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12- 13 -'04 12:38 FROM- ALL -CAL INSURANCE 9167840158 <br />T -358 P002/007 F -682 <br />DATE ACOR . CERTIFICATE OF LIABILITY INSURANCE 12 /1 M1 2004 <br />12/13/2004 <br />PRODUCER (916) 784 -9070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UPON THE CERTIFICATE <br />ONLY AS All -Cal Insurance Agency � L THIS CONFE <br />SOCERT FICAOTE RIGHTS DOES NOT AMEND, EXTEND OR <br />801 Riverside Avenue $105 j� ALTER THE COVERAGE AFFORDED Y THE POLICIES BELOW. <br />Attn: Beverly A ��''Lt U <br />Roseville CA 95678- INSURERS AFFORDING COVERAGE NAIC0 <br />INSURED W6URERAN0N PROFITS INS ALLI CE A VI <br />California Hispanic Commission on Alcohol WsURENR:NORTH AMERICAN ELITE NS. <br />and Drug Abuse Prevention I ERG: <br />2101 Capitol Avenue WSURPR D: <br />Sacramento CA 95816- INSUReae <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN) <br />REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />AGGREGATE L <br />ROD' P <br />LIMITS SHOWN MAY HAVE BEEN R <br />REDUCED BY PAID GLAIME. <br />POLICT EPPECrlvE p <br />ppIJOY EXPIRATION L <br />LIMITS <br />• X <br />X G <br />GENERAL LIABILITY / <br />2004 -03026 1 <br />/ / / <br />/ / - <br />C <br />,000, <br />-EACH GOE C <br />, <br />MEo ExF (Any one enan) $ <br />$ 5,OC <br />P RSONAL &ADV INJURY S <br />S 1,000,0C <br />X EMPLOYEE RENIFIT6 / <br />G RALAGORE ATE f <br />f _2, 000, 0 <br />/ / / <br />/ % G <br />ANABELL BATES <br />CITY OF SANTA ANA <br />P.O. BOX 1988 M -73 <br />20 CIVIC CENTER PLAZA <br />INS025(we).05 <br />SHOULD ANY OF THE ABOVE DESCHIBBD POLICIES BB CANCELLED BEFORE TH <br />EXPIRATION DATE THIREOF• THE ISSUING INSURER MALL X)a% 0)0(.KO( MAI <br />30 DATE WRITTEN NOTICE TO THE CERTIFICATE HOLDER mmau TO THE LEFT, 10 <br />ELECTRONIC LASER FORMS. <br />YP AGUHU L V LTPUf(A I IUN l' <br />Pepe 1 <br />