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02/09/09 15:49 FAX <br />ACDRD_ CERTIFICATE OF LIABILITY INSURANCE <br />iDUCLIR <br />Hays Affinity solutions <br />1333 20th St. K.W., Suite 450 <br />Washington DC 20036 <br />Phope:202-243-4000 rax:202-263-4001 <br />INSURED <br />Healthy V 41-"j o ("5- <br />Alicia C. Drozd <br />208s� 941imaker circle <br />Huntsngton Beach CA 92648 03 > <br />0 003 <br />DATE IMWOD/YYM <br />ONLY AND CONFERS NQ RIGHTS UPON THE CERTIFICATEuN <br />HOLDER. THIS CERTIFICATE DOE$ NOT AMEND, MEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />INSURERS AFFORDING COVERAGE MAIC* <br />'NRw bloyds of London <br />IN6URER B <br />tN�UREq C. •�.... <br />INSdRERv -" <br />INSURF^ F, <br />IES <br />THE REQUIRE E T' TERMORNCE LISTEDION Ow HAVE BEEN T ejpD TO TI¢ rNSLi tLI NAMED ABOVE FOq THE POLICY PERIOD INUICATED r�TWtTr�TaNfHN(i <br />MAY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR O1NER r"11MFNI W"w I7ESi'ESY 70 VJHTCH THIS CERTIFIr ATE MAY BC IS9UL- <br />MAY PERTAIN. itiE NrSIA+iAtNCE AFFCADEO BY TH= POLICIES O[SCRI&CO HFRF, NN I; :ti,IQJEL`Y I CALL hiE TEPMS, ExrLLc:TpNS qnp C, 0 AR <br />POLICIGSAGGPEGATELIMIT',,HOMIMA'rHAVEBEEN REOUCEOBYPAID CLAIIAg )1, ITIONI-OTsLrH <br />R TM - OF WSURANCE POLICY NUMBER <br />Da115(MM/DOAN) DATE IM m> LIMITS <br />GENERAL L1ABX.TIY <br />I'DMcAEQACIALGENEPALLrADItIV EACH OCCURRENCE i <br />CLAIW. UADC 7 OCCUR PR11"SES IES 00aawles) S <br />MED Exp (a+Y ors oerw, t <br />GENL AGGREG�ATE LIMIT pEQ77 <br />(' <br />I POLICY 1 1 JECT j ' LUC <br />AUTOMOBILE LIA81UTY <br />ANY AUTO <br />ALL Om. ED AUTOS <br />Sr-Wr]UI FD AUTOR <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LUBp,rTY <br />7 ANY AUTO <br />EXCESSNMBRELLA LIABILITY <br />J OCCUR U CLAIM$ MADF <br />_ DED1xneLE <br />PETENTIDN = <br />WORI(ERS COWEtMATION AND <br />OAPLOYERS- LIA91LrTY <br />ANY PROP`PMTORIPARTN0MXECLMvE <br />OFF ICERJ1VA99P EXCLUDED) <br />TI "S. Eslrtiba \y+dcr <br />Lau L& <br />.A,ssistant11ity Atte <br />t/ �I �r�'��JK..., <br />A Combined Ede/G, 0902bWA002056 02/07/09 as/o7/ao <br />PERMOL 6 ADV MYJURY = <br />C•ENERALAGGRCGA7E s <br />PPODUCTS-:OMPIOPAGG i <br />COMSINED 51WAE LIMIT t <br />(Ed B'aa rl) <br />EMILY INJURY { <br />Ips p.' ) $ <br />SCOILY INJURY <br />(Perwodcd) s <br />PRMEFTv CA WGE : <br />luPr ecwdonit <br />AUTG ONLY - EA ACCIDENY it <br />D7YgR Tf WJ EA A:'C ; <br />ATIO ONLY AGG ! <br />EACH OCCLRAENCE S <br />AGGRCGATE >i <br />s <br />s <br />E.L. EACHACrIDENT#k7kvf7 <br />EL DISEASE-EAEMPE I. OLWASE • POL ICY <br />Per Claim $2,000,000 <br />The City of Santa Ana, its officers, a-ents WmuaLrROV1310N6 agents, employees, representatives, and <br />volunteers axe her added to the policy as an Additional Ineuzed, salaly <br />With respect t0 claims which result froth a general liability incident as <br />defined by the Policy but oAly in respect of vicarious liability from <br />professional services of the Named Insured. <br />CITY -02 SHOULD ANY OF TNF ABOVE DCsCRIaM POLICIES BE CANCELLED BEFORE THE EVPLgA770N <br />city of Santa Alva <br />20 Civic Flaw DATE THEREOF, THE ISSUING INSURER VNLL EP40FAVOR TO MAIL 30 DAYS W RrnEN <br />At tt% : Clerk for city council NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. SLIT FAILURE TO 00 SO SHALL <br />PO Box 1988 IMPOSE NO OBL10ATION OR LABN-RY OF ANY XINO UPON'MC INSURFJL ITS ACEMS OR <br />Santa Ana CA 92702-1988 REPRESEvrATIVE& <br />