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<br />, ACeRD. <br /> <br />CERTIFIC" OF LIABILITY INSU \NC~~i~l DA~E~~:";7013 <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 />PRODUCER <br />North American Ins Agency <br />A Div of Hi1b,Roga1 & Hamilton <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 />Kinkle Rodiger & Spriggs <br />3333 14th SEreet <br />Riverside CA 92501 <br /> <br />INSURER A: <br />INSURER B: <br />INSURER c: <br />INSURER D: <br />INSURER E: <br /> <br />Golden Ea Ie Insurance Cor <br /> <br />INSURED <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 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 />'~l: TYPE OF INSURANCE POLICY NUMBER DATE"'(MM/DDIYY D.kfi~~rJ\f~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> r- 02/28/03 02/28/04 $100,000 <br />A X COMMERCIAL GENERAL LIABILITY CBP9667121 FIRE DAMAGE (Anyone fire) <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5.000 <br /> I-- PERSONAL & ADV INJURY $ EXCLUDED <br /> I- GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> II ,nPRO- n <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br />A ANY AUTO CBP9667121 02/28/03 02/28/04 (Eaaccident) <br />- <br /> ALL OWNED AUTOS BODilY INJURY <br /> - $ <br /> SCHEDULED AUTOS {Per person) <br /> - <br /> ~ HIRED AUTOS BODilY INJURY <br /> $ <br /> ~ NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABilITY EACH OCCURRENCE $ 5, 000, 000 <br />A ~ OCCUR D CLAIMS MADE CU9662824 02/28/03 02/28/04 AGGREGATE $ 5, 000, 000 <br /> , {)R[\/\ $ <br /> ~ ~EDUCTIBLE !\ ',';" ;Z()' ,. $ <br /> , <br /> X RETENTION $10,000 $ <br /> WORKERS COMPENSATION AND 'j!!ji JJ.L' I TORY LIMITS I IU~Ii'- <br /> EMPLOYERS' LIABILITY ,.C:-i-_u, - -" ,., ~,---"-~~" <br /> E.l. EACH ACCIDENT $ <br /> ',I" h._ '.. , il,' <br /> '.-'.'" E.l. DISEASE - EA EMPLOYEE $ <br /> Lk; ,I',;> .. 1\ ,\ t i.\,\[ nl~Y <br /> E.L DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATlONS/lOCATION$NEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTfSPECIAl PROV1SIONS <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 />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SANTAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA110 <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CER11FICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> P.O.Box 1988 REPRESENTATIVES. A ./'? <br /> Santa Ana CA 92702 ~ _..?. / ~ <br /> , Linda Burns ".--7 <br />ACORD 25.S 7/97 , , <br /> <br />@ACORDCORPORATION 1988 <br />