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<br /> U & A Insurance Agency ....... --,~... .-.,.... .... ,................,...,.. "'''''' I ....... VI".. ""...nnl"\. ,...... <br />ONl.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Un~ckøl & Assoc. Lic#0827703 HOL.DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 10727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92423-0727 <br />Phone: 909-793-6810 Fax: 909-798-3959 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED þ/- ~-olÔ INSURER A: Clar9ndon America <br /> INSURER 8: Golden Eagle Insurance Core <br /> R.M. S~stemsé Inc. <br /> ATTN: ob Me lary INSURER c: <br /> P. O. Box 4013 INSURER D: <br /> Orange CA 92613 INSURER E: <br /> <br />COVERAGES <br /> <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 DOCUME:NTWITH RESPECT 1"0 WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAliII, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL IHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY NUMBER ~<¡TEh.fM)OD TIVE N LIMITS <br />LTR ~NSR TYPE OF INSURANCE DATE MM/DDlYY <br /> Ix GENERAL LlABIL.ITY EACH OCCURRENCE .1,000 000 <br />A ~~M6RCIAl G6N6RAlllABIlITY HXOOO09156 02/09/04 02/09/05 PRÉMìSEs'E~~r~nœ) '50,000 <br /> " ! CLAIMS MADE liJ OCCUR MED EXP (Antone person) .5 000 <br /> I i PERSONAL & MJV INJURY $ Inoluded <br /> p GENERAL. AGGREGATE .2,000 000 <br /> ñ'L AGGREGATE LIMIT APñS PER: PRODUCTS" COMP/O? AGG $2 000 000 <br /> vnPRO- <br /> POLICY JECT LOC <br /> R"°MOBIl6lIAB'UTY COMBINED SINGLE LIMIT $1,000,000 <br />B ANY AUTO BA9505683 07/31/04 07/31/05 (Eaaccident) <br /> I ALL OWNED AUTOS BODilY INJURY <br /> (Pefpt¡lr$on) . <br /> f.~ ","',"""'" <br /> X HJRED AUTOS BODILY INJURY <br /> (Per Bccldent) , <br /> X NON-OWNED AUTOS <br /> I X Comp Ded $500 PROPERTY DAMAGE $ <br /> IX ICol Ded $500W (Peraccidenl) <br /> RRAG6 LIABILITY AUTO ONLY - EAACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY. AGG , <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> ~l ~EDucnBlE t-. ¡J.... $ <br /> RETENTION $ AD/ $ <br /> WORKERS COMPENSATION AND V~ / .... -' 0 ]ToRY ~1;:':i'S I U~~. <br /> EMPLOYERS' lIABILITY .. <br /> ANY PROPR;ETORlPARTNERfEXECUTIVE / E.L. EACH ACCIDENT $ <br /> O;=FIC:RlMEMBER EXCLUDED? J ~ .. E.L. DISEASE" EA EMPLOYEE $ <br /> Ifv'3s.describeunder <br /> I SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> I OTHER <br /> ì <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*ExCQpt 10 day noticQ of canoellation for non payment of premium. Cert <br />holder and the Ci ty of Santa Ana, 20 Civic Center Plaza, Santa Ana Ca 92701, <br />its officers, employeQs, agents, and representative are named addi tional <br />insurGd regarding CQnQral Liability per the attaohed CG2010 11/85, Prima.ry <br />wording applies, endorsGmant to follow from the company. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />DEPOT-1 <br /> <br />SHOULI) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATlO <br />DATE THEREOF, THE ISSUINÇ; INSURER WILL. i MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, ~..... r... u_- -- -^ co..... c>uA'l <br />II --- ..- ~ ,(,-....., v. "'I'IT ,..",- . - .--- -A ."''''.'''11 "'Y <br /> <br />The Depot at Santa Ana <br />Attn: Carolyn <br />1000 E. Santa Ana Blvd., <br />Santa Ana CA 92701 <br /> <br />#108 <br /> <br />ACORD 25 (2001/08) <br /> <br /> <br />@ACORD CORPORATION 198 <br /> <br />2'd <br /> <br />l:i1"111 <br /> <br />dS2:10 VO LO das <br /> <br />