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<br />,te: 9/1/2005
<br />
<br />Time: 9:21 AM
<br />Page: 002
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<br />City Of Santa Ana @ 9,1-714-647-6930
<br />
<br />To:
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<br />,'"""UCEl'. (916)443-0200 FAX
<br />I' Owen [).Jnn Insurance Sf!rvi ces
<br />License Number: 0670167
<br />~ 2&31 G 5t~et Suite 200
<br />I Sacromento, CA 95&16-3721
<br />IHSUR&DCQoperative pe';.sonne' Services'--- -.---..-
<br />AKA: CPS Human Resource Services
<br />I 241 Lathrop Way .
<br />I Sacramento, CA 95815 N_'?'Oo;J. -1M
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<br />09/01/2005
<br />
<br />THIS CER-TIFICATE lS ISSUED AS A MATTER OF INFORMATION I
<br />ONLY AND CONFERS NO R-IGHTS UPON THE CERTIFIC...TE
<br />'L HOLDER. THIS CERTIFICATE DOES NOT "'MENO, EXTEND OR I
<br />"'L TER THE COVER-AGE AFFORDED BY THE POLICIES BELOW. ~
<br />
<br />. INSURER-S ...FFORDING COVERAGE I NAIC" i
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<br />-.~;Slj~:::~ l' -fravelers Property -i Casual tyInfCo----'-'-"--l
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<br />ACORO,
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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />(916)443-0251
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<br />THE POLICIES OF ItlSURANCE LISTED 8E~OW HAVE BEEN ISSLEO:O THE lMSUflEO AAME'U ,toBOVE FOR THE POL ICY PfRIOD JNDICATEil N01V'l."THsr....NOING
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<br />MAY FERTAlN, THE INSlJ~~Ce AFFORCED BY irlE ;:ot,c;es OESC~IBE!J HEREiN is SlJ(1)ECT TO ALL THE TERMS, EXCLUSIONS ANO CQNClTlON$ OF SJCH
<br />POLICIES. AGGREGATE LIMITS SHOII\'N MAY HAVE 6EEN REOLCEO By' PAoID C.Ltl.!MS.
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<br />e: Test Rental Ser\lices '., ISU.iilt' ~itv Atlol' a~~
<br />eneral Liability Blanket Additional Insur~d 'n~o~sement Per attached CG0246 1002
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<br />upon nonpayment of p~ium, 10 days notice cf cancellation wlll be given.
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<br />I1C." ATION
<br />SI'lOW.C1 .aNY'.':JF T"E "1l0~ ~SC1tlM'D I"ClIC1ES Bit CA"'CEt.I."O 8EFORE TH'
<br />E~P'R"l'ON!:\ATE THERIiOF, f'{li lSS'.JING t1SUASIt WLl.. ~ au.1l.
<br />30"~ O,l),S .....,..n..NNO.ltE: TO".... C.""~FICJlo.T~ l-IQ.05R.....MIO TO H1E Li~1'
<br />_l__~lOO(llll_!il!l~XXX
<br />_?W6Xit_ltl_~_XXXXXXXXX
<br />
<br />City of Santa Ana
<br />Pe~sonnel Se~vice5, M-24
<br />Attn: Waldo Barela
<br />P.O. I\cx 19&8
<br />Santa Ana, CA 92702#19&8
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<br />~UTHClRI1EO RbP!ll:ESENTA9IVIi
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<br />ACORD2!(2Q01l08) F~X: (7}4)647-6930
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<br />'ilACORD CORPORATION 1';88
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