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ACORD CERTIFICATE OF LIABILITY INSURANCF <br />DATE (MMIDD/YYYY) <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Fax:626-405-0585 <br />INSURED <br />Interval House <br />P.O. Box 3356 <br />Seal Beach CA 90740 <br />bZ01T/=1:7_CH39 <br />THIS CERTIFICATE IS I:. jD 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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: liveeport xneeranca Company <br />INSURER B: Ales. North America Ins Co <br />INSURER G <br />INSURER D: <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DDIM <br />POLICY EXPIRATION <br />DATE (MWDDtM <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCRR UENCE <br />E1900000 <br />A <br />X COMMERCIALGENERAL LABILITY <br />CLAIMS MADE FX ] OCCUR <br />RP0004364 <br />10/01/03 <br />10/01/04 <br />PREMISES(Eaocuuenca) <br />f 100000 <br />MED EXP(My one Person) <br />$ 5000 <br />X Owner/Cont Prot. <br />PERSONAL$ ADV INJURY <br />$1000000 <br />X <br />Prof'1 Liab/Abuse <br />GENERA -AGGREGATE <br />$3000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OPAGG <br />$3000000 <br />X POLICY PRO- <br />JECT LOC <br />Hm Ben. <br />10 QQQ QQ <br />AUTOMOBILE <br />LIABILITY <br />NY AUTO <br />ANYAUTO <br />BINED LIMB <br />(Ea <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accitleni) <br />$ <br />PROPERTY DAMAGE <br />(Per amiCent) <br />$ <br />GARAGE LIABILITY <br />APPROVE <br />lJ <br />AS 7O FORM <br />1V1 <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />/01 <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />S <br />$ <br />E%CESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />To S i."J) <br />eputy CiLy <br />EACH OCCURRENCE <br />$ <br />k1tar,10 <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />a <br />RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY <br />ANY PROPMETOR/PARTNER/EXECUTIVE <br />OFFICER/NIEMBER EXCLUDED? <br />S yECIAL PROVIbe SIONS <br />SPECIAL PROVISIONS Eelow <br />IO <br />WC1002628 <br />02/01/03 <br />02/01/04 <br />TWC LIMBS ER <br />E.L. EACH ACCIDENT <br />$1000000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ SOOOOOO <br />E.L. DISEASE -POLICY LIMIT <br />$ 100QQQQ <br />OTHER <br />A Crime Section RP0004364 10/01/03 10/01/04 Dishonest $110,000 <br />DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Forgery $110,000 <br />The certificate holder is named as an additional insured as respects their <br />interest in the business operations of the named insured, with the exception <br />of workers' compensation. (CG 2026 Hndt attached) y <br />CTYSANT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL a=1IX2I0==MAIL 30 DAYS WRITTEN <br />City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />Comm Development Agency <br />M-25 OR <br />20 Civic Center Plaza <br />Santa Ana CA 92702 AUT EDREPRE ANVE <br />(2001/08) - -- <br />