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( <br />ACOW. CERTIFICATE OF LIABILITY INSURANCE <br />0 DATE5/055 /04 /04 YY) <br />PRODUCER OA99520 1- 619 -234 -6848 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Cavignac & Associates <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1230 Columbia Street, Suite 850 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />San Diego, CA 92101 <br />Dorothy Amundson <br />GENERAL LIABILITY <br />INSURED <br />Daley & Heft <br />INSURERA:United States Fidelity & Guaranty Company <br />03/01/05 <br />EACH OCCURRENCE <br />INSURER B. <br />462 Stevens Avenue, Suite 201 <br />_ <br />INSURER C: <br />INSURER D: <br />Solana Beach, CA 92075 <br />NSURER E: <br />r/IVFVAr -PR <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN5R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />BK01599511 <br />03/01/04 <br />03/01/05 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />FIRE DAMAGE (Any one fire) <br />$300,000 <br />• COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F7X OCCUR <br />MED EXP (Any one person ) <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />• Broad Form <br />X <br />Blkt Contractual <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APR LIES PER. <br />PRODUCTS - COMP /OP AUG <br />$2,000,000 <br />JECT POLICY X PRO- LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />8X01599511 <br />03/01/04 <br />03/01/05 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE <br />LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />ANY AUTO <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR 171 CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />-. <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />L/ <br />WC STATU- OTH- <br />EMPLOYERS' LIABILITY <br />EMPLOY <br />.._ f <br />`�� �. r! <br />/ <br />E. L. EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATION WLOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECNL PROVISIONS <br />Professional Liability - Claims made form, Aggregate limit policy. Defense costa included within limit of liability. <br />Certificate Holder is named as Additional Insured with respect to General Liability per attached endorsement. <br />-10 days NOC for non- payment of premium. <br />(.CN I IFR:A I L NULUCK I I I GODMIONGI INRIIRFn' INCIIRFR I FTTFR A (.AN(.FI I ATInN <br />City of Santa Ana <br />Juanita Preciado- Hernandez <br />20 Civic Center Plaza N -29 <br />Santa Ana, CA 92702 <br />ACORD 25S (71971 xatherine <br />179'1655 <br />USA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL •30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />I PTIJA <br />