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DATE (MM/oOTT <br />Andreini & Company <br />300 Esplanade, Suite 100 <br />Oxnard, CA 93030 <br />(805)981 9585 F•(805 981 0161 <br />THIS CERTIFICATE IS ISSUED AS A MAI <br />ONLY AND CONFERS NO RIGHTS UPI <br />HOLDER. THIS CERTIFICATE DOES NOT <br />EXTEND OR <br />• ) — COMPANY <br />A PHILADELPHIA INDEMNITY INS CO <br />INSURED <br />A � -�'L- (� � COP4NVY <br />ORANGE COUNTY CONSERVATION �._�U� B STATE COMPENSATION INS FUND <br />CORPS FAX NO. 1 (714)-956-1!4 COMPANY <br />700 N. VALLEY STREET, STE. AB C <br />ANAHEIM CA 92801 COMPANY <br />D <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, TERM 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 />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MWDD/Y1T <br />POLICY IMRA71ON <br />DATE (NIMDWYN) <br />LIARS <br />A <br />GonI <br />LABBlTY <br />COMMERCIAL GENERAL LABILDY <br />CLAIMS MADE ® OCCUR <br />OWNER'S & CONTRACTORS PROT <br />-- <br />PHPKOMZG <br />07/20/04 <br />07/20/05 <br />GENERAL AGGREGATE <br />S <br />PRODUCTS - COMPIOP AGO <br />S <br />PERSONAS ADV INJURY <br />S <br />EACH OCCURRENCE <br />$ <br />FIRE DAMAGE (My we %) <br />3 lop <br />MED EXP I ma non) <br />S 5.01111 <br />A <br />AUTOYDBEi <br />LABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PHPKOBN26 <br />07/20/04 <br />07/20/05 <br />COMBINED SINGLE LIMIT <br />31,OOD,000 <br />BOO LY INJURY <br />(PN(IWfWnJ <br />3 <br />RODLY INJURY <br />(Per Ecctlenq <br />S <br />PROPERTY DAMAGE S <br />GARAGE WBRITY AUTO ONLY - FA ACCIDENT 3 <br />—1 ANY AUTO OTHER THAN AUTO ONLY! <br />AGGREGATE 13 <br />HB LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />B WGRNEASCOMPBILTTY AMU <br />eMFLGrmff ullaum 46-14482.04 07/01/04 07/01/05 TWTLAPNEs I ER <br />EL EACH ACCIDENT S <br />THE PROPRIETOR) INCL EL DISEASE - POLICY LIMB $ <br />PARTFFAREXECUTIVE <br />OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ <br />OTHER <br />A AUTO PHYSICAL PHPKOM28 07/20/04 07/20/05 DEDUCTIBLE I,= COMP <br />DAMAGE DEDUCTIBLE 1,000 COLL <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 />CITY OF SANTA ANA <br />ATTN:ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA CA 92701 <br />SHOULD ANY OF WE ABOVE DESCRIBED POLICED BE CANCEr,rh BEFORE THE <br />EXPIIATpN DATE THEREOF, WE ISSUING COMPANY WILL X%WAMKM MAIL <br />•30 oAYB wRRTEFI NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED <br />