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<br /> <br />-- <br />I ACORD,N JGO, NATE <br />CERTIFICATE OF LIABILITY INSURANCE voDC'I os-ll-zo <br />i vaODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />THE EMPIRE COMPANY/PHS '. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />185345 P: (866)467-8730 F: (877)905-0457 <br />P. O. BOX 33015 <br />~ISAN ANTONIO TX 78265 _ __ <br />/NSUREU _ _._. _. _ _. <br />f} - ,~rc~~ n:~z <br />MARICICH & ASSOCIATES INC. <br />1124 MAIN ST. #B <br />INSURERS AFFORDING COVERAGE <br />__. <br />INSURERA Hartford Casualty Ins Co <br />__ _ __ _ - <br />(INSURER B: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR PoL/CY EEFECTNE Po[roY EX%RATION <br />[TR TYPE OE INSURANCE PoL/CY NUMBER _ OATELMM/DD/YYl _ OATS IMM/OD/YYl PMTS __ <br />GENERA[OA8/OTV / / / / EACH OCCURRENCE 51, OOO, OOO <br />A COMMEFCIALGENEF~AyLL111ABILITV 72 SBA AG2597 04 26 05 04 26 06 FIREOAMAGEIA Yo ¢ri,el 15300, 0_00_ <br />III CLAIMS MADE ~' I OCCI,U~R MED EXP (Any p _sonl 151 O , O O O <br />X Business Llab PERSONAL&ADV INJURY ~51 OOO OOO <br />GEN'L AGGREGATE LIMIT APPLIES PEP: <br />Poucv .PiEe°r__j-X_ Loc ' <br />AUTOM082E L/AR/L/TY <br />A ANV AUTO 72 SBA AG2597 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS i <br />X NIRED AUTOS i <br />X NON-OWNED AUTOS I <br />ANV AUTO <br />EXCESS LlAB/OTY <br />OCCUR ~ ClAIMS MADE <br />DeoucnRLE <br />I, RETENTION 5 <br />'I WORKERS COMPENSAT/ON AND <br />', EMPLOYEES' LIAR/LAY <br />OTHER <br />GENERAL AGGREGATE 52, OOO, OOO <br />PRODUCTS-COMP/OP AGG 52, OOO, OOO <br />(COMBINED SINGLE LIMIT (S1, OOO,OOO <br />04/26/05 04/26/06 ilEp p°°'apnn 1 <br /> ' BODILY INJURY 5 <br /> (Per person) <br /> BODILY INJURY 5 <br /> (Per eccitlentl <br /> PROPERTY DAMAGE 15 <br /> <br />_._ __ (Per eccitlentl i <br /> AUTO ONLY-EA ACCIDENT j 4 <br /> OTHER THAN EA ACC ~I. S - <br /> AUTO ONLY: AGG 5 <br /> EACH OCCURRENCE 9 <br />APPROVE ,hS TO '(~12M --- <br />s <br />__ <br />_ _._.._ •~f.. a_ _ 5 _ <br />'~ /. ~ ~ ~/ ~~ -~ I TORY IMITS I IOER.- -~ <br />-_~ <br />Laura SL'LL Sheedy E.L. EACH ACCIDENT s <br />ASJLSI3^ Clly ALI OC[1.V EL DISEASE-EA EMPLOYEE 5 <br />E. L. DISEASE-POLICY LIMIT 5 <br />OESCR/PTION OF OPERAT/ONS/LOCATIONSNEH/CLES/EXCLUSIONS AOOEO BV ENOORSEMENT/SPECIAL PROWSroNS <br />'Those usual to the Insured's Operations.The City of Santa Ana its officers, <br />)employees, agents, volunteers and representatives Certificate holder is an <br />(Additional Insured per the Business Liability Coverage form 880008, attached <br />to this Policy. <br />CERTIFICATE HOLDER <br />__ <br />The City of Santa Ana <br />120 Civic Center Plaza <br />(Santa Ana CA 92701 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />IXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT( TO THE CERTIFICATE <br />(OLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO <br />)BLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR <br />ACORD 25-5 (7/971 -~ ~ _- -_--- - m ACORD CORPORATION 1988 <br />