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AGORD. CERTIFICATE 0- LIABILITY INSURANCE <br />� � Serial # 100139 THIS CERTIFICATE IS ISSUEU A; <br />MAGUIRE INSURANCE AGENCY HOLDER- THIONLY AND S NFERS NO I CERTIFICATED( <br />LIC 003778N.S ALTER THE COVERAGE AFFORC <br />27101 PUERTA REAL SUITE 200 <br />MISSION VIEJO, CA 82691 INSURERS AFFORDING COVERAGE <br />aSURED <br />NATIONAL COUNCIL ON ALCOHOL AND DRUG <br />DEPENDENCE -ORANGE COUNTY <br />22471 ASPAN STREET,SUITE #103 <br />LAKE FOREST, CA 92630-1644 A o4 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED I <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED I3Y PAJI <br />L4M TYPE DF RNXIRAW I POUCY NLMER <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />LIMIT APPLIES PER: <br />7MONLE UAINUTY <br />ANYAUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />AGE LIABILITY <br />ANY AUTO <br />55WMORELLA LLWLrrY <br />OCCUR FI CLANAS MADE <br />DEDUCTIBLE <br />RETENTION i <br />COMPENSATION AND <br />B: <br />r <br />DATE (MM/DDrrT) <br />04/12/2004 <br />NAICX <br />NAMED ADME FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />NTWITH RESPECTTO WFBCHTHIS CERTIFICATE MAY BE ISSUED OR <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />04/07/2004 1 04/07/2005 <br />P:!A7J <br />THAN <br />NLY: <br />LIMIT <br />CERT HOLDER I$ AN ADDITIONAL INSURED WITH RESPECTS TO OPERATIONS & USES PERFORMED BY OR ON BEHALF OF THE <br />NAMEDISURED <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA , , L I ... DATE THEREOF, THE IOWNG INSURER , WM*N (L TO MAIL 3O DAYS WRITTEN <br />20 CIVIC CENTER PLA7A NOTKE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />SANTA ANA, CA 92701 IMP00E NO OBUGATbN BILTTY OF ANY KIND UPON THE INSURE% 15 AGENTS OR <br />ACORD 25 (2001AIS) <br />0:%rMPROICERTPR0S, FP6 <br />b ACCORD CORPORATION 1988 <br />V vy <br />