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0ct-06-05 02:2lPm From -DRIVER ALLIANT INS, C <br />PRODUCER — <br />Driver • Alliant Insurance Service$, Inc. <br />P -a, SOX 25884 <br />Santa Ana, CA 92799 <br />(800) 821.9283 Ext 100 . Fax (949) Y5Cr2713 <br />.16A Mn M1 ... <br />9497562TI3 T-470 P.02103 F-547 <br />THIS CERTIFICATE IS ISSUED AS A MA -�� <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD�TIHIS CONLY AND <br />ERTIFICATE <br />ODES NOT AMEND, EXTEND OR ALTER <br />POLICIES BELOW, THE COVERAGE AFielancn <br />FAMILIES TOGETHER OF <br />•.���� arccuL ,. ry INSURANCE PROCR���•- uA�LIP MEMS) "�---._...jjLETTFR <br />COMPANIES AFFORDING COVERAGE <br />ORANGE COUNTY <br />801 S. LYON ST. �A—�Ck7�{..;(7 <br />SANTA ANA, CA <br />NY•-�"-"""-------.�._.. <br />LETTER A EVANSTON INS•NQE COMPANY ��• <br />_ <br />- <br />82705jq-�vZ <br />PO ROTC 19Sa <br />SANTA ANA,CA 92702 <br />>14-d �g"—avi-CJS <br />Y C <br />•� <br />014 <br />Y E <br />----„ <br />NOTWT TO CERTIpy THAT THE POLICIES OF MSURANCE LISTEp <br />OHARY <br />RROUKIEMFN7, TERMMCONDRKRl OPiSNir BDy({RISCT OR D OTIIE INSUREp <br />M M^Y EFrT <br />OR NE RRNCE MFORDEp RY7M <br />^^- UMRSS FOLOIES OTHER ODDUAE117 YMTN RRSSFEC77p POR T1IR POLICY PERpp <br />� �� REDUCED EY DCSCRIREp HEREM YRRCX <br />CO PAO CLAIAIB, <br />LTR TYPE OF INSURANCE <br />O SUED TMS CERTMICATE MAY RiEKDFUED <br />ECT TO ALL THE TERMS, RKCLUSON AND CONWONS OF SUCH POLICIES <br />POLICY NUMBER <br />POLOY EFFECTIVE POLICY <br />A GENERAL LMBILITY <br />DATE IMP*WM 1 E%PIRATON WMrra <br />'— <br />3LIP3000-OS <br />X C LLL GENERAL <br />LABILITY <br />arrY <br />DATE MWO <br />09/29/05 09129ro6 CRNERALAOGRE TE <br />CLAIMS OCCUR <br />X <br />PROOUCTSC� MpvOP <br />N/AMADE <br />OWNERS fl GPNTRACTORS <br />PROr. <br />AGS:,_. <br />PERSONAL a ADV. INARiy <br />$1,000,000 <br />X GL DED:31,000 <br />EACH OCCUNREHCE <br />$1,000,000 <br />$1,000,000 <br />FRO DAMAGE fMY MO MPJ <br />A AUTOMOENEuAjwL1TYSLIP300o oS <br />MSO. ENP NSE(Myene <br />$1,000.000 <br />9 <br />09129/06 <br />NIAANYALRO <br />ALL OWNED AUTOS <br />$1,000,000 <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />tlODILYMJURY <br />X NON•OWNEDAUTOS APPROVED AS <br />GARAGE LLITY <br />U,RI <br />(PCI Per^,m) <br />YftURY <br />O FORM <br />t� <br />— AUTO DEO: $1,000 /I7 n <br />y (P" x gwll <br />UMBRELLA FORM ' Laura Stitt <br />OTHER THAN UMBRELLA FORM Assistant City <br />WORKER'S COMPENSATON <br />AND <br />EMPLOYEWSLIABILTTY <br />A NON{�ROFIT DIRECTORS <br />ANOOFFICERS SLIP3000-05 09!29/05 <br />.�JlArgxyLOLATrowsYU,lc 09/29ro6 <br />PER OCCURRENCE AND <br />ANNUALAGGREGATE <br />ANT, THE CITY OF SANTA S INSURANCE IS PRIMARY Ate, ITS OFFICERS, AGENTS, EMPLOYEES ANP <br />ADDITIONAL INSURED ENDOR�ryTATTACH�R SELF SUBJECT TOPPO�ICy TERMS, <br />M <br />SHOULD <br />SHOUD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPMENT <br />BEFORE THE <br />EXPIRATION GATE THEREOF. THE ISSUING COMPANY WILL WOGgVpgiO MAIL <br />�o DAYS WRITTEN NOTICE <br />AGENCY M -2S <br />20 CIVIC CENTER DRIVE <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL <br />PO ROTC 19Sa <br />SANTA ANA,CA 92702 <br />SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY <br />OF ANY KIND UPON INE COMPANY. <br />ITS AGENTS OR REPRESENTATIVES <br />'EXCEPT,A neje �..., ..,... __ <br />M <br />