<br />P2/B7/2BB5 17:35 71454753B4
<br />02/02/2005 13:32 9494740499
<br />
<br />CITY OF SANTA ANA
<br />BRIAN RDBINSCI-I
<br />
<br />PAGE B2
<br />PAGE 01
<br />
<br />AC.1JBD.. CERTIFICATE OF LIABILITY INSURANCe
<br />TIllS ClillllFIGATE III I8IlJ~D All Mil O~ INFORllAllOII
<br />OILY llND cOHFl!IllI NO IIIClHTlI UI'OIII TIlE QEIITI1'1ClATE
<br />MOLD.'" 1H\$ cEII1IFICA'11! DOES NOT llMEllD. 1!Il.'IENII llII
<br />llL'mI T & ocW!lll . AFFlIIIDEIl BY till 0UCI1i1i NJ,.OW,
<br />
<br />
<br />0." ~I'I'I'I
<br />2-2 OS
<br />
<br />_UCIII
<br />PHIL1P s, ROaINSON INSURANCE
<br />2061 BUSINESS CENTER DR. # 200
<br />LHVlNE, CA 92G12 9491719300
<br />
<br />INBURI!JlS AFf'OIl1JING llOVII"......
<br />
<br />--...---..-...-.--
<br />
<br />~.~k.AMER~CAN STATES INSURANCi co.
<br />~ II:PHIJr!z>.DEL~llIA I,IlIPEMNITY INS cO.
<br />NlIJIIE!I c, .' ,,'
<br />!!!LUi!A- .
<br />
<br />
<br />-
<br />MORSLAND & ASSOCIATES
<br />1201 DOVE ST # 660
<br />Nll:Wi'01'.T B!i:p.CIl, CA 92660
<br />2
<br />All..
<br />110lE l'OOa!ll 01' lNalMNCE UlIIClll'iLOW MAVi _ lUllED 1ll1"~ MU_ ......~ _t roM 'II'. I'llua. - IN""'-\'mI. NmwllMlTANDlNr*
<br />Ntt II!QllIMillENT. TIRol OI! OQIIDmON OF ANY CQNllWlT OIl cnHEA CCCUMENf WlTM RESm:T 10 WHICH 1l1IlI OERllI'ICATO tN.Y 1& IIIUID 011
<br />IIAY I'!Il'I'AIN, '!HE INlUft,t,NOi AFFllIlDED IY 'lME pouDIEII CE8O!IIII!C KERE1N IS SUBJECT TO All110lE lERIlS. !:XCWOIOHS 1IiD OOHDmCNll C~ 8lJCH
<br />I'OUQIII. Milo........ 1I1lITR R~1lllMII MAY HAV1! a!!eN Il!tl\lCEtl III ~ND Clo\IMII.
<br />_'" ""... . . .......' ,.- II'P I \NIl ,-
<br />-"~II_. :8076 1C;! 3-26-05 r-'~""--. .~l., OQO.d!l
<br />A iY~1otMRW- Oe&IUL UA1lU1Y """ ./\MoI\!E -... 1;000 , 000
<br />~!M1lE [{] 1lCWl 0I!lI Elf' r~,,""'''- ,.1,0 1000.
<br />~UIVIIWIIr .1,000,000
<br />J;:BL-- GIll~" .20DO-OOO
<br />_--- AtPROVED S TO FO. INlmH_oTPAoia1 !l00, 00
<br />
<br />
<br />(\
<br />
<br />
<br />: autOYODU LM81JT1'
<br />"",AU1ll
<br />....0WIlEll1llllllll
<br />. !104mlLIlI A1iTO!
<br />
<br />0:2~07698HI
<br />
<br />
<br />'-
<br /> ., ,000,000
<br /> 8l'JDI\..Y~ .
<br /> II"'..",~
<br /> MCILYfN.IJtY' I
<br /> (1'1I-
<br /> i'l!Clf'!I'1YD"""'" .
<br /> ~II_-
<br /> .If.Jm ot!-y.. T I
<br /> .1HfH Ell lICe .
<br /> ONI.:r. ~ .
<br /> IAC~ Q~ .1
<br />3-;/6-04 3-26-05 '~-''11 .1
<br />
<br />--
<br />_Nl~
<br />
<br />~~I~~
<br />~CIH .
<br />....__.._ Alii
<br />-- ........
<br />
<br />.J
<br />
<br />
<br />
<br />_..-rrr
<br />AlIJalXlUR OQ.....- 01CTOOlf.l99
<br />
<br />A
<br />
<br />OHICO 7275
<br />
<br />4-1-0
<br />
<br />4-1-05
<br />
<br />&l ""
<br />iJ.D_,.!I._~
<br />13.L. DIIiPSI .
<br />
<br />.1,QOO,OQO
<br />11 000,! ODD
<br />1 000 000
<br />
<br />-
<br />
<br />I! PROFEf3DJ:ONAL HSP094821 4 1. 04
<br />. H ...,." 011 0IeA'fIMIIU]e1~1II~'- II't ftIOaIIl",UlkW. '"......
<br />CPA * Ir CANCELED fOR NONPAYMENT 10 DAY NOTICE WILL BE GIVEN
<br />
<br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH LIABILITY LIMITED TO
<br />CLAIMS ARISJ:NG OU~ OF TK~ INSUREDS OPERATIONS ONLY
<br />
<br />
<br />;jl 000 000
<br />
<br />....,,-,. -
<br />t;J.'L'X 0 SA 11 MIA
<br />20 eIVIC CENTER ~LAZA
<br />SANTA ANA, CA 92701
<br />
<br />
<br />.
<br />
<br />OANO :JlO1I
<br />OlUlNto.., D111111. AIICftIII M~.1ftIII1dJCIM II CAMC8LID ~l,........,..
<br />DlIIIE ......1 'ftfI .... ....... lIIU. r-'" ., _II. .3.0..- Daft ..,."..
<br />lIO'IICl.m~ ~.,.,.. ~1O'ftIIII UPl', ~ .__............mu..
<br />1Iir__.... __.:_~..,' __....., - "'no _._ _~ ..... _JUL.. j.. -.....,. -.
<br />
<br />..AM _..__.-A:.
<br />AU1ltOR_ ~_A_
<br />
<br />_ ..__ ...........a...AU ...
<br />
|