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.ACORD CERTIFICATr- OF LIABILITY INSURAL.JE <br />DATE IMAVDD'YY) <br />_1A nc <br />S.D. HINES INS. SVS., INC. <br />3580 E. PACIFIC COAST HWY #8 <br />LONG BEACH CA 90804 <br />INSURED MA - 2005 -U-70, - <br />HOTLINE OF SOUTHERN CALIFORNIA VV <br />P.O. BOX 32 <br />LOS ALAMITOS, CA 90720 <br />COVERAGES <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 />INSURER C: <br />m <br />INSURERS AFFORDING COVERAGE <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. NOTWITHST. DING <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 />INSR <br />TYPO OF INSURANCE <br />POLICY NUMB[A <br />POLICY EFFECTIVE <br />GATE IIAWDONY) <br />POLICY EKPIRATION <br />DATE (M4VDUIYYl <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE, i 1000,000 <br />A�lx <br />COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (My w file) is 10,000 <br />CLAMS MADE ©OCCUR <br />PHPK097627 <br />11-26-04 <br />11-26-05 <br />MEG EXP(My maEvIm) <br />T 5,000 <br />PERSONAL B ADV INJURY <br />s 1,000,00( <br />GENERAL AGGREGATE <br />5 1, 000,00( <br />GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY nPR4 LOG <br />PRODUCTS - COMP,OP AGO <br />F_______- <br />AUTOMOBILE LIABILITY <br />my AUTO <br />COMBINED SINGLE LIMIT <br />1Ea ,CCginq <br />3 <br />BODILY INJURY <br />P., <br />---_—�_ -� <br />I s <br />ALL OWNED AUTOS <br />JSCHEDULED AUTOS <br />I HIRED AUTOS <br />F-� <br />NON -OWNED AUTOS <br />BODILY INJURY i <br />IPeI accganp <br />I�I <br />F— <br />PRCFERTY DAMAGE <br />(PAL aCc06n0 <br />-- <br />3 <br />GARAGE UABILRY <br />AUTO ONLY EA ACCIDENT <br />$ <br />ANY AUTO <br />EA ACC <br />OTHER THAN <br />�S <br />$ <br />� I <br />AUTO ONLY. <br />ADD <br />EACESS LIA BIUTY <br />OCCUR ClAU1S MADE <br />EACH OCCURRENCE <br />I. <br />AGGREGATE <br />_ <br />�I <br />D_DUCTIBLE <br />- RETENTION <br />WKS COMPENSATION AND <br />AS <br />V1 <br />s <br />_ <br />f <br />W STATU <br />LIMITS OTH <br />EIIPLOORERYERS' LIABILITY <br />. <br />.----�' <br />E L. EACH ACCIDENT <br />S <br />-- <br />iqiE.L. <br />Si!U :j <br />EL ity Anor�'A <br />C <br />EL DISEASE EA EMPLOYEE I <br />-- _- <br />S <br />3 <br />�- <br />OISEASE POLICY LIMIT <br />OTHM <br />DESCRIPTION OF OPERATIONSILOCATN)NS EHICLE&EXCLUSION7 ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED PER ATTACHED <br />ENDORSEMENT <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT <br />AGENCY M-25 <br />SANTA ANA, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE El➢6 Im <br />DATE THEREOF, THE ISSUING INSURER WILL YE/YBYAIIFEYA 30 DAYS w0.RTFJr <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KXALK'1XCXTXXKXNXN;g <br />�Jh�(�?(�BiA:i4liGKb�X.�{�+iXYXoS(X�}(cLXd{I�XTXcs{I�DS+}�aX TXsXAxX X➢d }G�r <br />�i�if3fBS�i3iEX <br />ACORD 25-5 (7197) <br />OACORD CORPORATION 1933 <br />