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09/15/2004 08:52 8186627197 <br />L <br />rtDe.,40• 111ang <br />KNIGHTAR <br />KingING <br />PAGE 01/03 <br />ACADM CERTIFICATE OF LIABILITY <br />INSURANCE MAYS(MoaDYY) <br />PReaAOen <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Arms tronglRohitallle Bus&lns$v <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />535 N. Brand Blvd.., 10th Floor <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Glendale, CA 91203 <br />818 $62-4200 <br />INSURERS AFFORDING COVERAGE <br />INsuRPna Charity FIrsHTravelers <br />KidSingers <br />_ <br />INsuRERe: "REVISED" <br />3947 E. Palma Avenue 3 <br />J I D <br />Anaheim, CA 92807 V <br />INSURER C: _.. .,. - . ...._ <br />, <br />INsuREg u .-. _ <br />INSURER U. <br />'NH4ticPTNx9 <br />THE POLICIES OF M9URANCE 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 WRH 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 />NSA TYPE OFINSURANCE POUCT NUMBER -POLICY EFTECNNE EXPFATION ..... ..— DMn3 <br />A <br />GENERAL LIABILITY <br />660419X472104 I <br />06/11104 <br />00/11/05 <br />EACH OCCURRENCE <br />i1000.000 <br />X'CGMMERCIALGENERALLIABILITY <br />_ CLAMS MADE II OCCUR <br />$100,000 <br />FIREDAMAGEfMyOMRM) <br />MED ExP IMY me pNaan) <br />$S DDO <br />PERSONAL A ADV INJURY _ <br />_ <br />SJOUQ,D00 <br />_-...... <br />I_ <br />A DOO,DOO <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMITAPPLIES PER: <br />I�Ra Loc <br />POLICY 17 <br />PRODUCTS •COMPWAGG <br />$7 000,000 <br />AUTOMOBILE <br />.. <br />UASILRY <br />ANY AUTO <br />' <br />C�OLM"B�INDISINGLE LINK <br />$ <br />ALL DYO/EO AUTOS <br />SCHEDULEDAUTOS <br />... <br />BODILY I <br />(PIrc PVrwn) <br />..-.. .__.. _.__-__ <br />$ <br />S <br />HIRED AVrO$ <br />NOMOwNED AUTOS <br />BODILY INJURY <br />. (Per xdderN <br />I <br />I <br />.. _._ <br />Pi10PERiY DAM AGE <br />GARAGE MIIBI TY <br />AUTO ONLY - EA ACCIDENT . $ <br />DRIER THAN EA ACC <br />AUTO ONLY: AGO <br />i <br />i <br />FYCESS LIABIDTY <br />OCCun n CLANS MADE <br />EACH OCCURRENCE <br />s <br />AGGREGATE <br />$ <br />i <br />DEDucneLE <br />a <br />RETENTION i <br />i <br />WORIMRS COMPENSATIGN AM <br />MPLOYERS•W&LIrY <br />WC STATV• 'OTH- <br />._ ly LIM <br />$ <br />EL EACH ACCIDENT <br />EL DISEASE • EA EMPLOYEE <br />S <br />E.L.DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION aP OPERAT"&WCAT1ONVMICLE3EXCLU3MS ADDED BY ENDORSEMENUSPECML PROVISIONS <br />Miscellaneous Coverage - Insurance Carrier - POL# 66041SX472104 <br />Name of Insurer: Travelers <br />(See Attached Descriptions) <br />cceT Ml Ac L . w-e w I ---_. - <br />City of Santa Ana, Attn. Carla <br />Thompklns,CDBG Mgmt. Aide <br />PO Box 1980 <br />Santa Ana, CA 92702 <br />SHOULD NNYOFTHE ABOVE DESCRIBED POLICIESBE CANCELLED BEFORETH E DMAT1ON <br />DATE THEREOF, THB NBSUNND INSURER VMLL' AKWAMM DMAIL30 _ . DAYS W RI TIEN <br />NOTICETOTHE CERRRCATE HOLDERNAMED TOME LEK,B� <br />ACORD 25S (7/B7)1 of 3 XS251023IM249285 SKF o ACORD CDR ON 19118 <br />