PERANICH REPORTING, INC. 1- 2001

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t ACORD) ,a CERTIFICATE OF LIABILITY INSU ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR DATE (MMIDONYYY 10/10/2003 PRODUCER (714)836 -9945 FAX (714)836 -9946 The Empire Company 555 Parkcenter Drive, Ste 206 Santa Ana, CA 92705 -3521 Susan Remeika THIS CERTIFI}Tj{f&R OF INFORMATION ONLY ANO C D E CERTIFICATE HOLDER. THIS CERT OT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFO pC0CjVI["Gp 2: 29 NAIL# INSURED Peranich Reporting, Inc. 5241 E Santa Ana Canyon #100 Anaheim Hills, CA 92807 �/',Y� I *4 "ITkLID'— loo INSURERF: Allied Insurance LIMITS BUT FAILURE TO NAIL SUCH NOTICE S=E1 POSE NO OBLIGATION OR LIABILITY INSURERS: GENERAL LIABILITY ACP790116239S INSURER C: 10101/2004 10/01/2004 NSURER D: S 2,000,00 DAMAGE TO RENTED INSURER E: cc V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DDT TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS BUT FAILURE TO NAIL SUCH NOTICE S=E1 POSE NO OBLIGATION OR LIABILITY P. 0. Box 1988 GENERAL LIABILITY ACP790116239S 10/01/2003 10101/2004 10/01/2004 EACH OCCURRENCE S 2,000,00 DAMAGE TO RENTED $ 300,000 X1 COMMERCIAL GENERAL LIABILITY AL NED EXP(AY ore Parson) $ 5,00 �LIAITY CLAIMS MADE I X I OCCUR PERSONAL BADVINJURY S 2,000,000 A X GENERAL AGGREGATE $ 4,000,0 GEN'LAGGREGATE LIMIT APPUESPER: PRODUCTS - COMPMP AGO $ 4,000,000 POLICY jEa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY ALL OWNED AUTOS S (Per parson) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per acatlenq NONUWNED AUTOS PROPERTY DAMAGE $ (Par acadenl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO - AUTO ONLY AGO S E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE i OCCUR CLAIMS MADE DEDUCTIBLE $ _ $ RETENTION S J WC STATU- WORKERS COMPENSATION AND _ EL EACH ACCIDENT $ EMPLOYERS' LIABILITY J- ll'' ANY PROPRIETOWARTNEWIEXECUTIVE " E.LDISEASE -F- EMPLOYE $ OFFICERIMEMBER EXCLUDED? — -_ - - -- E.L. DISEASE - POLICY LIMIT If yes. de tx antler SPECIAL PROVISIONS bebr: 1 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Santa Ana is named Additional Insured per PB6004 attached 10 days notice of cancellation shall apply for non - payment of premium. &Aura: I ennm ACORD 25 (2001/08) ©ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL "30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT City of Santa Ana -- Attn:Nary Radcliffe BUT FAILURE TO NAIL SUCH NOTICE S=E1 POSE NO OBLIGATION OR LIABILITY P. 0. Box 1988 OF ANY KIND UPON INSURER, RS O REPRESENTATVES. AUTHORIZED REPRES T Santa Ana, CA 92702 ACORD 25 (2001/08) ©ACORD CORPORATION 1988