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<br />....W:i.ik.iiiiii....o...... ......, ..;:, ...... 16-Aug-2002
<br />.;.'.:.......w.;.;,::::,:':',::::,:::;,:::::::::;,;:::>:;.:..s,.... "' '" ,'.""':.,"
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<br />THIS CERTIFICATE IS ISSUED AS A MATTER"OF'i'NFORMATION ONLVAN.D........._..
<br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES BELOW.
<br />
<br />PRODUCER
<br />
<br />Driver Alliant Insurance Services
<br />500 Washington Street
<br />Suite 300
<br />San Francisco, CA 94111
<br />
<br />(415) 371-5400
<br />
<br />INSURED CSU Fullerton, Foundation
<br />2600 E. Nutwood Ave., Suite 275
<br />Fullerton, CA 92631-3599
<br />Attn: Bill Herbert
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />Please refer to Coverages section below.
<br />
<br />481
<br />
<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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />
<br />CoverageType
<br />
<br />InsullIr
<br />
<br />Polley
<br />
<br />ar.ctlveDate ExplratlonD8t. Llmnrype
<br />
<br />Amount
<br />
<br />Pt1ma ExcMs G..,eral Llabll
<br />
<br />Royallndemnty Company
<br />
<br />RHJ090411
<br />
<br />01-Jul-2002
<br />
<br />JO-Jun-200J
<br />
<br />Combine Sing"" Limit, Per Oce
<br />S.I.R.
<br />Scheduled 0Nned AlIto (if any).
<br />Hired and Non-Owned AlIto.
<br />ProductslCompletedOperations.
<br />Contractual Liab~ity"
<br />
<br />$1,000,(((1
<br />""',(XX)
<br />
<br />.AII Coverages included in CSL, PerOee Liml
<br />
<br />Prim Excess E&O (Evlden.:. or Insurance On )
<br />100 0&0 and Prof Liability RoyallndemnilyCompany
<br />
<br />Excess Liability (For evidence of Insurance On
<br />Sch:>ols Excess Liability Fund
<br />
<br />0702-19J1247
<br />
<br />01-Jul-2002 JO-Jun-20OJ EachOcculTence $2,000,000
<br /> S.I.R. $25O,(XX)
<br /> Aggrega1e $2,000,000
<br />O,-Jul-2002 JO-Jun-20OJ Each Occurrence $14,000,000
<br />
<br />RHJ090417
<br />
<br />'VED f' TO FORM
<br />
<br />
<br />liNE LEE. SHAW
<br />Deputy City Attorney
<br />
<br />DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds as respects to the Agreement set forth in
<br />Exhibit A between CSU Fullerton Foundation, Center for Deomographic Research and the City of Santa Ana.
<br />
<br />This cancel and re laces certificates issued on June 26, 2002.
<br />
<br />IMPORTANT
<br />
<br />If the certflcale hoKler is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. A sta1ement on this certificate does no1 confer righ1s 10 the certificate holder In I~u of such endof1lemenl(s).
<br />If SUBROGATlON IS WAIVED, slbJeet to Ihe terms and conditions otthe policy, certain pollclls may require an endol$ement A s1a1emerrt on this certificate does not l;(lnler rigrts to the certificate
<br />holde'
<br />The Certifica1e of Insurance on ths form does not conslMute a contract between the issuing insurer(s), authortzed represertative or producer, and the certlficale holder, nor does it amrmatlvety or
<br />negalr.-e1y amend, extend or a/terthe coverage aIIorded by1he po~c.\!I$listedthereon.
<br />
<br />DISCLAIMER
<br />
<br />
<br />City of Santa Ana
<br />Clerk of The City Council
<br />20 Civic Center Plaza (M-30) P.O. Box 1988
<br />Santa Ana, CA 92702-1966
<br />
<br />6476-1526
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POliCIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL JO DAYS WRITTEN NOTlCE
<br />TO THE CERTIFICATE HOLDER NAMED lOTHE LEFT.
<br />
<br />AUTHORIZED REPRESENTATIVE
<br />
<br />"'"'~"~?
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<br />
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