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<br />. 06lo.:!/2004 lQ:02 FAX 4U5417108
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<br />ACORDIA OF CA
<br />
<br />141002
<br />
<br /> CERTIFICATE OF INSURANCE JSSUE O-'TE:
<br /> 6/2/2004
<br />PRODUCiR:. nus ("U:r1l1C1\Ti 15 JSi51m) ~ ^ MAl J'~ (lP lNro1\M^TW:N OI-lL.r ANtI' CQNFtW. NO lUCri.' 15
<br /> tJl'QN'THf CE'R'MfJCI\11! HOLD:eR. Ttfl8 CERTIFlCATl! DOES NOT AM.ENO. EXTP,NI] on AL1"mt
<br /> OTKI!J. CDVIIACS AFFOR01Dlll"l nm I'ClUClIS kl:iLOW.
<br /> ACORDIA OF CALIfORNIA INSUftAr-lCE SERVICfS, INC. COMPANIES AFFOaDINC COVIiRACE
<br /> ~5 FREMONT STREET. SUITE ~OO COJo1PANY Everut IndemnitY Insurance CQmpany
<br /> SAN FRANCISCO, CA 94105 uCi:NSE NO_ -0352275 L:rmR ^
<br /> 4'U'5.5L1.7900 COMPANY Hanford FIre In5\Jf.,.,ce Compa.ny
<br /> LJ:;-rJ'~B
<br />JNSURJ;lJ; k ,290.3 - ;A;;ls COMI'ANY Zu:r;ch Ameriean Insurance Company
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<br /> Abl. Building M.!Iintenance Company. Inc. C;OMF.....NY Federal Insurance Company
<br /> L,nrS1(lJ
<br /> 2601 SOUlh Fillueroe S,r.." Mail S,op R'H299 COMf'I\N\'
<br /> LlT!ER Ii
<br /> Los Angele. CA 90007
<br /> ",". COVERAGESANDLThnT~
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<br />'1'.I{)S 18 TO cntrmY nIJ!.'J' '!'HE 'JIQIlCIl!S m lNsuNl\Na: Ll.,r;T'O.O B!LOW HAVE BP.RN UNUtD TO nu JNSUJ.eUl NM.4P.n I\nnvrr. Fell!. THE PCJLICY .l'iR1on lNDIUTlitl,
<br />NonvIr.HSTANI'JNC AN"i QQtll&l;';M~NT. 'l"l!.lU-I cmCC'lNomON o~ ^!orV CONnV.Cr UR orHe: tx.."lC'UMRN'T WITH 1t5PI!L'TTO WH.lC1-l TlnSCll'll.T1FICA'n! MAY 1loJ::: lSSuSD Ole MAy
<br />PERTAIN. TH2 rNSURANCl!MJ'01Wl:iU IN TH'I'. 'POUCZS UI!SCNUI2,O l-T'I?R.F.JN lS S1JtII!CI 1'0 At..L '(HF. TP.R.M5. 1iXCLUSlONS ANt) CONL'lJ'nO~'S OP .;ucn "F'OllClt!5. u,"w13 SHOwN Jo,l^ Y
<br />l!AV!: ewl.N WiOUao 1"1' PAm C1.AD-tS.
