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�c:c��.y CERTIFICATE OF LIABILITY INSURANCE <br />PRODU LR (949)709 -8800 FAX (949)709 -1668 T'wc .- �.,r,.- .,..__. __ <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 92688 <br />INSURED America on Track, Inc. <br />dba: Orange County On Track <br />P.O. BOX 4141 <br />Tustin, CA 92781 -4141 <br />INSURERS AFFORDING COVERAGE <br />INSURERA NONPROFITS' <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />DATE WWDOryyyy <br />1 09/03/2004 <br />A MATTER OF INFORMATION <br />UPON THE CERTIFICATE <br />S NOTAMEND, EXTEND OR <br />-D BY THE POLICIES BELOW. <br />NAIC # <br />:E ALLIANCE F rA <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC NOTWITHSTANDING <br />ATED. NOTWITHSTATA <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED <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 />R D' <br />TYPE OF INSIIR_ <br />GENERAL LIABILITY <br />we erEECTIVE <br />POUCY EXPIRATON <br />X COMMERCIAL GENERAL LIABILITY <br />2004- 06180 -NPO 09/01/2004 <br />09/01/2005 EACHOCCURRENCE uMRB <br />$ 1 <br />CLAIMS MADE a OCCUR <br />DAMAGE TO RENTED <br />A <br />$ <br />MED EXP (Any orle ,) $ <br />PERSONAL 6 ADV INJURY S 1 <br />GENT AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ <br />POLICY PRO <br />JECT X LOC <br />1 <br />PRODUCTS - COMP /OP qGG $ <br />AUTOMOBILE LIABIIJTY <br />1 <br />X ANY AUTO <br />2004- 06180 -NPO 09/01/2004 <br />09/01/2005 <br />(E.. AdIBI�NEeMSINGLE LIMIT <br />ALL OWNED AUTOS <br />) $ <br />A SCHEDULEDAUTOS <br />1 <br />BODILY INJURY <br />HIRED AUTOS <br />(Par person) E <br />NON-OWNED AUTOS <br />BODILY INJURY <br />(Peracr w) $ <br />GARAGE LIABILITY <br />(PrPc „DAMAGE $ <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC S <br />EXCESSAIMBRELLA LIABILITY <br />AUTO ONLY: <br />OCCUR CLAIMS MADE <br />AGG $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DEDUCTIBLE <br />_L I r" N I ION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEIVEXECUTIVE <br />OFFICERPAEMBER EXCLUDED? <br />OTHER <br />IIESCRIPTgN OF OPERATIONS / LOCATIONS I VEHICLES <br />ERTIFICATE HOLDER IS NAMED AS <br />XCEPT 10 DAYS FOR NON- PAYMENT <br />CITY OF SANTA ANA, ITS OFFICERS <br />EMPLOYEES, AGENTS AND VOLUNTEERS <br />20 CIVIC CENTER PLAZA M -25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />I ORD 25 (2001!88) <br />E.L. EACH ACCIDENT <br />E.L DISEASE - EA EMF <br />E.L. DISEASE - POLICY <br />IAL CITY ENDORSEMENT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL I'XJ6YJFX MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />�, lo-> �xaclar�xsawcxxgaaa�xxawcXxrwx�N r>�axa�x <br />AUTHORIZED REPRESENTATIVE .......'.- <br />Richard Eynon CIC /JEREMY�>Z <br />©ACORD CORPORATION 1988 <br />