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<br />ACORI). CERTIFICATE OF LIABILITY INSURANCt;~AJ~7 I DATE (MMJOOIYY) <br />02/08/01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Grosslight Ins. Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />72-250765-AP-OC-XSA HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 33015 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . . <br />San Antonio TX 78265-3015 INSURERS AFFORDING COVERAGE <br />Phone: 800-457-2379 Fax: 210-732-3593 <br />JNSURED INSURER A: Hartford Fire Ins CO <br /> INSURER B: <br /> Edward Ca~rielian INSURER c: <br /> 613 33rd treet INSURER 0; <br /> Manhattan CA 90266 <br /> , INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAve BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED. 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 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~f: TYPE OF INSURANCE POLICY NUMBER I b~tkl;1M~bBw{YE P~k/-~~~6'r~~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE .1000000 <br />A "X COMMERCIAL GENERAL LIABILITY 72SBACK6708 03/06/00 03/06/01 FIRE DAMAGE (Anyone fire) .300000 <br /> I CLAIMS MADE W OCCUR MED EXP (Anyone person) .10000 <br /> PERSONAL & ADV INJURY . 1000000 <br /> - , 2000000 <br /> '-- GENERAL AGGREGATE <br /> GEN'L AGG;nE LIMIT ArlS PER PRODUCTS - COMP/OP AGG S Excluded <br /> Ii PRO- <br /> POLlCY JEcr loe <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - , <br /> ANY AUTO (l:a acc/dentl <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) . <br /> SCHEDULED AUTOS <br /> r- <br /> HIRED AUTOS BODilY INJURY <br /> r- . <br /> NON.OWNED AUTOS (Per accident) <br /> r- <br /> r-- ( PROPERlY DAMAGE . <br /> i (Per accident) <br /> i GARAGE LIABILITY I AUTO ONLY. EA ACCIDENT , <br /> ~ ANY AUTO OTHER THAN EAACC , <br /> ! AUTO ON!.. Y: AGG . <br /> EXCESS LIABILITY I EACH OCCURRENCE . <br /> :=J OCCUR 0 CLAIMS MADE AGGREGATE . <br /> . <br /> ~ ,DEDUCTIBLE i , <br /> RETENTION . i . <br /> WORKERS COMPENSATION AND I I TORHIM';:S I IOJ~' <br /> EMPLOYERS' LiABILITY E.l.. EACH ACCIDENT . <br /> E.l.. DISEASE - EA EMPLOYE . <br /> E.L. DISEASE. POLICY LIMIT . <br /> OTHER <br />DESCRIPTION OF OPERATIONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certificate holder is named additional insured as their interest may appear. <br />*Except for 10 days non-payment. For inquiries call 1-800-457-2379. <br />CERTIFICATE HOLDER J y J ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SANTANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP1RA <br /> City of Santa Ana OA TE THEREQI", THE ISSUCNG INSURER WCU. ~miJll2AX) MAiL *30 OA.YSWRITTf <br /> Personnel Services Dept NOTICE TO THE CERTIFICATE: HOLDER NAMED TO THE LEFT, <br /> Attn: Jim Stikel~PPR.oVEQ AS TO \'0 ~M <br /> 20 CJ.V1C Center aza / . <br /> Santa Ana CA 92702(V\: JA-- <br /> . \/ r-~. C-:;r') ~A'~ <br />ACORD 25-5 (7/97) "" @ACQROCORPORATION19' <br /> <br />Deputy Citv Attornev <br />