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<br />.ACORD. CERTIFICAU OF LIABILITY INSUI\JNCF;j&?l32 I DATE (MM/DDIVY) <br />10/03/00 <br />PRODUCER THIS CERTIFICATE is ISSUED AS A MAHER OF INFORMATION <br />Arthur J. Gallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License *0726293 HOLDER. THIS CERTIFiCATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 57036 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine CA 92619-7036 <br />Phone: 949-756-8500 Fax: 949-756-8701 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Scottsdale Insurance Company <br /> Young Ol~iansl Inc. INSURER B: Villanova Insurance Co. <br /> Cham~on outh, Inc. INSURER c: <br /> Mr. ndy Hood <br /> 1451 Edi8isr Avenue, "A" INSURER 0: <br /> Tustin, 92680 <br /> , INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDlTlaN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />PDUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />WG TYPE OF INSURANCE POLIcY NUMBER DATE-{MMJDD DATE~:~~ LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> ~ <br />A X COMMERCIAL GENERAL LIABILITY CLS457794 07/31/00 07/31/01 FIRE DAMAGE (Anyone fire) $ 50,000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone penlon) $ 5,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> ~'~ AGG~nE~ LIMIT An~ PER PRODUCTS. COM PlOP AGG $2,000,000 <br /> POLICY ~r8T LOC <br /> AUTOMOBILE UABILlTY COMBINED SINGLE LIMIT <br /> ~ (Ea accident) $ <br /> - ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> - (Per person) $ <br /> SCHEDULED AUTOS <br /> - <br /> ~ HIRED AUTOS BODILY INJURY <br /> (Peraccldenl) $ <br /> NON-owNED AUTOS <br /> - <br /> PROPERTY DAMAGE $ <br /> (Peraccldenl) <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> =.J OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 ~EDucnBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND X I TORY L1MITsI IV." <br />B EMPLOYERS' LIABILITY WC11240204 12/01/99 12/01/00 E.L. EACH ACCIDENT $1,000,000 <br /> E.L. DISEASE. EA EMPLOYE $1,000,000 <br /> E.L. DISEASE. POLICY LIMIT $ 1. 000 ,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCAll0NSNEHICLESJEXCLUSIONSADDED BY ENDORSEMENTISPEC1AL PROVISIONS <br />Certificate Holder is Named Additional Insured <br />Re: Corbin Center, Jerome Park <br />*Except 10 Day notice of cancellation for non-payment of premium <br />CERTIFICATE HOLDER I y I ADDlll0NAL INSURED: INSURER LETTER: A CANCELLATION <br /> CITY127 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE niEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> CITY OF SANTA ANA NOllCE TO niE CERllFICATE HOLDER NAMED TO niE LEFT, BUT FAILURE TO DO SO SHALL <br /> FAX: 714-571-7235 o VED AS TO M" OBLlGAnON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> PEARL RAYA APPR ~ <br /> 888 W. SANTA ANA BLVD, STE 200 REPRESENTAnvES. <br /> ,SANTA ANA CA 92701 ftUAA .~<i l. ~ "r/, J /, I 2. ~_ ewer -1 ) i j) Au cb/J ~ / /./Y ~ /J# <br />ACORD 25-5 (7/97) Laura Sheedy C () @ACORD CORPORATION 1999 <br /> Deputy City Attornly <br />