ 'lAIC . <br /> .-- <br />Ial.SURED IN8lJREAA American Banker.. <br /> IlaU"MO: <br /> ~11 Sk.idmor. 1N8U"l!R c <br /> ~~ir~~~Qlt. 1/lll:!SiU~b'. <br /> eo.t:.a ~aa. CA 92627 <br /> II'llSUfteft~ <br /> <br />CHEVAL ]N~URMCE <br /> <br />CO\ll!llAO!S <br /> <br /> 1ll& POllClEi'80F ""SIURANC6 LISTliO Bi.lOW KIl.'otE BEEN ISSUED TO TtIf. It-&SURED NAMEDA80VE FOR THE POUCv P!RIOD INDICATI!D_ N01'VIIl'TM!lTAADING <br /> AH'f"IQU1ItDilIlNT, TlrJl"'O~COfo/Drna'" 01 ~CO""l'RACTOft on..,. DOCUMRHT WfTH IUlIPi'cl' TO wt1ICH THISCERTIfICII.1'E Mll.Y I!lE ISSUED DR <br /> IMoY PfRToU( ntl: INSURANCE AFFORDED f1'f Tl1E POLlClEfI DE8CRIDfD l"II!"ElN 18 8tAtJ~OT TO AU T~ ~~,.~, I!XOL.lJ""~fij AND CONDmOHS Of SUCh <br /> ~ ._....n; UMIlS GltOINN MAY HAllE.... RE!lUCEll BY PAID CUll.... ~1'lI~ <br /> .!!! . TYPE OJO RnlRMCE POLCY NU.... u"". <br /> ..!.""UlAL lMmJT'/ EACH OOCURRENCE .1 000.000 <br /> A X .!.n-RCIALG...!W......ILrlY 8LlI03177 08/3J/05 08/31/06 PREMI!ES lEa CICaIl'MQ!I .50 000 <br /> ClAIMS MADe: [!J DCCUfIi1 "0:1 Ci{P'(""'~pwen} . 5 . 000 <br /> f- ~80N-'l. AlJV '''''JUIf( 12 000.000 <br /> f- li6JtIliAAL AOORIif',M n;, .2 000.000 <br /> :i-1~"'QQ."~~ lJ~rr n5J1~ft PffODL/CT8. COM PlOP AGO '2.000.0DO <br /> X POLICY n ;@;: lOC <br /> ~"""lJAUJTY COt4illN'O 'lNc;l.l;; LiMIT . <br /> AH'(Al1TO NONE (1!.IUCIIIRI'II) <br /> :.- <br /> L- ALL OWNED AUTOS 800IL Y lH.l.IRY <br /> . <br /> 15CHIliDUlED AlfiQS (P.....,--, <br /> - <br /> - HIRED Al1TOB soon. y IN..Jt)Ry <br /> . <br /> NON-OWNED AUTQ6 cP..,. <<Q4o'olJ <br /> >- <br /> >- PROPEIfTY DAJrMGE . <br /> (....- <br /> ~7.~ AVTO O~ Y. 6A ACCIDEm' . <br /> , <br /> AJl'(IlU1O NONE OT~ ntAN EA Ate . <br /> , ' /)-, Ir/ AV70 ONLY: "GO J. <br /> .l!!JIt:8IIIIIUIIlBtlR1..A WUIlUTY --} [)I~-6"'<: l< 1/ I EACH OCCUA~EHCE . <br /> DOCCUII 0 C\AI"SMAOI!'! NONIl I Al3GREGoll.TC: . <br /> S <br /> R ~'lllJcn." s <br />, ..,..""". . . <br /> WDAJWai co"p.Etf&1lnc>>f MD I i I IU':;' <br /> ""'LO_~ NONE E,I.."'CHACCIl~wr <br /> ",.., PROPRII!rO....A.RTNEl'UEXEClI1'NE 1 <br /> OFFICERlMEMBER EXCtH>ED'1 E.LOI~.EAEMlPl.OYEf S <br /> If,.., .-.aibeundtr <br /> 8PEr"'l PRO'Vl&ONSD.1ow ~l OJ8EA6E. POliCY LIMIT S <br /> ""'"" <br /> J NQN2 <br /> D~,,()lIOPWb.mlGll L.OC.m""~Il:l.D'acl,""" AbPI'D....IOtIllD~/Ulll:IAl. Ji'I'D\IIlIeo,.. <br /> Ce=t.ificate holder is additional insUX'ed as sponsor of recreational program <br /> hut cml.y .in.ao.t'ar ... 1n.ured opa:r:atio:ns i.n conn.otion with a-.id :in.su.red <br /> <br />CERTlACA TE HCUlER <br /> <br />CAHCElLA110N <br /> <br />Of ty of! Santa Ana <br />Park. . RuCl:CiJat.ioQ <br />peggy Calvert <br />BBB W Banta An. BJ"d. '200 <br />Santa ~ CA 92701 <br /> <br />c;cnlll\ <br /> <br />.lIOLlLb........ OF 'I'III! "OWE D.~I!.D POUCtu ell! CANCl!lla III!II'oltl! 'lit. !:lIfr'IlU..'I1ON <br />aGE '"D:fOf', T'PIe.lS9U1NO ..suRER WILL fNDEAVCR TO MArl ~ OATS Mt:l'J"T'8I <br />NOne. TOTH. OJIkTl'.....T. NDLDlQl *,"'=D yo YNt!: L'="..UT II'AkJJ/U: TO DO., MALL <br /> <br />ACORD 2. (2tI01/O") <br /> <br /> <br />tC.IICIiOPOjl/~' <br /> <br />rr.AOi!LIh'IIOllt <br /> <br />ClACO"D COIlPORATlON 1988 <br /> <br />II"Lr:::.11...A~N1 <br /> <br />