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<br />. <br />PRODUCER <br />ISU Treadway Insurance <br />License #0812705 . <br />5225 Canyon Crest Dr., <br />Riverside CA 92507 <br /> <br />INSUR~~S<;E~IFICATE IAEO AS:!~~::OF INFO:J1Zi~~;~ <br /> <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLOER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />~.. COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY <br />A Commercial Union Insurance Co. <br /> <br />.. A..~.ltl.. <br /> <br />CERTIFICAW OF <br /> <br />Service <br /> <br />Ste 411 <br /> <br />909-788-2000 <br />INSURED <br /> <br />KINKLE, RODIGER AND SPRIGGS <br />A Professional Corporation <br />3333 14th Street <br />Riverside CA 92501 <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br />I~ COM~ANY <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 />CO <br />LT. <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />GENERAL LIABILITY <br />c- <br />A X COMMERCIAL GENERAL LIABILITY FALP 13694 2 <br />I CLAIMS MADE [!] OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br /> <br />- <br /> <br />~TOMOBILE LIABILITY <br />ANY AUTO <br /> <br />FALP 13694 2 <br /> <br />- <br />- <br />- <br />A~ <br />~ <br /> <br />- <br /> <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON.OWNED AUTOS <br /> <br />~RAGE LIABILITY <br />_ ANY AUTO <br /> <br />-- <br /> <br />EXCESS LIABILITY <br /> <br />4-UMBRELLA FORM <br /> <br />~ OTHER THAN UMBRELLA FORM <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />THE PROPRIETOR! <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />OTHER <br /> <br />R'NCL <br />EXCL <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> <br />Verification of Insurance <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />P. O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />ACORD Z5-S (3193) <br /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE IMMfDD!YYI DATE (MM/DD!YYI <br /> <br />LIMITS <br /> <br />02/28/98 <br /> <br /> GENERAL AGGREGATE ,2,000,000 <br />02/28/99 PRODUCTS - COMP!OP AGG ,2,000,000 <br /> PERSONAL & ADV INJURY ,1,000,000 <br /> EACH OCCURRENCE '1,000,000 <br /> FIRE DAMAGE (Anyone fire) $ 500,000 <br /> MED EXP (Anyone person) , 5,000 <br />02/28/99 COMBINED SINGLE LIMIT ,1,000,000 <br /> BODILY INJURY , <br /> {Per person) <br /> BODilY INJURY , <br /> IPeraccident) <br /> PROPERTY DAMAGE $ <br /> AUTO ONLY - EA ACCIDENT , <br /> OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT , <br /> AGGREGATE , <br /> EACH OCCURRENCE $ <br /> AGGREGATE , <br /> , <br /> I STATUTORY L1~,'ITS <br /> EACH ACCIDENT $ <br /> DISEASE. POLICY LIMIT $ <br /> DISEASE - EACH EMPLOYEE , <br /> <br />02/28/98 <br /> <br />CANCELLATION <br /> <br />CITYSA1 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE" <br /> <br />. ~,,-c4-H.. . ~ lkv,",-'l.>",.., <br />\) 'J @ ACORD CORPORATION 1993 <br />