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<br />A.~"I~". <br /> <br /> <br />HOFFMAN-BROWN <br />15233 VENTURA <br />SHERMAN OAKS <br /> <br />COMPANY <br />BLVD <br />CA 91403 <br /> <br />DATE (MM/DDIYV) <br />07/11/02 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY 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 /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />PRODUCER <br /> <br />INSURED <br /> <br />. ---._-.~_.~---_._~~ <br /> <br />COMPANY <br />A NAVIGATORS INSURANCE COMPANY <br /> <br />PAUL STICKELMAIER AND PGS <br />SERVICES, INC. <br />P.O. BOX 8566 <br />MISSION HILLS, CA 91346 <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br />THIS is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />I__~)(_CLUSIONS_AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN M_AY1HAVE BEEN REDUCED BY PAID CLAI~S. .~__~_ __."____ <br /> <br />. CO' TYPE OF INSURANCE I POUCYNUMBER ! POLlCYEFFECTlVE !POL.ICYEXPIRATION! LIMITS <br />LlA I DATE (MM/DD/YY) , DATE (MM/DOIYY) <br /> <br />A, GENERAL LIABILITY i GENEAALAGGREGATE $ 2, 000/ 0..00 <br />j- Xl COMMERCIAL GENERAL LlABIUrY ' P~ODUCTS _ COMP/OP AGG 'S 1 / 000 I 0 0 0 <br />1'1~ CLAIMS MADE JD OCCUR GA4 0 04 67 08/25/01 08/25/02 PERSONAL&ADVINJURY $ 1, 000, 000 <br />'------i OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1, 0 0 0 I 0 0 0 <br />l_,_~ --,.- FIRE DAMAGE (Anyone fire) $ 50 , 000 <br />liMED EXP (Anyone person) : $ 5 I 0 0 0 <br /> <br /> <br />COMPANY <br />o <br /> <br />i AUTOMOBILE LIABILITY <br />r.~ <br />I ANY AUTO <br />I ALL OWNED AUTOS <br /> <br />COMBINED SINGLE LIMIT $ <br /> <br />;-.--: <br /> <br />SCHEJULED AUTOS <br /> <br />I' BODILY INJURY! S <br />{Per person) <br />BOalL Y INJURY I <br />(Per accident) _!$ <br /> <br />PROPERTY DAMAGE j' S <br /> <br />r-! <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />~ <br />I <br /> <br />GARAGE LIABILITY <br />,_ ---J ANY AUTO <br /> <br />,~ -.~._---- <br /> <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN AUTO ONLY <br />EACH ACCIDENT $ <br />AGGREGATE ; 5 <br />EACH OCCURRENCE ' $ <br />I AGGREGATE ___.~.______ <br />1$ <br /> <br />! EXCESS lIABILlTY <br />UMBRELLA FORM <br />: OTriER THAN UMBRELLA FORM <br />i WO;::;i\i:R;3 COfl.irEfiSA ~IUI~ AND <br />I EMPLOYERS' LIABILITY <br /> <br />I THE PROPRIETOR! IINCL <br />, PARTNERS/EXECUTIVE <br />i OFFICERS ARE EXCL <br />I OTHER <br />I <br />i <br /> <br />STATUTORY LIMITS <br />EACH ACCIDENT <br /> <br />s <br /> <br />DISEASE - POLICY LIMIT $ <br />DISEASE - EACH EMPLOYEE $ <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS <br /> <br />**:8 DAYS NOTICE FOR NON-PAYMENT OF PREMIUM** CERTIFICATE HOLDER IS <br />NAMED AS ADDITIONAL INSURED PER THE ATTACHED EXHIBIT "B" FORM. <br /> <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOf, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEfT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />OF ANY KINO <br />AUTHORIZED RE <br /> <br /> <br />ITS AGENTS OR REPRESENTA TlVES. <br /> <br />JENNIFER <br /> <br />, <br />~ <br /> <br />