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<br />., <br />(Jun <br /> <br />.""" <br />1,8 <br /> <br />04 <br /> <br />02:07p <br /> <br />Public <br /> <br />Works <br /> <br />Yard <br /> <br />714-647-3342 <br /> <br />Jun-lB-04 <br /> <br />lO:OOA <br /> <br />p.2 <br /> <br />P.02 <br /> <br />ACORD... CERTIFICATE OF LIABILITY INSURANCE <br />310.37<4-6011 <br /> <br />CMTE(~,""I <br />06/18/2004 <br />THIS CERTIFICATE 18 ISSUED A8 A MATT~R OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE c;ERTlflCA TI <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. UTEND OR <br />ALTER THE COVERA E AFF R D BY THE¡ P I lIS I&L.OW. <br /> <br />\ PkOnuCf.1I. <br />F'OOEûRACZ INSURANCE AGENCY <br />,,, 7 'HI'! ST .204 <br />MANHAT rAN <br />lIC II OEn25<44, CA !I02IJ6 <br />I"SUAEÞ <br /> <br />INSUR@.IUI A'fORDING COVERAGE <br />i lHijl,I~~"A ZURICH GROUP <br />IN:iURFA R fARMERS INSURANCE <br />INS.JRERC GREAT AMERICANE&S <br />INSURER D <br />'''I:!\lF\fR[, <br /> <br />fJ -doð4.. 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X "'GXE;-RAllIAB'.IT'Y . .- -...-.- PAS O"90""",ro10-22-2003 10-'2""2-::" ~~~~~g"~~~~~ . $ <br />COIAMf«CIAlG(~(R'.CCI"'DllITY ~ IN"'" : PA£~Isc.S\("<A:UI8"CII) ;' <br />(;1 AI\I~ WiAI »- X ut.cU~ <br /> <br />"([, I) <br />~dl~,\J ,'- <br />j f , () (,_\ 1 .. <br />./' rv ,¡JV ...\.1 v) ':ANCELLATlCN <br />... \ ^.~ ';,.. {y/f? ,../'1 r ly ,"OUI.OANY 01' 'OIl! AIOIIa DI.&C"18EDI'OUCIE$ I" ç,...ç ¡LUO IE'OII. ! TIt! !IIPlltA'I1ON <br />t ý\ L'.. ,~(\ h \'Ie TMlIII!OI'. ."" 18'\1."0 "IIUIIIEIIIII"LI,I~AVOll TO "'Aft. ..~.~.- OA.' VI"'",," <br />CITY OF SANT A AN~ ..', )J-¡ ','- TIU TO TMI! CIIIITIFICATE HOLM ! ..""'EO TO lt4f; LEFT, lilT 'AlLURe TO DO &0 "'ALl <br />PUBLIC WORKS AGEl .'v~t - -I ¡J../,¡1J' ~1iE 101() OIR.K1ArlOOI 011 :ry OJ AN\' Knoo ""°11 'Þ4IIH1UMII, nl AGSNTB DII <br />220 S DAISY AVf: () (f' IIIE.,'UEIITATIVU, <br />SANTA ANA CA 9210~ AUTI4ORIØOR.."" <br /> <br />. ACORD CORPORA TION 1988 <br /> <br />G[i'I'l,,\3GI'ICQA1( UO¡OIT "I'F C'(~ FI:~ <br />PRO. <br />11'"'::1 <br /> <br />l <br /> <br />I <br />09125/2003 I <br /> <br />. t.A~t)~.~ (A"~ ~':.'8~r.~nl <br />.P~R~O"Al'" f,Oy INJUR' , <br />. .Gt..t: llI.l MÃ,R[GAI~ , <br />,PROùuCIS'I',t)IIP¡()PAOU . t <br /> <br />þot,¡(.'( <br /> <br />u,n; <br /> <br />, ~(I"'M1Nf(}SINO¡E ll""'T <br />([.ilc;¡;idDr". <br /> <br />B <br /> <br />x <br /> <br />AU"rQMOBLE UAalUTY <br />X ANV AUTfJ <br /> <br />OODllYINJUWY <br />(lIe,p...",,1 <br /> <br />0941107666 <br /> <br />09/2.5(2004 <br /> <br />N.l OWN!:D ^UTO~ <br /> <br />~!.:HH~UI H)AI)H)~ <br />X ...,,£t1 "UTOt <br />X "ON,OWN~O,\ÚTt)" <br /> <br />OOOll'f INJ'tJR f <br />(J.'8t ..r~I(I.J\') <br /> <br /> <br />~kO""d.u. UA..-ACjF. <br />cP..,a~nc <br /> <br />""TOONI.~'IAACCI!>EII.T !.' <br /> <br />[AACe s <br /> <br />Ace. <br /> <br />G&IU,Gt LlAIILIT'i <br /> <br />lHH~R HiAN <br />^\I~OO"cY; <br /> <br />AN'" ..~ H) <br /> <br />IkCi' I,U"."'''-lA L'AIoIL r~ <br /> <br />. ""CM OCCU""ENCE <br /> <br />: .AGGR[GAlt <br />I <br /> <br />().(".t,.ltW <br /> <br />n J..tt..-~ IotAf"¡F <br /> <br />Dt-\UJeIIHI t: <br />nET[NlIC1N <br /> <br />---.... <br /> <br />WC SlATU, . <br />. TORY L'~ITS " <br /> <br />OHI, <br />... <br /> <br />~ <br /> <br />. 1'IO""IMC;-~""~T1O"ANO <br />I B EIilPLO.ER5' LIII8II.'TY <br /> <br />"'" ~kOlliltL' ')RI~"l<lNL"'l~l.t V'iVL <br />OFF¡CFR,~F.UI'IF.R fxr.1 ~JnFr)? <br /> <br />~;;;~r ~~r:;~~;IÕN~. ~Ic"¡~ <br /> <br />09/25(2003 ' <br /> <br />09125/200.4 <br /> <br />. H F ~C''''.C('l!?E~T <br />I f. l DISEASE. .EA ~NlPlOY~~ I <br />: F' ("$E"':)f' rOltC~ LllAlT , <br /> <br />N09203249 <br /> <br />OTIlER <br />; C PROFESSIONAL LIABiliTY <br /> <br />09/25/2004 . LIMIT <br /> <br />EDN585532901 <br /> <br />09125(2003 <br /> <br />DEIICRIPTlON OF OPEIIAnOHI' LOCA r,ONII' \I[HIC."~I...C."SIl~". ADOioey ENDOIIIUNENT ¡IHetA. .1lIOII1...,11& <br /> <br />CERTIFICAT!. HOLDER <br />, <br /> <br /> <br />I <br />ACORD 25(2001/08} <br /> <br /> <br />, .000.000 <br />50,000 <br />5.000 <br />1,000.000 <br />2.000,~~_. <br />1.Q..QÇ..QQO <br /> <br />1,000,000 <br /> <br />\ ' <br /> <br />i, <br />I <br /> <br />a <br />I' <br />, <br /> <br />, <br />I <br /> <br />1.000,000 <br />1,000,000 <br />1 000 000 <br /> <br />1,000.000 <br /> <br />- <br />