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<br />,c. 06 04: 35p
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<br />CorDax
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<br />949-442-8371
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<br />p.2
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<br /> ACORD~ CERTIFICA T~ OF LIABILITY IN5URAN'CE I DATE l/'JIMIDDIYYYY)
<br /> 10/31/2005
<br /> PRODUCER 949-829-6900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> PATRICK MCRAE INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br /> 1290 N HANCOCK ST STE 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> ANAHEIM, CA 92807 INAICII
<br /> I INSURERS AFFORDING COVERAGE .. -
<br /> _._-~.- . : INSUR~R ~!,HILADELPHIA INDEMNI1:Y INSURANCE ,
<br /> ,.,SUREO
<br /> -.
<br /> CORDAX, INC. ~~R~~_!,_
<br />I 8 CORPORATE PARK, SUITE 300 INSURER C: .
<br /> IRVINE, CA 92606 INSURER D: -. -...-
<br />j , INSURER ~;
<br />
<br />COVERAGES
<br />
<br />! THE POL../CIE"S OF INSURANCE UST'ED BELOW HAVE BEEN ISSUED TO THE INSURED NAM~D ABOVE FOR THe POLICY PERIOD INOlCATEO, NQiWITHSTANPING
<br />) ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMfNl WlTH 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 MA.Y HAVE BEEI>1 REDUCED BY PAID CLAIMS.
<br /> lNfgR ~~~ -I-~ P'p~1.~ EFFECTIVE Poi.:iCYEXPlRATION i
<br /> , POLlCYNUM8ER l.IMITS
<br /> GENERALLtA.BIU'N' i EACH OCCUR~e.NC.e:. . 1,Ooo,OOll_
<br /> A X I CQMMERCIAlGENER$<L1...\A8ILITl' PHBOP152850 09/18/2005 09/18/2006 ~MA.GElO-R",:~.l:_-:. . ._ 500,000
<br /> P~EMtSES lEa fl<<UfMu)
<br /> ~ CLAIMS MAO< 0 OCCUR I _~El? ~XP (An~ QlW.~n.on) . .. . 5.,OQQ...
<br /> I X BOP I PER50NAl&.AOVINJURI( . EXCLUDED
<br /> (..I - - i ~~N~_~_~"'.GGREGA"\"E " 2,OOO'~
<br /> ! GEN.LA.GGR~GA"!"e. LIMIT APnSPER: i PRODUCTS. COMNOP ~ :$ -.- 1.000,000
<br /> X pOUCY i ~~.; loe
<br /> ~ AUTOMOBtLe UA.B!Lll'Y I
<br /> : COMBThifDSlNGLE lIMIT I 1,000.000
<br /> A ANY AUTO PHBOP15280 09/18/2005 09/18/2006 (Eaaec:idenl)
<br /> - .---
<br /> ALL. OWN-EO AUTOS ! 5ODll..."t INJURY is
<br /> , .. ~ SCHWUL<OAlfTQS (Peq>&rsonl
<br /> , -
<br /> , X HIRED AUTOS
<br /> I BOOIl'fIttJUR'f
<br /> -X- NON,OWN.:DA.UTQS (F'erl.cddent) ,
<br /> I ,--' -
<br /> j i f'ROPEA.'N OA\lAGE
<br /> I I I . .--- iPerllo:idenl) ,
<br /> , L~~AGE UABIUTY I i } ~UTO ONL.Y ,EAACC1OENT ~.!-
<br /> , __
<br />I I ANY AUTO ! EAACC ,$.
<br /> ---- I i IOTHERTKAN '--
<br /> I AUroOI'lL.v: AGG I s.
<br /> I EXCESS/UMBRELLA LlABtUTY I eACH OCCURRENCE .. . -
<br /> ; I
<br /> OCCUR L~ ClJ\rMS MADE !:~Gfl:~.9ATE . .-
<br /> ! r-- -..
<br /> h DEDUCTIBLE .. ,
<br /> ; q 1---. ---- ,s. --_.-
<br /> RETENTION , / ,.
<br /> WORKERS COMPeNSATION AND -::;;y C" j. WCS1ATU., I IOTH,I
<br /> EMP1.0VERS'1.IABIUTV "< rOrtYj..1M.!.LS ER , ...---
<br /> ANY PROPl'l.IE:.iORIPARTNeRlEXEC UTIVE El. EACHACCIOENT is. m. --
<br /> I
<br /> OFF1CER.r,lEMBER E:.XClUDE01 i 7 E.L DISEASE. .EA EMPlOYE.e;! s:_
<br /> ~~~~:~~oVIS~rrNS belOw E.L OISEASE' POLICY UMtT . S
<br /> OtHER
<br /> A MISC. PROFESSIONAL PHSD152850 09/1812005 09/18/2006 $1,000.000 PER OCCUR
<br /> LIABILITY $1,000.000 AGGREGATE
<br />. DESCRF'T10N 0': OPERA nONs 11.0CA TION$/ViHlCLESl EXCLUSIONS ADDED Qy ~NDOIlSUloatT I Sp,;CIAlf>ROYISIQNS
<br />I CERTIFICATE HOLDER: THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & REPRESENTATIVES.
<br />I CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: ALL OPERATIONS OF THE NAMED INSURED. PROFESSIONAL LIABILITY POLICY
<br /> INCLUDES PERSONAL AND ADVERTISING INJURY LIABILITY.
<br /> 'EXCEPT 10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />THE CITY OF SANTA ANA
<br />(SEE ABOVE)
<br />ATTN: DAVE PATTON
<br />C/O 220 S. DAISY. BLDG A
<br />SANTA ANA. CA 92703
<br />
<br />ACORD 25 (2001/08)
<br />
<br />SHOULD ANY OF THe ABOVE DESCRIBED POUCIES IE CANCELI.EO BefORE THE El\PIRATION
<br />DATI! THERI!"OF, THE ISSUI/fG INSlmER WILL~A1L 60" CAYS WMlTTEN
<br />NOTice TO TtlE FlCATE HOL.DI:R NAMED TO THE LEFT~K
<br />
<br />
<br />xxxxxxxxxxxxxxx
<br />
<br />It.Ij"l"KOJ\2EDREP
<br />
<br />/
<br />D CORPORA TION 1988
<br />
<br />c.
<br />
<br />\)
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