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<br />.' <br /> <br />MEMORANDUM OF INSURANCE <br /> <br />DATE ISSUED; 5/1/2001 <br /> <br />Insured: <br /> <br />Dennis A Colucci <br />24902 Moulton Parkway <br />Laguna Woods, CA 92653 <br /> <br />This memorandum is issued <br />as a matter of information <br />only and confers no rights upon the <br />holder. This memorandum does not <br />amend, extend or alter the coverages <br />afforded by the Certificate Holder <br />listed below. <br /> <br />Producer: <br /> <br />Company Affordine; Coverae;e <br />Chicago Insurance Company <br />---, <br />#'l32425<s~ <br /> <br />/,,<y""... "'<9\ <br />/~~ ~ ~\ <br />!; ~UL 1~\J\ t. <br />"' "'"ed v <br />~.". . Recel .. ~n' -" <br />- ~"" 01 San~ .c... I ;' <br />'1. R~ tAanai6n""p ~ <br /> <br />Herbert H Landy Insurance Agy, Inc. <br />75 Second Avenue, Suite 410 <br />Needham, Mass 02494 <br /> <br />Covered Person( s) Dennis Collucci ( owner) <br /> <br />This is to certify that the Certificate listed below has been issued to the insured named herein for the policy <br />period indicated, notwithstanding any requirement, teon or condition of any contract or other document <br />with respect to which this memorandum may be issued, or may pertain, the insurance afforded by the <br />Certificate described herein is subject to all terms, exclusions and conditions of such Certificate. The limits <br />shown may have been reduced by paid claims. <br /> <br />Type ofInsurance Certificate # Effective Date Expiration Date Limits <br />Professional Liability AHL 2600269 3119/200 I 3119/2002 Each incident $ 2,000,000 <br />Insurance Aggregate $4,000,000 <br />General Liability AHL 2600269 3119/01 3119/2002 Each incident $2,000,000 <br /> Aggregate $4,000,000 <br /> <br />MEMORANDUM HOLDER <br /> <br />Ann Garcia <br />City of Santa Anna <br /> <br />APPROVED AS TO FORM <br />..J v" . <br />7vi.( i {",""~l'; f vC"..4 <br />J- - -- /" <br />Laura Sheedy <br />Deputy City Attorney <br /> <br />Should the above described certificate be cancelled before the <br />Expiration date thereof, the issuing company will .......1........ VI to <br />mail 30 days written notice to the memorandum holder named <br />to the left. bMtli:JHlel3 m.il ~M.k 881i.. "h~:~;;9~=" <br />~~~:~~l~~~1 ~~ ~:~~lh~ .:.f LM:, Imul ttf3Bu tae e! R. fll;estlJ <br />131 I !~I U8lltatl. as. <br /> <br />