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<br />
<br />30-Jun-2003
<br />
<br />Driver AlIianllnsurance Services
<br />500 Washington Street
<br />SUITe 300
<br />San Francisco, CA 94111
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />DDES NDT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />POLICIES BELOW.
<br />
<br />PRODUCER
<br />
<br />(415) 371-540D
<br />
<br />._________...__mm______.___._m_____..____________....__mm__....____n_____..__________._._._mmm___ _____._mn,._m__
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />INSURED CSU Fullerton, Foundation
<br />2600 Nutwood Ave., Suite 275
<br />Fullerton, CA 92631-3599
<br />Attn: Bill Herbert
<br />
<br />01.-'lq~
<br />. \/;"0
<br />i\J 481
<br />
<br />Please refer to Coverages section below.
<br />
<br />.Ji\lIg~~~;;;L:;.;;.;;.;;.;;;;::";ZL"',,.:,,;;.;;..i;.J,;;:L.;;.;,:,A":,:":2z;m:i;5j:id;;;:lcJX;;;~,,,:",,,,LiL;;,,Lb:;i":LhbdiL".iih":;",,,,,;;;:;"::i:,,,Ji,,,,,,,,,,,,,,,,,,,,,,Lii;;,,,,,,;;;:L
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />coverag~TYpf;.mmmm........m"lri~urer..mm............m.........................mm. poiicy............................ "EffectiveDate"rElip'lrat"lonD~te' i:in.-IiTYpe..mm............m..--.....-..-.....TA.;.;Ount-.......mmm_'.
<br />
<br />SIR FundLlabll
<br />
<br />T0703-19J1247
<br />
<br />01-Jul-2003 01.Jul-2004 General Liability-Each Occurrence
<br /> Auto LiabilityOncL InGL Limit)
<br /> HiredINonOWned Auto Onc!. In GL Limit
<br /> Prod,lCompL Operations (lncl in GL Li
<br /> Contractual Liability (Incl in GL Limit)
<br />01.Jul-2003 01-Jul.2004 General Liability- Each Occurrence
<br /> General Liability Aggre9ate Limit
<br /> Auto liability (IncL In GL limit)
<br /> HiredINonOWned Auto Onc\. In GL Limit
<br /> Prod.lCompl, Operations (Incl in GL li
<br /> Contractual Liability (Incl in GLLimit)
<br />01.Jul-2003 01.Jul.2004 SIR Errors & Omissions
<br /> Excess SIR Errors & Omissions
<br /> Aggregate limit
<br />01-Jul-2003 01.Jul-2004 General Liability. Each Occurrence
<br />
<br />$2tiO,OOO
<br />
<br />AGI-'IP S,I,R Fund
<br />
<br />ABI-'IP-0304-01
<br />
<br />Excess SIR Llablli
<br />
<br />GENESIS
<br />
<br />YXB3oo954
<br />
<br />$750,000
<br />$1,500,000
<br />
<br />Excess SIR E&O Llab Evidence of Insurance anI
<br />GENESIS
<br />
<br />YX83oo954
<br />
<br />$250,000
<br />$750,000
<br />$1,500,000
<br />
<br />Excess LiabUl For Evidence of Insurance Onl
<br />Schools Excess liability Fund
<br />
<br />$14,000,000
<br />
<br />
<br />fORM
<br />
<br />ura SheedY v
<br />CI\y A\tl1fne,
<br />PC?\ltY
<br />
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS 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 Exhibit A
<br />between CSU Fullerton Foundation, Center for Deomographic Research and the City of Santa Ana.
<br />
<br />IMPORTANT
<br />
<br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A stamment on this certificate does not confer rights to the certificate holder in lieu of such
<br />endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions afthe policy, certain policies may require an endorsement A statement on this certificate does not
<br />confer rights to the certificate holder in lieu of such endorsement(s}
<br />The Certificate of Insurance on this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
<br />affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
<br />
<br />DISCLAIMER
<br />
<br />
<br />City of Santa Ana
<br />Clerk of The City Council
<br />20 Civic Center Plaza (M-3D) P.O. Box 1986
<br />Santa Ana, CA 92702-1988
<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 30 DAYS WRITTEN
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT .
<br />
<br />i l._~ L J")14Ml... ._1._
<br />
<br />
<br />NTA~
<br />
<br />~J
<br />
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