<br />CD. TYPI! or INSUJANC.t:: roWl"l' NOMllD ro[J(.""I'n~, POUC'I U", DI!SCI<ll'1l<lN UMCJ'S
<br />U1\ DAlli UAl'f
<br /> GIN~RAL LlA8IUT'Y' CEN"E',RAL ACCIUiG..,:n . 2,000,000
<br />A 0 COMM. CEN1!R.A t LlA.1I. 61 GLOOO501-041 04101/04 04101/05 PJm1)..OJMPJor AGe;. . 1,000,000
<br /> 0 CLAI~ MAD!. 'P1'.RS.r. AOV. D'>:)'tJRY . 1.000,000
<br /> 0 cx::cuP.It!NCE MeH OccunRENC1:i . 1,000,000
<br /> o ()trIINnll'S,,*CON11(AC'TS'IIRQT fW DAMAGI::: tOile' Phr,) . 50,000
<br /> ~ r9I'RUJJ:::CthCC1\1l'..cAn:. MI:::L'JICA r. EX'Fl'N5F. (One FlItJCIn) . Exclud.d
<br /> AuIOMOSn.-e:T.1AJlD..II"t
<br />B 0 ,ANY AUTO C;:QMI!oI!>,j''llD 51NGt.E UMlT . 1 .000,000
<br /> II] ALL owmc AU10S DOOIVtlNJUKyal.rrPto'iQI'l
<br /> D ~~tJUDAU"i'OS 57UENUP6665 07/20/03 07/20104 BO'DtL'l tNJI.JX'l' (1'-"1' MCI.:lllnr)
<br /> [D HIREt)....1Jrt;E I'WI'.I:!J\H lJAMi\GP.
<br /> [D NON..()WNEl)AOT05 ~1l:..(lJC)\L P'l\.y
<br /> 0 GAKAGEUf\un.m LI NINS1.ITU:.nfUN'n1!RIN5UIl.ED
<br /> ""OrOUll'S
<br /> EXQ.$, ......~It.[l'V JiACH. OO:UR.RFNCF. . 1,000.000
<br />D G:J l,JMIlR'P.r.T..AJC1\M 79!l20671 04/01104 04/01/05 ^G(,RF.Gi\'T'P. , 1,000,000
<br /> o omrJt'n1l\tol UMBTI'P.TI.A'F01\M
<br /> "'O~KEIlS' c:(1hl1'DNSATlON CA: 04101104 04/01105 ~ S'TATUTQ1WUMrrs
<br />C AND WC1l29826701 fACH. ACCIDENT . 1.000,000
<br /> E'rtfPT.oyo'S I..l^llnJIY AU O,her States: ulS'l:i.A5E- POUO' 1.TMII' , 1.000,000
<br /> WCB29B25B01 04/01104 04/01/05 DlS2ASE. f.r-CIT'[l).IJT'lOYI.I1 . 1,000,000
<br />DE5Cl<Jl'TION O~ OPERATI0N5/l.OCA110NSIVEHI=J5l'ECIJ\l..lr~MS.
<br />60 Civic C.nter Pial
<br />CitY of 58n~. Ana it! otficar:Ei, 8mplo...~es, _g_nu. volum"rI .end represl!!l1tltivu i1re named ilS Additlonallnsuf9'dlsl pSr'l:MI illtachld Il"ldefsemeM'(
<br />with rlliJl8c1:ii to th4 llibo..,..
<br />Subjact to '0 dil's "otln of c.ncellatlon ~or non-payment of p~mium.
<br /> r!/;,uo}j'w.Jd.;,! /ls
<br />NAMB ANO ADDRESS OF CIiR'rlYlCATE HOLDER, !I C^NCcl .J .A.TIDN:
<br /> Sl-fOUl..n M.,... (II" 'l'H); AIJO....1i Cl.a:;cJlJDII['I I'"Ol."-.l'!$ "li C^N~1...~ ~..'O~ "l.'H'i!
<br /> !::XI'UtATll,N i':lATfI. TlrP~RC)f.. THIl: lS&lJlN(.i o.1Ml"ANY WILL p..r>lCRhvon TO MAn.
<br /> 31) OA'W'S W1UlTf':N NOTICE. TO n-m CUiIllICAn: }iOL.OU N^MEO TO TIHi un,
<br />City of Santa Ana Polio" Department ltJ'TtrAIi,URB'fO ....1~1l..~\,I(;H Norl('P.!iJI....!.l.lMrOSl:NooeL1G^TI(lNOtt I.JAllH.rrr I
<br />60 Civic C.nt.r Plaza or ^NY KINO UroN THf(.'l)MF'/\(\'Y, 11'l1 ."CIlNNOR REI'1UiSDrrA.1"JV~.
<br />Santo Ana, CA 92701 ,
<br /> ^l.lTHORTZIm REnI:.SalTATN'! ,
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