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<br />08(08(2001 <br /> <br /> <br />,)JLKIN~-o9_o f <br />y INS~RANCE <br /> <br />PAGE <br /> <br />02 <br /> <br />r-~COkD~ CERTIFICATE OF LIABle <br /> <br />PRODUCER <br /> <br />DATE <br />0110812001 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDEI'\. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />ISU 1.IUIl... S.NI.II <br />Wilkln.o. B.'.lIon Ag.ney <br />10350 Htrll.g. P.'" DrIv. SUn. 108 <br />S.nla Fo 5 rin . CA 90870 <br />INSU"!:.D Jim" ~. RUII,II & 6onllne. <br />2122 S. W~ghl SL <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />S.ntt An. CA 92705 <br /> <br />( INSURER A: Wellern Herit. .Inaur.nee Com In <br />INSURI!R .: <br />J"'SUAER c: <br />IttIUAI"C: <br /> <br />/' <br /> <br />COVERAGEB <br /> <br />THEPOLlCIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSU~EDNAM!DABOVEFORTHE POLICYPERIODINDlCA TED.NOTWITHST ANDINO <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MA YPERT AIN, THEINSURANCEAFFORDEDBYTHEPDLICIES DESCRIBED HEREIN IS SUBJECTTDALL THE TERMS, EXCLUSIONSANDCDNDITIONS OF SUCH <br />POLICIES, AGGREOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I~I!' lYPE OF INSURANCE POLlCY HUMBER ".9.Ll~Y EFFEcTIVE '2L~"'y UI'IRATlON LiMns <br /> ..Q.NERAL LIABILITY FACH OCCURRENCE 1.1000 000 <br />A ~ r~r~ERC''''L GENI!RAl LIABILITY SCP0384408 OS/20/2001 OS/20/2002 FIRE DAIlIAGe tAl''' an. Ani' .50 000 <br /> CLAI... MADI! [!J occu~ M.O IXI' 'A."U an. ..._ .1000 <br /> - PEIUON",l .. AQIIINJUAV .1 000 000 <br /> - QE~I!RAI. AOOREOATE I .2 000 000 <br /> ~'L AQG~nE lttollT ....ri. PER PRODUCTS. COMlllOP AGe. .1 000 000 <br /> POLICY ~~~: LOC <br /> ~TO"O.llf LIABILITY COM8'NI!:D IINGl&lIMIT . <br /> - ANY AUTO (buIld."'1 <br /> - ALL. OYnIED AUTOS 10011. Y aNJURY <br /> {PIf penonl . <br /> - ICHI:OUI"e;O AUTO' <br /> - HIRED AUTOS 100lL Y INJURY <br /> {P"'e(!lct."O . <br /> - NON..oWNIEO AUTO' <br /> - PADIlEIHY DAM....GE . <br /> (PIrIG"ld.nl) <br /> =rAGO L1A.,LlTY AUTO ONI. Y .I"A. ACCIOENT . <br /> At-fY AUTO OTHER THAN EAACC I. <br /> AUTO ONI. Y~ AGG I. <br /> ::5ll1l1...IUTV EACH OCCURIUloIC& . <br /> OCCUR D CLAIM' "'/\DE AGG'U!GATE . <br /> I. <br /> ==l DEDUC'nDI.E I. <br /> ..,n",^" . I. <br /> WORKeRS COM"!N'/\ nON AND I ..:!.~!r~!.~, I IO!.t'. <br /> EM"LOYEAB'LIABllITY E.l. EACH ACCIDENT I. <br /> E.I.. DlI!AII..... I!'MptLOYI!' . <br /> E,I . f'U'C'Aa~. P",11Cv IMIT I. <br /> OTHER <br />OESCAI"nON Of OfEMnONSILOC:A nONJlVEHICLEtIEIl.CLU'ION!I ADDED BY ENDORSEMENT/.PEClAl PRO....SION. <br />'10 Day Nollce of C.nclllatlo. lor Non.Paymont 01 p,.mlum . City 0' Sante Ana, Ita offlc.,., .mploye.., ag.ntl .nd <br />r.p....nl.llv.. "" n.m.d.. .ddltlonll in.uredl per form .K..hld. Prl....ry wording .pplle. per Ionn ItIt.hed, <br />CERTIFICATE HOLDER II ADDitiONAL IN'UIltED' INIUREA LEnlJl:l CANCELLATION <br /> Thl Dopol .t Slnla An. aHDUL.OANYOf'THI!! ABOve DESCRlBIlD POLICIES II! CANCllLID I!!PO'U! TH! I!XPIIVI'I'ION <br /> DATE THEREOF, THE 1!I!lUINO IN!lURER Wll.~dWt~~"'ll ~ DAYS WRITTII!N <br /> Attn: C.rolyn Fullerto. HOTICE TO THE CERTIFICATE t10LDE,. NAMED TO THE LEft, )hX*X<<vt<< X<<~:'~l( <br /> 1000 E. S.ntt An. Blvd" .108 Xj(,W~cI(K~*~..lW6~j(lilll<l(VfJ6l(~MiI;ll>>~k:lltKMl( <br /> Slnl. An., CA 82701 X~~ilIJtXi6lll( <br /> , AU':>-r nlIZ";'.....kiM 0 8J. r-'~ <br />ACORD 26.S (7/97) VED AS Tl) FORM (I III ACORD CORPORATION 1981 <br /> X\~ _ td- <br /> TINE LEE SHAW <br /> <br />Deputy City Attorney <br />