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Paq61 002-002 CERTIFICATE OF LIABILITY INSURANCE O~~);~~~~~) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SL:CH POUCIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OENERALllABlllTY CLS1010886 07/19/2004 07/19/2005 EACH OCCURRENCE DAMAGE TO RENTED ce, 1/31/,,005 Time: 3;36 PM TOI Laura @ 9. +1 (714) 6476515 ~ FAX (949)348-2373 PRODUCER (949)348-7400 Insurance Solutions License '0746539 26522 La Alameda, Suite 190 Mission Viejo, CA 92691 INSURED Trin1 F oats 278 N. Wilshire, Unit C7 Anaheim, CA 92801 INSURERS AFFORDING COVERAGE INSURER A scottsdale Ins CO INSURER e, INSURER c: INSURER D. INSURER E. LIMITS X COMMERCIAL GENERAL LIABILITY ClAIMS MADE [!] OCCUR MED EXP (Anyone person) PERSONAL. & ADV iNJURY A GENERAL AGGREGATE $ PRODUCTS - CQMP/OP AGG $ LOC COMBINED SINGLE UM!T . (Eaaccident) BODILY INJURY $ (p8fper$On) 80DIL Y INJuRY $ (peracc:ìdent) PROPERTY DAMAGE $ (per accident) AUTOMOBilE LIABilITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE UABJUTY ANY AUTO AUTO ONLY. EA ACCIDENT $ EA ACC $ QTHERTHAN AUTO ONLY AGG $ $ $ $ $ $ OTH- $ EXCeSSlUMBRElLA LIABILITY CCCUR 0 CLAIMS MADE EACH OCCURRENCE AGGREGATE APPROVED AS 0 FORM DEDUCTIBLE RETENTION E.L. EACH ACCIDENT EL DISEASE - EA EMPLOYE $ E,L DISEASE - pacey LIMIT $ $ we STATU- WORKERS COMPENSATION AND EMPLOYERS' LlABlUTY Am PROPRIETORIPARTNERJEXECUTlVE OFFICER/MEMBER EXCLUDED? If yes. de$Cribe under SPECIAL PROVISIONS below OTHER DESCR1PfTlpN OF OPERADQ.NS I LOCATlOfllS VEHICLnl.EXÇL.USIQIIIS ~DED BY ENDORSEMENT' SPECIAL PROVISIONS ertl lcate HOlder named as aadltlonal lnsured ditonal ;nsured endorsement to follow from carr;er. '10 Days wr;tten not;ce for non-payment of prem;um C"RTlFICATE HOLDE" \ NAIC# ~ $ $ $ , 500,000 100,00 __5,00 sou ,00 500,00 500,000 I i ----, í --j I I ---- --.----i ~=\ _--1 ¡ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E)(PIRATION DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TO MA!L ~ DAYS WRITTEN NOTiCE TO THE CERTIFICATE HOLDER NAMED TO THE L.!:Fi, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 06LIGATtON OR UABJU7Y City of Santa Ana 20 civic Center Plaza Santa Ana, CA 92701 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) FAX: (714)571-4209 IMCORD CORPORATION 1988