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<br />,.OoUCER (714)53~-~OB6 <br />Bannister , ~5oeiates <br />L1c~se '0691071 <br />30S 17th 51;r..t <br />Huntington Baach, CA 9Z641-4ZD9 <br />1..Ul<EO Roger "auo., PUD!'C Anall"S ;tIC. a t:A O;lrp <br />dba: Waters & Faubel ,4- \~~,I;_I"C <br />Z5 Orchard , ~ ~ <br />lak~ ~orQ;t, CA '2&10 <br /> <br />nO' UAIIlUT't <br />~PlffAlJrn <br /> <br />P<:"~1ltU l.IAllIU'n' <br />:!l ODCUS 0 Dl.ioIMS_' <br /> <br />Tl DlOUC'TleL! <br />"H 1lrn>rJ10N . <br />WCru<ERs coMIIIAI!JATIOIl ANti <br />tllP\.OW\I' \WIIUI'l' <br />,,~ P~QPfU!TOPWARTN~UTM; <br />QFFICI!WiMlli~ I9Ct~lJO&O"l' <br />If...,~'''''l.,,,,. <br />jpEClAt fIIRDVIll0N8 hetl'W <br /> <br />~~~Qssiona' Liabilit~ <br />B <br /> <br />I <br />::r;m;>~l)t;.1 1.:: <br />E.\.iAQi~OI!'T . <br />1\.OillWIi'io\-'~ . <br />e:.l.OI~."OUCYLlUlT I <br />$1.000,000 deh c:laim <br />51,000,000 .nnuiLl illllragate ' <br />inCluding claims exDanse <br />lIjI3CJWIlllIIo.QPI...11D..../LC1:41\.DLl.,V~/IXCI~_APPEP1!~~I.I'IlCIol.,,~ <br />10~.ay notica of canCallat10n TOr nOft-payment,tnl, notice Wlll be 5en~ in tha Ivent of companY alec~1on <br />The City uf Santa Ana, its off1eer~. alllftts. Peprl!lSantatives. voluntalr$ and emplOyaas are named as <br />additional insureU as r.sp.cts &.n.r.l liability. <br />Primary Mlrcling includlld pl!r IIllner'al l1abil h:y cOV1lragl! form 952001 049 <br />..ivsr af 5ubrDgation ~doremen~ applies 10 be iS5~l!d by the carrier. <br /> <br />A <br /> <br />A <br /> <br />i"l <br />I <br /> <br />! I: I <br />! .: <br /> <br />~7/071?004 10:34 FAk 714 53S 4054 <br /> <br />Bannistlr & Assoc. Ins. <br /> <br />III 002/003 <br /> <br />ACQRQ. <br /> <br />I g~TB 1~"'1J/nYT) i' <br />07101/2004 <br />THIS CERTIFICATE IS ISSUED AI A M"nER Of'1"FORMATION , <br />ONLY AND CDNFl!1UI NO RIGHTS UPON THE CIIRTII'ICATE I <br />t1ClJ.~.ER, TH~_C~RllFlllA11I DCE_O NOT AMIND, EXTEliIl OR <br />"Ln'ftTt1~CUVI!!IUUa~ ,~, I .I!!L.OVY. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br />FAX (714) S3f -4054 <br />InsurancB AgBney, Inc. <br /> <br />, <br />INlIUFIIiRS AFI'ORCINIll COvE~GE <br />,..--.. Maryland t:a5walt'lt' ConIlilny <br />I>lGUrlli~.' Philadl!lDhia ;tnllllrarlCe 'ConirIanies <br />loaUI<ER Co :,. <br />INSUIIIR 0; <br />IhISU<Gll., <br /> <br />NAIC # <br /> <br />," I <br />1 <br /> <br />, I <br /> <br />, I <br />, <br /> <br />TH! ~OUCIEs OF INSURANCE LISTED BELOW HAVli a~s.lSSulC'rO T>-tE INsUMD NAMED ABOV! FOIt THI! POLIcY "'RJOC INDICATI!!. NO'TWffilSTANDlt+ <br />ANY REQUIRliMiNT, nlUol gRCONPITlON OF AN'( CONTAACT ~ OTH!