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f4Y <br />1:27 FROH:C 8t P ISURANCE SERVICES ID:56298692F9 <br />PRODUCER <br />c:tKTIFICAT OF <br />LIABILITY INSURANk E <br />(5621 <br />9116-425I <br />C 6 <br />P Insurance Services <br />THIS CERTIFICgT�E Ig fSSUED AS A <br />3580 <br />Pacific <br />Coast H ghway, St <br />HOLDER.N�H,gOCERT FICATE RDOES <br />A[.TER T:1E COVERAGE <br />AFFORDED R <br />Lona <br />Beach <br />_ CA 90804-19Rn <br />PAGE I <br />DATE (MMrDDY - <br />05/06/20„- <br />OF INFORMATIG^ <br />HE CERTIFICATE <br />'ND_ EXTEND <br />orange County Bar Foundation INSURER AI Ma land law— Co. <br />313 N. Birch Street 2nd Floor INSURER law- <br />5 States Li abilit - <br />wsuRERC .Y--- - <br />INSURERD: —' <br />Santa Ana CA 92701-5263 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERICD INDICATED <br />REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT T <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I O WHICH THIS . hCiTta THSTANCr.,C, <br />AGGREGATE LIMITS SHOWN MAY HAV S SUBJECT TO ALL THE TE CERTIFICATE MAY BE ISSL.,F� Oft MAt rL-- <br />NSR DOL <br />E BEEN REDUCED BY PAID CLAIMS. RMS. EXCLUSIONS AND CONDITIONS r, F SUCH P;1;' <br />-TR NSRD TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br />POLICY NUMBER PPS 3463125 DATE MUV-----"— <br />A GENERAL LIABILITY �ml DATE INwDO/YYI <br />X COMMERCIAL GENERAL LIABILITY <br />55 <br />03/15/2004'03/15/2005 <br />� <br />EACH OCCURRENCE <br />CLAIMS MADE OCCUR <br />(j` <br />Y am. <br />�� <br />DAMAGE TO RENTED <br />PREMISES IEa cccumeno <br />I <br />.1 (�� <br />lT <br />/ <br />r/ <br />/ / <br />MED EXP(,Vv one erscr <br />I 1 �• <br />PERSONAL 8 ADV INJUR <br />GENLAGGREGATE LIMIT APPLIES PER: <br />PRO- <br />/ E, <br />rjj {I Th ,y <br />0 <br />/ / <br />GENERAL AGGREGATE <br />POLICV JECT X LOC <br />,�P <br />,- �.� <br />\ty/ / <br />PRODUCTS - COMP(OPA <br />AUTOMOBILE LIABILITY <br />/ / <br />ANY AUTO <br />l !!'. �, <br />/ / <br />/ / <br />COMBINED SINGLE LIMIT <br />ALL OWNED AUTOS <br />%:1 <br />(Ea Incident) <br />SCHEDULEDAUTOS <br />- <br />/ / <br />/ / <br />BODILYILURY <br />A X HIREDAUTOS <br />X <br />PPS 34632555 <br />03/15/2004 <br />03/15/2005 <br />(Per Pe l <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accgent) <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />IPer aaitlenU <br />ANY AUTO <br />/ / <br />AUTOONLY-EA ACCIDEN <br />OTHER THAN EA AC <br />EXCESSIUMBRELLA LIAB(UTY <br />AUTO ONLY --' <br />OCCUR 0CWMS MADE <br />/ / <br />AG <br />EACH CLQURRF_NCE <br />DEDUCTIBLE <br />RET ,'l S / / <br />WORKERS COMPENSATIE <br />EMPLOYERS LIABILITY WC S ATU- <br />ANY PROPRIETOR•PARTt <br />TORY LIMITS <br />OFFICER�EMBER EXCLELEAGHA <br />H Yes, desoibe unaer / SPECIAL PROVISIONS belE.L. DISEAE Sr- EA EI <br />B OTHER DireotDrS L OffE.L. DISEASE- POLII 21o1e os/o1/2004 05/01/2005 <br />Liability / / Per occarrenre <br />A9Osagate <br />UESCPoFTION OF OPERATION$rLOCgTONSNENICLE$/E%CLU$ION$gDOED BY ENDOq$EMENT/SPECIAL PROVISIONS <br />/ / Ma°ctible <br />•10 day notice of cancellation in the eventOf non a <br />P Yment of Preaiuc. <br />Certificate Holder is an a dditional Insured Per attached endorsement CG 20 26 11 ,,5. <br />( ) - (714) 647-6549 <br />Attention: Carla Thompkins <br />City of Santa Ana;Santa Ana C,,m unity <br />Development Agency <br />P•O- Box 1988 <br />ACORO 25 1 <br />7 <br />IE <br />1 00 bo <br />1 <br />_ 1 000 1(,. <br />__-2 <br />2,Ono ,OC- <br />s_ <br />� 000 , C,^, <br />E <br />S <br />1, 000, OC <br />1, 000, Oe <br />$1, O)r, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRAT:GN DATE THEREOF, THE ISSUING INSURER WILL MA.__ <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZENTATVEn <br />Cti <br />TION 1986 <br />