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ACORDn V7~~~~Efyy~~~ ~ ~~~~~~~ ~ ~~~~~~~~ DATE IMMIODIYYI <br />':01/27/2005 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER Nicholas Goldware ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Talbot Ins & Fin Srvcs, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4371 Latham Street Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 5345 COMPANIES AFFORDING COVERAGE <br />Riverside, CA 92501 COMPANY Fireman' S Fund Insurance Companie <br />951-788-8500 fax951-788-2994 A <br />wsufleD <br />(/~~ PANV Everest National Insurance Compan <br />COM <br />~ ~ <br />Kinkle, Rodiger & Spriggs ~ -7 B <br />3333 Fourteenth Street <br /> COMPANY <br /> C <br />Riverside CA 92501 <br /> COMPANY <br /> D <br />eovF~la~~s ' . . <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, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 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 />CO TYPE OF INSURANCE <br />LTq POLICY NUMBER POLICY EFFECTIVE <br />DATE (Sf.M./DD/VYI POLICY EXPIRATION <br />DATE IMMIDD/YYI LIMITS <br />A GEN ERAL LIABILITY AZC80724565 04/01/2004 O4/O1/2OOS GENERAL AGGREGATE 8 2, ODD, DOO <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG 9 2, OOOr DDD <br /> CLAIMS MADE ^X OCCUR PERSONAL & ADV INJURY S excluded <br /> OWNER'SBCONTRACTOP'S PROT EACH OCCURRENCE S 1, DDD, ODD <br /> DIRE DAMAGE IAny one fire) 91DO, DDD <br /> MED EXP IAny one person) e 5, D O D <br />A AUT OMOBILE LIABILITY AZC80724565 04/01/2004 04/01/2005 <br />COMBINED SINGLE LIMIT <br />51,000,000 <br /> ANY AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY b <br /> SCHEDULED AUTOS IPer person) <br /> <br /> X MIRED AUTOS BODILY INJURY S <br /> X NON-OWNED AUTOS IPer acc~tlenD <br /> <br /> PROPERTY DAMAGE 9 <br /> <br /> GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT b <br /> <br /> ANV AVTO OTHER THAN AUTO ONLY: <br /> <br /> EACH ACCIDENT 9 <br /> AGGREGATE 9 <br />A EXC ESS LIABILITY UMB04012003 04/01/2004 04/01/2005 EACH OCCURRENCE s5, 000, 000 <br /> UMBRELLA FORM AGGREGATE iS, OOO, OOO <br /> <br /> OTHER THAN UMBRELLA FORM S <br />B WORKERS COMPENSATION AND CA20010190051 O1j13/2DD5 Dl /O1J2006 <br />/ X 'NG GTAiu- oIH- <br />TORY IMITS ER <br /> EMPLOYEPS'LIABILITY EL EACH ACCIDENT S1, DOD, OOO <br /> THE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT S 1, DDD, DOD <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />D) <br />EL DISEASE-EA EMPLOYEE <br />9 1, DDD, DDD <br /> OTHER .. - s 7. .. ~'" <br /> <br />..-..~_~.. i~ <br />_L _'C v 1 s. *.p. <br /> = ll:l ... <br />DESCRIPTION OF OPERATIONS/LOCATIONSNENICLES/SPECIAL ITEMS '` ~' -' <br />City of Santa Ana is named as addi[onal insured with ~re9pect <br />eto 'the operations of the named insured. <br />CJ~fitll=tCA'T~ H[lIDER ~iAIUCELkiITIIfN <br />City OE Santa Ana SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />PO BOX 1988 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Santa And, CA 92702 CEgTIFICATE HOLDER NAMED TO THE LEFT. <br />DAYS WRITTEN NOTICE TO <br />T <br />HE <br />3O <br /> gq <br />y <br />m <br />p <br />BIU~AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED flEPRESENTATIVE fj~ ~ „/~ / <br />/i ~ `ZZ/yiyjt <br />;~~a~~ax~-~~srs~z ~~cr~~a~~t~~ar~~N~s~e' <br />Ods#1675154 81311 <br />