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ADD. CERTIFICATE OF LIABILITY INSURANCE OP ID RL D4E(NTMAD/YYYY) <br />PRODUCER <br />G. S. Levine Insurance <br />FA2FK-1 no/qO6 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Sery ices, Inc. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />10505 Sorrento Valley Rd. #200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Diego CA 92121 <br />Phone: 858-481-8692 Fax: 858-481-7953 <br />N8URE0 <br />INSURERS AFFORDING COVERAGE NAIC# <br />NBURER B <br />Scott Fazekas L Associates WsuRERc <br />17777 Del Paso Drive <br />Poway CA 92064 'NsuRER o <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 TFRMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NERD <br />TYPE OF INSURANCE <br />POUCYNUMBER <br />POLICY EFFECTW <br />DATE MRVDDTY <br />NOUCY E%PWATION <br />° RTE MMTp/YY <br />LIMNS <br />DENE <br />BAD. JABIL TT <br />COMMERCUL GENERAL WBILITY <br />EACH OCCURRENCE <br />$ <br />PREMISES IEa rAlurAll, <br />S <br />LUIMS MADE OCCUR <br />MED EW+(Arty one person) <br />f <br />PERSON4&AOVIWURY <br />$ <br />GEN'LATE LIMITPER <br />cnew.L.wagconTe <br />f <br />PRODUCTS-COMP/OP AGG <br />$ <br />ICY PRO,R4 <br />POI -Cy JECT LOC <br />AUTOMOBILE <br />WBRITY <br />AN'AUTD <br />commlrcU suro,c umiT <br />DA wRda nD <br />q <br />ALL OMEO AUTOS <br />BODILY INJURY(Per person) <br />$ <br />9CHEOIHEO AUTOS <br />HiREDAUTOS <br />BODILY IWURY <br />(Per x,w., <br />$ <br />NOWCYmEDAUios <br />PROPERTY CANAGE <br />(ra oon enp <br />$ <br />GARAGE <br />LIABILITY <br />ANYAUTO <br />AUTO ONLY - EAAOCIDENT <br />S <br />OTHER THAN E"ACC <br />S <br />AUTO ONLY. A., <br />f <br />6%CEBWMBREW WBILM <br />OCCUR :WMS MACE <br />❑ <br />E ACH OCCURRENCE <br />$ <br />AGGREGATE <br />§ <br />$ <br />DEDUCTIBLE <br />E <br />RETENTION $ <br />WC STAT4 OTR <br />TO <br />TORV OMITS ER <br />E <br />WORKERS COMPENBATON AND <br />RMPwrRNV LugIMTr <br />AN✓PROPRIETOR/PAATNERI,XECUTNE <br />OFFICER/MEMBER E CLUOED9 <br />- <br />ACCIDENT <br />§ <br />EL. DISEASE -EA EMPLOYEE <br />g <br />ry" RNR.b upper <br />SPECIAL PROVISIONS IPYw <br />EL DI6EASE-POLICY LIMIT <br />q <br />OINEq <br />A Professional DPR9419072 O6/O5/O6 O6/05/07 Claim/ <br />Liabilit Ago $1, 000, 000 <br />DESCRIPTION OF GPEMTOWILOCATIONS I YIHICI-0IE%CWBIONE A,010 BY ENDORSEMENT/ SPEC YL PROVISIONS Ded $10 000 <br />Re: All Operations <br />Proof of Insurance <br />The City of Santa Ana, Its Officers, Employees Agents, Volunteers C. <br />Respr'csenta Lives are named certificate halders. <br />*10 day notice of cancellation applies for non payment of premium, XX <br />CERTIFICATE HOLDER rAurEl I A,-hfi <br />City of Santa Ana <br />Attn: Tonia Zerba <br />P.O. Box 1988- M-20 <br />Santa Ana CA 92702 <br />CITSAN- SHOULD MY OF THE MOW OEBCMEEDFOuefi. BE CANCELLED BEFORE THE E%PIRATION <br />DAT!THEREOF, THE IEBUINO INSURER WIu ONOMMINIPPMNL 30* DAYS WRITRFN <br />NOTICE TO THE CERTIFICATE HOW ER NANED TO THE LEFT. <br />