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acoRD CERTIFICATE L. LIABILITY INSURANCE ROUST 2 DA 09/09/ 5) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Austin Cooper & Price ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ins Agency Inc (Lic-0546677) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 3280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />San Bernardino CA 92413-3280 j <br />Phone:909-886-9861 Fax:909-886-2013 INSURERS AFFORDING COVERAGE 'NAIC# <br />INSURED � l.nAA� INSURER A: Natroml surey m_-pora_non <br />-vI' INSURER B: Fireman's Island Ins <br />Houstn & Harris PCS Inc <br />-� INSURER C. Redwood Cire antl <br />2183ioCasualty Inc. <br />Barton Road INsuRER D <br />Grand: <br />Grand Terrace CA 92313 <br />INSURER E <br />COVERAGES <br />THE POLi LIES OF INSURANCE US[ _U BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P=RIOQ INDICATED. NOTWITHSTANDING <br />ANY R201.1'R[MEN T, TERN DR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT W9TH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY "ERTAIN, 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 RFDIICED BY PAID CLAIMS. <br />tN5RA00 <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />I POLICY NUMBER —POLICY <br />F <br />DATE MMIDDIYY <br />u Y PI A N LIMITS <br />DATE jMMI <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,090,000 <br />A <br />X <br />X COMMERCIALCENERALLIABILI-Y <br />MZX80844752 <br />06/24/051 06/24/C6 <br />IPgEMlses fEaec:urence) <br />'S_l_00,000 <br />CLAIMS MADE FX OCCUR <br />LIED UP (Any One Perscm) S 5 , 000 <br />PERSONAL 8A➢V INJURY S1,000,0010 <br />GENERAL AGGREGATE <br />$ 2 , 000 , 000 <br />GENT AGSRF-GAIF I IMIT APPLIES PER <br />FRODUCTS-COMPIOPAGG <br />52,000,000 <br />POLICY FRO- 1 LOC <br />L-CT F <br />_ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$1I 000, D00 <br />A <br />X ANYAUTO MZX80844752 <br />06/24/05 <br />� 06/24/06 <br />(Ea awtlenq <br />BODILY INJURY <br />$ <br />A_L OWNED AUTOS <br />SCHEDUI ED AUTOS <br />(Per person) <br />BODILY INJJRY <br />S <br />X HIRED AUTOS - <br />X I NDITOWNED AUTOS <br />(Pet ac d.Ne <br />PROPERTY DAMAGE <br />-_ <br />- <br />(Per acotlent) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EAACIDENT <br />$ <br />ANYAU70 <br />GTHER THAN EA ACC-' <br />$ <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ 4 , 000 , 000 <br />B <br />IX IOCCUR ❑CLAIMS MA7IF XAE69114882 <br />06/24/05 <br />06/24/06 <br />AGGREGArE I$4,000,000_ <br />$ <br />$ �..-- <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />WORKERSCOMPENSATION AND <br />X' dORV LIMBS ER <br />C <br />EMPLOYERS' LIABILITY <br />W5934598 <br />09/07/05 <br />09/07/06 <br />E.L. EACH ACCIDENT <br />- <br />S1,000,000 <br />ANVPROPRIETORIPARTNEWEXPCLITIVF <br />.. __. <br />_ <br />S 1,000,000 <br />OFFI CERIMEMBER EXCLUDED> <br />HOHX IVMv Ic:NewAL ONLY <br />E.L. DISEASE- EA EMPOYEE <br />S ?ECIALPROPROm510NBLdcw <br />'EL. <br />DISEASE-POLICYLIMIT <br />41, 000,000 <br />OTHER <br />B <br />Equipment Floater <br />MZX80844752 06/24/C5 <br />06/24/06 <br />See Below If <br />A <br />Property Section <br />06/24/05 <br />06/24/06 <br />Applies <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES, EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Operations pertaining to named insured for certholder. <br />City of Santa Ana and its officers, agents, representatives, volunteers, & <br />employees are add'l insd respects gen'1 liab per CG7158 12/03. <br />30 days N O C except 10 days for nonpayment. ff <br />I <br />CERTIFICATE <br />Ci�y Of Santa Ana <br />M-21 Ross Annex 4th flr <br />20 Civic Center Plaza <br />Santa Ana CA 92704 <br />CI nl. AND 6 SHOULD ANY OF THE ABOVE OESC.RIHFD POI KIPS RF CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDR VOI MAIL 30 _ DAYS WRITTEN <br />� i <br />NOTICE TO THE CERTIFICATE HOLDER NAMSrO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF trIJY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES I <br />ACORD 25 (2001109) <br />2,d .Q <br />1 <br />J22:2o 90 Ei deW <br />