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<br />.. <br /> <br />. <br /> Issue Dale <br /> CERTIFICATE OF COVERAGE 07/1112001 <br /> PRODUCER THIS CERTIFICATE IS ISSUED />!J A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br /> UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL reR THE <br /> Aon Risk Services, Inc. COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY BELOW: <br /> of Northem Calnomla COMPANIES AFFORDING COVERAGE <br /> Insurance Services <br /> 199 Fremont SIree~ 14th Floor COWf'ANY LETTER BIG INDEPENDENT CITIES EXCESS POOl <br /> San Frandsoo, CA 94105 (A) <br /> Phone: (415) 486-7000 COMPANY LETTER (B) <br /> INSURED COMPANY LETTER (C) <br /> CIty of Santa Ana COIM'ANY LETTER (0) <br /> 20 CIvic Center Plaza M-2B, Box 198B COWf'ANY LETTER (E) <br /> Santa Ana, CA 92702.1988 <br /> COMPANY LETTER (F) <br /> <br />COVERAGES <br /> <br />THIS IS TO CERTiFY THAT THE MEMORANDUM OF COVERAGE OR POUCYQES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE <br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR <br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSueD OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE <br />MEMORANDUM OR POLICYQES) DESCRIBED tEREIN ARE SUBJECT TO ALL THE TERMS, exa.USIONS, AND CONDITIONS OF SUCH MEMORANDUM <br />ORPOUCY. <br /> TYPE MEMORANDUM MEMORANDUM MEMORANDUM <br />CO OF OR OR POUCY ORPOUCY ALl LIMITS IN THOUSANDS <br />LTR COVERAGES POLICY NUMBER EFFECTIVE EXPIRES <br /> EXCESS LIABILITY Difference _ <br /> OCCURRENCE FORM BI&PD $5,000, <br />A BO-05 07/0112001 0710112002 COMelNED <br /> and Self-lnSUAld Retention of <br /> INCLUDING AUTOMOBILE $ 1,000, <br /> LIABLITY <br /> COVERAGE A Coverage A Difference be_n $ <br /> excESS and Self-Insured Retention of <br /> WORKERS' COMPENSATION $ <br /> AND Coverage B Difference belween <br /> COVERAGE B $ and Salf-Insured <br /> EMPLOYER'S LIABILITY Retentien of $ <br /> I <br />I <br />DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlRESTRICTlONSlSPECIAL ITEMS. />!J RESPECTS: <br />Mobile Field Fe<<:e balnlng at the Orange County Fairgrounds, the Stale of California, the Dlsbicl AgrIcultural_atiens, County ... CItrus <br />Fairs, their agents, officers, servants, and employees, are included as AclclltIonallnsured, per attached andorsemenL <br /> <br /> <br />OrIl'Ige County Fallgounds <br />88 Fair Drive <br />Costa Meaa. CA i2626 <br /> <br />CANCELLATION <br /> <br />SHOULD Nt( OF THE ABOVE-DESCRl8ED COVERAGES BE CANCELLED BEFORE me <br />EXPIRATION DATE THEREOF. THE ISSUING AUTHORITES WILL ENDEAVOR TO MAIL 30 MYS <br />WRITTEN NOnCE TO ntECERTFICATE HOLDER. BUT FAB..URETO WJL SUCH NOtICE 8HAl.L <br />IMPOSE NO OBUGAnON OR LIABILITY OF "NY KIND UPON THE<:OM'ANY. AUTHORJrY. rrs <br />AGENTS OR REPRESENTATIVES. <br /> <br />CERTlF1CA IE HOLDER <br /> <br />- <br /> <br />AUTHORIZED REPRESENTATIVE ~ 'r~ <br /> <br />R0585OD.97 <br />