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"~' ~ 'a DATE IMMA)DA'Y) <br />~~++t }}``r~ 1 I I II <br />~!E7t~~l~Fyr~t. ,. ...; ....::;. c ~ .:'.` 07/20/04 <br />PRODUCER <br />RFP INSURANCE AGENCY <br />5601 WEST SLAUSON AVE., #250 <br />CULVER CITY, CA 90230 <br />INSURED <br />CIVIC COLLECTION CORPORATION <br />1565 ELDERTREE DRIVE ~"Z.n~9~~~ <br />h '.L~E.{-lyti <br />DIAMOND BAR, CA 91765 ~-2oON~~SD <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE _ <br />COMPANY <br />A THE BURLINGTON INSURANCE COMPANY <br />COMPANY <br />B <br />COMPANY <br />c <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDINCf~NY REOUIREMENT,TERM OR CONDITION OFANY CONTRACTCP. OTHER COCUMENT WITFRESPECT TO WHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br /> <br />LO <br />LTR <br />TYPE OFINSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />PATE (MMA)DIYY) POLICY E%PIRATION <br />DATE (MMIDDIYY) LIMITS <br /> <br />.._ <br />~ <br /> <br />___~, _ <br />_ <br />__ ~~~.~-..... _. <br />_ _... - __. -_ _ _._ <br />_.- _... e. _ <br />__,.,_~.. <br />GENERAL AGGREGATE 1 0001000 <br />E / <br /> GEN <br />X ERAL LIABILItt <br />GENERAL LIABILITY <br />PRODUCTS-COMP/OPAGG <br />aINCLUDED <br /> (i <br />~L COMMERCIAL <br />DE ~OLCUR PERSONALBADV INJURY fl/ODD/DDD <br />A ~ <br />j. CLAIMS MA <br />ONTRACTOR'SPROT <br />' SBSBOOOS3O OS/12/O4 OS/12/OS EACHOCCURRENCE E1, OOO/DDD <br /> OWNER <br />SBC FIRE DAMAGE(Any onefin) S ZOO/DDD <br /> DDD <br />5 <br /> MED E%P (Any one person) , <br />S <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />S <br /> NY AUTO <br /> A <br /> ALL OWNED AUTOS <br /> <br />CHEDULED AUTOS BODILY INJURY <br />(Per person) S <br /> S <br /> HIRED AUTOS <br /> <br />OWNED AUTOS <br />NON BODILY INJURY <br />(Pet acoEenQ E <br /> - <br /> PROPERTY DAMAGE S <br /> <br /> GARAGE LIABILITY <br />ANY AUTO ~ AUTO ONLY-EA ACCIDENT <br />OTHER THAN AUTO ONLY: E ) <br />„;,I,. ;i?I Ii':i <br />' <br /> <br /> EACH ACCIDENT S <br /> <br /> AGGREGATE f <br /> E%C E95 LIABILITY EACH OCCURRENCE E <br /> <br /> UMBRELL4 FORM AGGREGATE S <br /> <br /> OTHER THAN UMBRELLA FORM ~ _ S <br /> <br /> <br />WORKERS COMPENSATION AND _ <br />WC STATU- OTH <br />TORY LIMITS ER , <br /> <br /> EMPLOYERS'LIABILItt - EL EACH ACCIDENT E <br /> THE PROPRIETORI INCL EL DISEASE POLICY LIMIT S <br /> PARTNERSIEXECUTIVE <br />OFFICERS ARE' R ~y <br />CL <br />EL DISEASE EA EMPLOYEE <br />E <br /> . L~ _ <br /> OTHER <br />DESC RIPTION OF OPERATIONSILOCATIONSNEHICLE SISPELIAL ITEM9 <br />AND ADDITIONAL INSURED <br />CITY OF SANTA ANA <br />ATTN: LAURIE BROWN <br />60 CIVIC CENTER PLAZA, RM 97 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION GATE THEREOF. THE ISSUING COMPANY PALL ENDEAVOR TO MAIL <br />3 D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE C}pMP NY, ITS AGENTS OR REPRESENTATVES. <br />~AUTMORIZED REPRESENTATIVE y~ '~ ( m~ I~ <br />~~ <br />