~ DDClJMINTWTTH RESPIC'!' TO wHICH THIS ceRTIFICAT~ MAn" ISSUED OR <br />MAY "EIlTAIN. THi INSURANCE ""FORDED BV THI POLlClES DESC~laEC HiRElN IQSUIl.J!CT TeAU. THIITERMll. Sl<Cl.USION.ll AND CONClflON.lI OF SUCH <br />I'pLtCIES, AOGltiOATe UMIT1I8HOWN w.... MIIIV! B~!!N REOUCEO B" PAlD~CLAlM/l. = <br />1'YJIW,o.tMJUMNCOe; f:lgU~NUIIBeR. ~EF ~ Ut.R11i <br />SEIlDw..IABlU'T'I' PPS 33413221 07/0 2004 0710112005 ~.~..E"CEI <br />K ClCIoAME~'A1. QINS"AI. ~IMIU"" TO oS <br />ICI.OI,.,.~g.OOOC<llJ~ ..!O!.ia',....".p....'J . <br />PER9ONALI.M1IlfIL/I,IlIY .s <br />lIIN1iR&l..AGGIlSGATE 5 <br />Pl<OOUl:Tl. ctlo\I'IllPOGCl I <br /> <br />- <br /> <br />GiN'L""'/<E<lAT! lI"'T""~ ..., <br />~' 'cI,';r"'i~:er I I Igo <br />0llTIIII0IIl\Iu.L.... <br />"""ANY-""'O <br />= AI..OW";OAUTOli <br />h:;- .a~UL.eD"UTC8 <br />X .....~D lIIUTOO <br />X NON_OWNS] AJJrQS <br />..;..;.. <br />- <br /> <br />~~ <br />~ <br />!xclu~ <br />Z .000 . 0JlDl <br />2 ODO.~ <br /> <br />PI'S U41UU 07/01/Z004 07/01{2oo5 COMIINED I-..E liMIT <br />Iii.",.,.",) <br /> <br />1 000 oilll <br /> <br />IOOILY INJlnlY <br />(PGirp.l'lcnl <br /> <br />I <br />I <br /> ~ <br />. , I <br />I " ii, <br />, , <br />, <br />. I <br />. 2.000.000 <br />I Z ooo.oliO <br />I <br />I <br /> <br />soal.YI...._ <br />ll'Wt09'''''1 <br /> <br />l?Ia~'y/P <br />/I <br /> <br />""""...'tYOAMME <br />(l'or_) , <br />AUTO C1M.T' -" ACOIDIIm' <br />eA_ <br /> <br />. <br />ru~ <br /> <br />""" <br /> <br />PPS U4UZ:Zl 07/01/2004 117101/Z00S <br /> <br />IACH O__C11 <br />.aO_TE <br /> <br /> <br /> <br />PHSPG&0366 07/:Zl/Z003 07/21/~004 <br /> <br />, j <br /> <br />Mn,n".. <br /> <br />" .__u <br /> <br />: 1 <br /> <br />, <br /> <br />City 01' Santa Ana <br />Public: Wgrks ^,In~y "-36 <br />1'0 BOll: l!lU <br />Santll Ana. CA 92702 <br /> <br />IHOUla.NYOn..u..M'...CIIlMII....IC'U..lWIClW.SDl__ I I <br />.-mNDA....THlIIWlI', TIIII..IIINn....om....L .....rll1llX-. i: <br />...1L ;,lTOIMtlTeJlNClTICITO TIlE_IEAT! HOLaU ,.....,.lllTlll!LDT. <br />...."..'nr:cr~"(Mr-nu~-""'"<<U <br /> <br />AllTHOIlI_.Jl"~'R\I! // lCIIXXXXX!' <br />( 7:. .<... r.~ ':';"'. .-' I <br /> <br />-mOJ, .'10:11 tODZ-ZI-AoN I <br /> <br />epg-, vOO/EOO'd 91Z-1 <br />