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<br />•ACURD CERTIFICATE OF LIABIL DATE (MMIOOM/VY) <br />ITY INSURANCE 11/z9/2oo5 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER (g16) 784-9070 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />All-Cal Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />801 Riverside Avenue <br />Suite #105 <br />95678- <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />Roseville CA <br />NSURED INSURER A'NONPROFITS INS ALLIANCE <br />I <br />ic Commission On A <br />Hi <br />i INSURER B. NORTH AMERICAN ELITE <br />span <br />Californ <br />a <br />nue <br />l A <br />i INSURER C. <br />ve <br />to <br />2101 Cap <br /> INSURER D'. <br /> <br />Sacramento CA 95616- INSURER e. <br />COVERAGES <br />D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE RTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />FFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSI ONS AND CONDITIONS OF SUCH POLICIES. <br />THE INSURANCE A <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />pOLIOY EFFECTIVE POLICY EXPIRATION <br />' <br />LIMITS <br />) <br />INSR ADD'L rypE OF INSURANCE POLICY NUMBER DATE (MM/DDM') GATE (MM/DDM <br />LTR INSRO <br />2005-03026 11/16/2005 11/16/2006 1, 000, OOO <br />EACH OCCURRENCE $ <br />A X GENERALLIABILITY DAMAGE TO RENTED $ 50,000 <br />X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwrrence <br />000 <br />5 <br />/ / / / <br />~ , <br />MED EXP (An one parson) $ <br />OCCUR <br />CLAIMS MADE 000,000 <br />$ 1 <br />X IMPROPER SEXDAL COND , <br />PERSONALBADV INJURY <br />/ / / / GENERAL AGGREGATE $ 2,000,000 <br />1,000,000/1,000,000 000 <br />000 <br />$ 2 <br /> , <br />, <br />PRODUCTS-COMP/OP AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />/ / <br />1,000,000 <br />PROFESSIONAL LIAB <br />X POLICY JECT LOC / / . <br />A X AUT OMOBILE LIABILITY 2005-03026 11/18/2005 11/18/2006 COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accitlenp <br /> ANY AUTO <br />/ / <br />/ / <br />BODILY INJURY <br /> ALL OWNED AUTOS $ <br /> (Per person) <br /> X SCHEDULED AUTOS <br /> X TOB / / / / BODILY INJURY $ <br /> HIRED AU (Per accitlen0 <br /> X AUT <br />W h~ Lv ~ / / <br /> 5250 <br />DED <br />COMP ~.t(yL / PROPERTY DAMAGE <br />Per accitlenp $ <br /> COLLISION DED - $500 '" ( <br /> ' <br />L f` :`~ AUTO ONLY-EA ACCIDENT $ <br /> GA RAGE LIABILITY „ <br />. ~ <br />)SA E' S~ v + <br />-' ~ ~ cX.r / <br />1 I / OTHER THAN EA ACC $ <br /> ANV AUTO ~ <br />F' `- <br />t n <br /> Y <br />1~( CI AUTO ONLY: AGG $ <br /> ~ISL8 <br /> / / / / EACH OCCURRENCE $ <br /> E%CESSIUMBRELLA LIABILITY ~ <br /> ~ /~ <br />~ AGGREGATE $ <br /> CLAIMS MADE <br />OCCUR ~ / <br /> $ <br /> / / / / $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ _ <br />ON AND _ <br />~---~ <br />/ / <br />/ / _ <br />TORY LIMITS ER <br /> WORKERS COMPENSATI <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANV PROPRIETORIPARTNER/E%ECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />/ / <br />/ / <br />EL DISEASE-EA EMPLOYEE <br />S <br /> <br /> If yes, tlescribe untlar E.L. DISEASE -POLICY LIMIT $ <br /> <br />g SPECIAL PROVISIONS below <br />OTHER EMPLOYEE DISHONESTY <br />CWE 000 2271 03 03026 <br />11/16/2005 <br />11/18/2006 <br />LIMITS 100,000 <br /> FORGERY/ALTERATION / / / / DEDDCTIBLES 500 <br /> / / / / <br />SCRIPTION OF OPERATIONSILOCATIONSNENICLES/E%CLUSIONS ADDED eY ENDORSEMENTI$PECIALPRQVISIONS <br />DE <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE NAMED ADDITIONAL INSURED AS A <br />G SOURCE REGARDING THE OPERATIONS OF THE INSURED UNDER THIS AGREEMENT. FOAM CG 2026 APPLIES. <br />FUNDIN <br />+10 DAYS FOR NON-PAYMENT OF PREMIUM <br />CERTIFICATE HOLDER <br />(714) 565-2621 (714) 835-7330 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />FRAN JUTZI E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL XIftaXDBlsSI(XM4( MAIL <br /> 3O ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Uli( <br />CITY OF SANTA ANA XMIOWQKXM~~k~LASKIXPN~XPf&CiRrf14L'~igX'XdliXd6iCXAG4i6if~'~51C~141LX1(~(N'N>4>fME <br />20 CIVIC CENTER PLAZA XN90fp~1QX1DCXdf~DfX~K15ED~KeCi4TfD4X~ <br />PO BOX 1988 M-73 AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 92701- <br /> n non cnaonaennM ~naa <br />ACORD 25 (2001108) <br />~TM- INS02S (4108) OS ELECTRONIC LASER FORMS, INC. -(800)32?-0545 Page 1 012 <br />