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:ORD, CERTIFICATE OF LIABILITY <br />INSURANW: oiioz/zooi <br />PRODUCE (714)939-0800 FAX (714)939 -1654 <br />Galurance Associates, Inc. <br />PO Box 7048 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />333 City Blvd., West, Ste. 400 <br />Orange, CA 92863 -7048 <br />WSURED Cherrill PeranTC <br />INSURERA: Commercial Union Insurance Company <br />INSURER B: <br />dba: Peranich Reporting <br />INSURER C: <br />$ 5.0 <br />1402 North Bush Street <br />INSURER D: <br />Santa Ana, CA 92701 <br />INSURER E: <br />COVENAUhto <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY 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 />NS <br />LTR <br />A <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE T OCCUR <br />POLICY NUMBER <br />LN486464 <br />POLICY EFFECTIVE <br />GATE M D <br />10/01/2000 <br />POUCY EXPIRATION <br />DATE M <br />10/01/2001 <br />LIMITS <br />EACH OCCURRENCE <br />$ 1,000,00 <br />FIRE DAMAGE (Any we fire) <br />$ 100,0 <br />MED EXP (Any one person) <br />$ 5.0 <br />PERSONAL S ADV INJURY <br />$ 1 000,00 <br />GENERAL AGGREGATE <br />$ 2,000 00 <br />PRODUCTS - COMP /OP AGG <br />S 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECo-T LOC <br />AUTOMOBILE <br />LUUNLMY <br />COMBINED SINGLE LIMIT <br />(Ee aocideM) <br />$ <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />BODILY INJURY <br />(Peradent) <br />$ <br />NON-0W NED AUTOS <br />PROPERTY DAMAGE <br />(Par accident) <br />$ <br />AUTO ONLY -EA ACCIDENT <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />OTHERTHAN EA ACC <br />AUTO ONLY: AG G <br />$ <br />S <br />EACH OCCURRENCE <br />$ <br />EXCESS LIABILTIY <br />OCCUR 0 CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />S <br />DEDUCTIBLE <br />S <br />RETENTION S <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILTTY <br />- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L.DISEASE- EAEMPLOYE <br />S. <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESIEXCLUSKINS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are <br />named as additional insured per CG 2010 (10 -93) endorsement attached. <br />APPRQVEv „5 TO FORM <br />10 Day Notice of Cancellation for Non - Payment of Premium <br />City of Santa Ana <br />Attn: Ellen Smiley <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />tr I UMLLMIIUN <br />SHOULD ANY OF <br />BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30* DAYS wRRiEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />