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<br />kGORQ. CERTIFICATE OF LIABILITY INSURANCE DATI (MMIMtvVY'f)
<br /> 12/07/Z~
<br />"''''''''''' ($20)$71-1900 FAX (SaO)S71 9&67 THl$ CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />~?~-~eav;t~ Jnsuranc_ AgenCY, Inc. ONLY AND CONFER.S NO RIGHTS UPON THE CERTIFICATE
<br /> HOf.,OEIl. THIS C~.J.f.'TE DOES NOT AMEND, EXTEND OR
<br />699~ E. Bro~d ay Bl vd ALTER THE COVE AFFORDED IIY THE POUClES BELOW.
<br />Tuc:;~n. AZ &5710-2803-
<br /> INSURERS AFFORDING CO\IERAGE NAIC #
<br />"""""" Card Metered Syst.... Ine I~": Hartford Casual ty Ips.ranee Co 2'4~4
<br /> 11M: 0lS_ INSURER ~
<br /> lt04 ~ An;ta Ave lNSUR"'"
<br /> iucson, AI 85705-751. lNSl.M1tb:
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<br />'::o";.R~GIiS
<br />THE POUCI!;$ Of taUR^Noe USTED BELOW ,",,^VE ~N ISSUED TO 11-lE INSURED ~ ~ FOR. THE POLICY PERIOC tQC:ATEO. NO'T'\Nm-tST~
<br />AN'( RECUREMENT. TERM OR ~ IS ANfCONTRACT OR OTHER tJOCt.,IMItIIT WITH RESPECT TO YVHICt1 TI"II5 CERTFlCAlE MAY BE IS6lJED OR
<br />pjAY PERTAIN, lHE INS1.JRANCE AFFOfmeO BY THE POL1CISS ~aeD tEFtElN IS SlI8Jl::Ci TO AU.. Tl"Ie TERMS, EXClUSIONS AND CONDITIONS OF SUCH
<br />POlICIES, ~GAre. Ul<<TS SHO\/\IN MAY HAVE SEEN REOtJCE)BYPAlDCLAI~~ ~
<br />. ~............, POUCY........ ~ L"""
<br />i ~.....u-.rrv S9SllAIllU46~-06 07/01{2.004 07l0la0l)7 eACHOCCURRENCE . l,ooo,OO(l
<br />: : X ~CEN!:RAL UABlUTY D.&.MACe'm1tEN'tED . 300~
<br />AI !WM...."" [!l"""" MEDE.J:P{Mr_~ . 10.
<br /> ~RSON""" & ~rN!NJI)RV , 1 001).000
<br /> Glii~Al AOOR5"re . 2 001).000
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<br /> _~=".'. ....~~!liA"I1: uMIT"1*lI'~~ PROOIJC'l'S. CCMP1OF' AQG , Z 001), DOO
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<br /> ,~, :~.w:~t.E UAiIlUlY 59UEClM7330 07/01/2006 07fOl/20l)7 COMBINED SINGlE UNlIT
<br />I Etmro ,..- .
<br /> 1,001),001)
<br /> .II.l...L aNNED"lITOS 900Il.'f~
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<br /> , SC'"'f!lJUl..EDAt.nOS (""'".....,
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<br /> ~ H~"L.'T06 9OO!l "IlNJUA'l'
<br /> H NCJNoQWNlro AUTOS ,
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<br /> ~UA!fUTY ^VTOONLY.EA~ .
<br /> NNAUTO ""'..""'" ",ACC ,
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<br /> "t.J'I'OONlY: ..,. ,
<br /> ~ ~WlRQ.u. uA8lLl1Y EACti OOOURRENOE ,
<br /> ;:::J"""'" o Cl.AIMSM^CE AGClREGATE .
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<br /> "En"",,'" . .
<br />:W\-~~nONANtJ WCSUIl1.L 1'l!l:'
<br />i n!'":..cmIIU':J.UlUTV Ei.L. EACH ~NT ,
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<br />, O!!e<oeRIf,EMElER ~OLl1D I"'L OI!!lt':ASE:. ~ eMPlOYE ,
<br /> If ~ dN:qb UnMr iLL DISEASE - POLICY LIMIT
<br /> 5PeClAL.PROV'ISIONSbeIO'W .
<br /> OTHER
<br />,
<br />::S:::;:-.l?T.~ OFOl"2!P~TJOI'lel,"~T1ON$IV!HleWJElC~0t016~a't' ENOOA.9EiMM 1~Al.I""OVISlOHS
<br />~-e: C?J7Y ~c ,nes at santa Ana pu 1C L, rary
<br />fhe C~ty of Santa Ana its officers, eqJloyees, agents and volunt~r~ tlIt"'e named .Il5 Additional Insured
<br />for Ce"eral l1ability p~r pageg 11 , 12 . 15 (for pd_ry " "",,-con~ributory ..,.dillll) of form S5QOOS
<br />(04/GS) auaclled *Statutory non-payment
<br />This c~rtificate is 5ubjmct to all policy t~rms, condition$, ttXclQsions, forms . endorsements
<br />
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<br />
<br />C T'FiC E HOLliER
<br />
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<br />
<br />OF 't'HI;: M'OVi Oe$CRlSED f'OLrt::rF.3 BE 0l"INCE;u.El:t BEfORe THE
<br />e~MTlON OAT'Iii TIBt:;Ol", THe 1$$lJ1l'lO iNSUlteR wh.i. ENQEJ\VOR TO MAn.
<br />30* nAYS ~t'tiEN NOTICE TO THE oeRTlliICA,TJ;' HOLDER NAMeD TO Tl'lt! Lt!!'T,
<br />
<br />City of San~a Ana
<br />:'~"~ of the City Council
<br />~'.' Civil; CAnter Plaza (M...30)
<br />Santa Ana, CA 92704
<br />
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<br />A,~;:;o;;L," 10 "";'c;: Pdt
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<br />_: ,/ Bl.IT FAlt.URE TO MAIL SUOH NOTIO& SHALl. IMPOse NO OeLK;ATION OR t.1A.8IUTY
<br />ANY KIND UI"ON THE t~UR'EiR. ITS MENTS OR REPflE5fNTATIVE3.
<br />I'!~CN'r^T1VE:
<br />
<br />
<br />@ACORDCORPORATlON '988
<br />
<br />ACORD 25 (2001108)
<br />
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