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<br />....: ....,..-..."... <br /> <br />ACORD. CERTIF(CA TE OF LIABILITY INSURANC~M~~2 I DATE (MWDOJVY) <br />01/14/02 <br />PftObUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Solomon ~ Solo.on Insurance ONLY AND CONFEMS NO RIGHTS UPON THE CERTIFICATE <br />Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />23332 ~11 Creek Dr Ste 135 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Laguna Hills CA 92653 INSURERS AFFORDIf/G COVERAGE <br />Phone: 949-5B3-0300 Fax: 949-951-9342 <br />IfGJRED INSURER A; Golden Eaale Insurance <br /> INSURER 8: Western Heritage Ins Co <br /> Green Float Co.pany mSURER C; <br /> John Hart <br /> 5300 Beach Blvd.t Ste. 110-509 INSURER 0: <br /> Buena Park CA 90 21 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POUClES OF fHSUA:ANCE lISTED Bft.OW HAVE HEN IssueD TO THE INSURED NAMEO ABOVE FORTNE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMEIfT, TERM OR CONDmON OF ANV CONTRACT OR OtHER DOCUMENt WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED e.., THE POLlCIf.S DESCRIBED Hl:REIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POUClES. AGGREGATE UMfTS SHOWN MAYHAVE: SEEN REOUCED BY PAID CLAIMS, <br />Iri'~ lYPE OF IttSURANCE POLICY NtJMBER ~~ti~~~~'YN LIMITS <br /> ~NERAl WallITY EACH OCCURRENce s 1 ,OGO 000. <br />B COMME~CIAL GENERAl LIABILITY SCP0371837 09/27/02 09/27/03 FIRE DAMAUIE tAn... one tire) . 50,000. <br /> c- ~ ClAIMS MADE C!J OCCUR MED EXP (An)" on. person) '5 000. <br /> Pl!ltSONAl & ADV INJURY '1,000,000. <br /> c- .1 000,000. <br /> c- i GENERAL AGGREGATE <br /> h't. AGGREGATE LIMIT n~ pelt ~ PRODUCTS - COMP/OP AGG I s 1 ,000 000. <br /> i POLICY fl ~~8i LOC I I <br /> AUTOM08Il.E UABlUTY I <br /> I- i COMBINED SINGLE LIMIT S 1,000,000. <br />A ANY AUTO CCP-671629-03 09/27/02 09/27/03 j(f.aaccldentl <br /> 'x AU. OWNED AUTOS , <br /> r BODILY INJURY , <br /> SCHEDULED AUTOS CPu p.rt.OR) <br /> 1-- <br /> ~ HIRED AUTOS BODILY INJURY <br /> . <br /> ~ NON-QWNfD AUTOS IP.raccld'"I] <br /> I -- <br /> -- PROPERTY DAMAGE . <br /> IPet'accld'rltl <br /> GARAGE LIABILITY ~~ ONLY - EA ACCIDENT . <br /> =J ANY AUTO OTHER THAN !:AACC . <br /> AUTO ONLY; AGG, I <br /> I EXCESS LIABILITY , EACH OCCURRENCE is <br /> ~1 OCCUR n CLAIMS MADE - <br /> AGCREGATE . <br /> . <br /> o OEDUCTl8le - <br /> I . <br /> ! RETENTION , I , . <br /> WORKERS COMPENSATION AND I ~S! I".,' <br /> EMPLOYERS'LIABlllTY <br /> " E.l. EACH ACCIDENT I <br /> I I I E.L. OISEASE - EA EMPLOYe:1 a: <br /> I E.l.. DISEASE-POliCY 1..IMlT 1 s <br /> , OTH~R I <br /> I <br /> i i <br /> i I <br />~'--~-~~-------r&Jl~ 'I i' JURM <br />10 DAY NOTre" FOR NON PAYMEN'l'_ ADDrTrONAL rNSURED "NDORS HElY.) \ <br /> -' -~- / --..- - <br />I f\l!\;lldu \ ,U.:I.L: V <br /> ikl1111v t:il",: I "",.', <br />CERTIFICATE HOLDER j y j ADDITIONAl. INSUReD; INSURER LElTER~ CANCELLATION <br /> THEC10l ;5HOULDAN'" Of' THl: Move DESCRIBED POLICIES BE CANCEL.LEOBEFORl! THe ex,.,AATIO <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAll 30 DAYS WRiTTEN <br /> - <br /> The City NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, eUT FAILURE TO DO so SHALL <br /> of Santa Ana <br /> Larry Chavez M14-571423S IMPOSE NO oellOA TlON OR LIABILITY OF ANY KIND UPON THf INSURER, ITS AGINTS OR. <br /> 20 Civic Center Plaza AEPRE5ENTAnve:S. <br /> Santa Ana CA 92701 <br /> , Bob Mattheson <br /> <br />ACORD 2S-S (7197) <br /> <br />@ACORD CORPORATION 1988 <br /> <br /> <br />101 <br /> <br />dL.O: "0 cO Id ueC' <br />