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<br />, ACBRD_ <br /> <br />CERTIFICPe: OF LIABILITY INSU \NC~~~~l DA~E~~~~70)3 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PROOUCER <br />North American Ins Agency <br />A Div of Hilb,Rogal & H~ilton <br />P.O. Box 6700 <br />Rancho Cucamonga CA 91729 <br />Phone: 909-476-3300 Fax:909-484-5176 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />Kinkle Rodiger & Spriggs <br />3333 14th Street <br />Riverside CA 92501 <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />Golden Ea Ie Insurance Cor <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlley PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ TYPE OF INSURANCE POLICY NUMBER DATE"'/MM/DDlYYi' ,[?l-f~~~rJ~~N liMITS <br /> <br /> ~NERAl liABILITY EACH OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERAL LIABIliTY CBP9667121 02/28/03 02/28/04 FIRE DAMAGE (Any one fire) $100,000 <br /> l CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5, 000 <br /> - PERSONAL & ADV INJURY $ EXCLUDED <br /> - GENERAL AGGREGATE $2,000,000 <br /> h'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $ 2,000,000 <br /> POLICY j~T LOC <br /> ~TOMOBllE liABIliTY COMBINED SINGLE LIMIT $1,000,000 <br />A I--- ANY AUTO CBP9667121 02/28/03 02/28/04 (Eaaccidenl) <br /> '-- ALL OWNED AUTOS BODfL Y INJURY <br /> $ <br /> '-- SCHEDULED AUTOS (Per person) <br /> ~ HIRED AUTOS BODILY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Per accident) <br /> '-- PROPERTY DAMAGE $ <br /> (Peraccidenl) <br /> RRAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY' AGG $ <br /> EXCESS liABIliTY EACH OCCURRENCE $ 5,000,000 <br />A tfj OCCUR D CLAIMS MADE CU9662824 02/28/03 02/28/04 AGGREGATE $5,000,000 <br /> :' )'{ )R~,<l $ <br /> ~ DEDUCTIBLE f,'.; :C, () \ '< $ <br /> , <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AND '~"'J.L I TORY LIMITS I IO~~- <br /> EMPLOYERS' UABllITY . . .13 ;-- - - _.,--_._--'--~' <br /> \7(': E.L. EACH ACCIDENT $ <br /> E.L. DISEASE. EA EMPLOYE $ <br /> Lki~ .',y , :" ill',1 ;, Ijl~Y <br /> E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> <br />DESCRIPTION OF OPERATlONS/lOCATIONSNEHIClESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />With regards to the Santa Ana Office of the named insured, The City of Santa <br />Ana,its officers,&employees are named as additional insured. *Except 10 Days <br />Notice of Cancellation for Non-Payment of Premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />I y -T ADDITIONAL INSURED; INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />SANTAN2 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBliGATION OR liABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES, ~ ~ <br /> <br />/7"v .d... J / ........~ J. <br />Linda Burns l..,,;', - ~" <br /> <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />, <br />ACORD 25-S (7/97) <br /> <br />, <br /> <br />@ACORDCORPORATION 1988 <br />