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<br />(l) - 200 j'- .:IC <br /> <br />MJ:MORANDUM OF INSURANCE <br /> <br />Date Issued: <br /> <br />Insured: <br /> <br />01/07/02 <br /> <br />This memoriindum is issued as a matter of <br />information only and confers no rights upon the <br />holder. This memorandum doe:; not amend, <br />extend or alter the coverages afforded by the <br />CertifICate listed b@low. <br /> <br />Prince & Phelps Consultants <br />17215 Avenlda De La Herradura <br />Padflc Palisades, CA 90272.2004 <br /> <br />Producer: <br /> <br />Company Affording Coveraae <br /> <br />Trust Risk Management 5ervi'e5 <br />Near Nortlllnsuranc:e Brokerage <br />875 North Michigan Avenue <br />Chic;ago, IL 60611 <br /> <br />Chicago Insurance Company <br /> <br />Covered Perso.;--CStabJII) <br /> <br />Owner <br />x <br /> <br />Patrick J Prince <br /> <br />Employee <br /> <br />This Is to certlf'v that the Certificate listed below has been issued to the Insured named above for the <br />policy period indicated, notwithstanding any requirement, term or ,onditton of any contlll!;l; or other <br />document with re5pe!;l; to which this mllrTlorandum may be Issued or may pertaIn, the Insurance afforded <br />bv the certificate described herein is subject to all terms, exdusions and conditions of such Certificate. <br />The limits shown ma have been nKIuced b Id dalms. <br />CertInCilte/POllc:y <br />Number <br /> <br />Type of lnsu ranee <br />PrOfessiona I UlIbility <br /> <br />Effective Date Expiration Date <br /> <br />Limits <br /> <br />eld1lncld..,t <br /> <br />$ 1,000,000 <br /> <br />Claims Made <br /> <br />45P-2015329 <br /> <br />10/01/01 <br /> <br />10/01/02 <br /> <br />AnnUli Igg.-.glte ...3,000,000... <br /> <br />Retro Date: 09/15/99 <br /> <br />Memorandum Holder <br /> <br />The City of Santa Ana <br />Attn. Rosa Flores <br />Loss Control <br />PO Box 1988 <br />Santa Ana, CA 92702 <br /> <br />Author1zed Represe <br /> <br /> <br />PW <br /> <br /> <br />S TO FORM <br />