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<br />Andreini & Company <br />300 Esplanade, Suite 100 <br />Oxnard, CA 93030 <br />(805) 981-9585 F: (805) 981-0161 <br /> <br />.....1 1111 lilliÎ íl......I'llilll ÎÎIIIIIIIJ <br /> <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 /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />DATE (MM/DDIYY) <br /> <br />ACORD~ <br />'"'."."'. '#~.:" :"'.':. ";'ff"..."........ <br />PRODUCER <br /> <br /> <br />COMPANY <br />A <br /> <br />PHILADELPHIA INDEMNITY INS CO <br /> <br />INSURED A- ..JJ4- \ VI :r <br />ORANGE COUNTY CONSERVATION A-;<c.>>-\-\lL>,-\ <br />CORPS FAX NO. 1(714)-956-1944 <br />700 N. VALLEY STREET, STE. AB <br />ANAHEIM CA 92801 <br /> <br />COMPANY <br />B <br /> <br />STATE COMPENSATION INS FUND <br /> <br />COMPANY <br />C <br /> <br /> <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 ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I - <br /> <br />co TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS <br />LTR DATE (MMlDDIYY) DATE (MMIODIYY) <br />A GENERAL UABIUTY PHPK088626 07/20/04 07/20/05 GENEflAL AGGREGATE . <br /> COMMERCIAL GENERAl LIABILITY PRODUCTS - COMP/OP AGG . <br /> CLAIMS MADE [i] OCCUR PERSONAL & ADV INJURY . <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE . <br /> FIRE DAMAGE (Anyone fire) . 1 <br /> MED EX? (Anyone person) S <br />A AUTOMOBILE LlABIUTY PHPK088626 07/20/04 07/20/05 <br /> COMBINED SINGLE LIMIT $1,000,000 <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) . <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> (Per accident) . <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE . <br /> GARAGE LlA.BIUTY AUTO ONLY - EA ACCIDENT . <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT . <br /> AGGREGATE S <br /> EXCESS UABIUTY EACH OCCURRENCE . <br /> UMBRELLA FORM AGGREGATE . <br /> OTHER THAN UMBRELLA FORM . <br />B WORKERS COMPENSATION AND 46-14482..04 07/01/04 07/01/05 OTH- <br /> ER <br /> EMPLOYERS' LlABIUTY <br /> SI <br /> THE PROPRIETORI INCL EL DISEASE - POLICY LIMIT . <br /> PARTNERSÆXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE . <br /> OTHER <br />A AUTO PHYSICAL PHPK088626 07/20/04 07/20/05 DEDUCTIBLE 1,000 COMP <br /> DAMAGE DEDUCTIBLE 1,000 COLL <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESlSPECIAL ITEMS <br />RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES <br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH <br />RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED <br />ENDORSEMENT,ATTCHED.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. <br /> <br /> <br /> <br />CITY OF SANTA ANA <br />ATTN:ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA CA 92701 <br /> <br />f~i <br />