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<br />. <br /> <br />REVISED CERTIFICATE <br />CERTIFICA T1W\F INSURANCE .. ISSUEDATE(MMID~. <br />. .,., 4/18/91 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ! <br />CONFERS NO RIGHTS UPON THE CEBTlflCA TE HOLDER. THIS CERTIFICATE I <br />DOES NOT AMEND, EXTEND OR AL Tt!ATHE COVERAGE AFFORDED BY THE I <br />POLICIES BELOW...-.-j <br /> <br /> <br />A4I~41.ltIt. <br /> <br />PRODUCER <br /> <br />JAMES H MYERS <br />4620 ARLINGTON <br />RIVERSIDE, CA <br /> <br />AVE <br />92504 <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />f~T~~NY A <br /> <br />FIREMANS FUND INS CO <br /> <br />INSURED <br /> <br />E~T~~~NY B <br /> <br />KINKLE, RODIGER & SPRIGGS <br />3801 UNIVERSITY AVE., SUITE 700 <br />RIVERSIDE, CA 92501 <br /> <br />C~~~NY C <br /> <br />E~T~~~NY D <br /> <br />f~T~~NY E <br /> <br />COVERAGES <br /> <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />! <br />'CO <br />!L TR TYPE OF INSURANCE <br />......_---~-'._..._._----_. <br /> <br />POLICY NUMBER <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE (MMIDDNY) DATE (MMIDDfYY) <br /> <br />LIMITS <br /> <br />i <br />'A <br />I <br />i <br />I <br />I <br />I <br />I <br />j <br />IA <br />i <br /> <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X OCCUR. 293ABC80356153 <br />OWNER'S & CONTRACTOR'S PROTo <br /> <br />1/28/91 <br /> <br />1/28/92 <br /> <br />GENERAL AGGREGATE $ 1, 000, 000 <br />PRODUCTS-COMPJOP AGG. $ 1, 000, 000 <br />PERSONAL & ADV. INJURY $ 1, 000, 000 <br />EACH OCCURRENCE $ 1, 000,000 <br />FIRE DAMAGE (Anyone fire) S 50,000 <br />MED, EXPENSE (Anyone person) S 5, 000 <br /> <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON.OWNED AUTOS <br />GARAGE LIABILITY <br /> <br />COMBINED SINGLE <br />LIMIT <br /> <br />$1,000,000 <br /> <br />293ABC80356153 <br /> <br />1/28/91 <br /> <br />1/28/92 <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />$ <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />$ <br /> <br />PROPERTY DAMAGE <br /> <br />$ <br /> <br />L,,_._.._.,_....__.... ~.~___.__~.. <br />; EXCESS LIABILITY <br />, <br />A X UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br /> <br />XEK2079241 <br /> <br />1/28/91 <br /> <br />1/28/92 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />$ 20,000,000 <br />$ 20,000,000 <br /> <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br /> <br />STATUTORY LIMITS <br />EACH ACCIDENT S <br />DISEASE-POLICY LIMIT S <br />DISEASE-EACH EMPLOYEE $ <br /> <br />7--~~'-'-'-_._-,.._-~'_._.._-_.~_.,."'~~_.._._.._-,._.~.-----. <br /> <br />OTHER <br /> <br />1---~-"._'--_.--- .~-~,--_._...._"'.._-_....."_.,,_.__.._...- .._"....,-_._~~~~--"'..-~.._... . - '-""'.'''_'''''-'-.-''''---' <br />! DESCRIPTION OF OPERATlONS/LOCATIONS/VEHICLESJSPECIAL ITEMS <br />LAW OFFICES - LOCATION - 837 NORTH. .ROSS ST., SANTA ANA, CA 92701 <br />CITY OF SANTA ANA IS NAMED AS ~pIT10NAL INSURED AS RESPECTS POLICY #293ABC80356153. <br /> <br />,----,_.. '~"." ~""~-." <br />CERTIFICATE HOLDER <br /> <br />. "__r ._",'~""' _._~_ ,...~.._~__,,~".... ____. . <br />CANCELLATION <br /> <br />CITY OF SANTA ANA <br />POBOX 1988 <br />SANTA ANA, CA 92702 <br />ATTN: EDWARD J COOPER <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO M SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND U N THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> <br />ACORD 25-S (7/90) <br /> <br /> <br />JAMES H <br /> <br />1-/ <br /> <br />