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<br />A DM <br /> <br />'714)9 9-0&00 <br />Cal-5urance Associates, Inc. <br />PO BoX 7041 <br />11) City Blvd., West, Ste. 400 <br />Oranlltl. 'CA 92163-7041 <br />Pac. i On e a ~'ca~Grs, ~ <br />DBA! Onsite furniture Servic~ <br />9Z00 Sorenson Avtnue <br />Santa Fe Springs. CA 90670 <br /> <br /> <br />DATE I~D1'I'Y) <br />12/05/Z001 <br />OML Y AND CONFERS NO RIQHTS UPON TilE CERTIF1CATI <br />1I0LDIR. THill CERTIFICATE DOIli NOT AMIiND.I!XTENIl OR <br />AL TI!R THE COY.RAG! AFFORD!IlIlY '1'111 POLlcl!S BELOW. <br />IN$URI!RS AFFORDING COVERAGE <br /> <br />I~UI\ERA: <br />INSUMRII: <br />Itt:llft'RCi <br />IN$UIltM 0: <br />It4'JFl&R~ <br /> <br />Great Norhern In_uranee CD. (Chubb) <br />Fed.....l Insuranc.. Co. (Chu ) <br />Stat.. COmp..n$at'Dn Insurance Fund <br /> <br /> 8 l . OliN ISsullO !~:;!'.!! IN"_U,,"P ....M~~ ~ov'_.~~_TIit~GY PERIOD '''''Lc.o.TEO..NDTWITHS,ANDING <br /> ANY REQUI~EMENT, TeIlM OR CONDITION OF ANY CONTRACT OR OTMI~ DOCUMENTWrTM flISPECrTO WHICH '!HIS CERTLFICATE MAY BE ISSUED OR <br /> MAY PIRT,.,N, TMllNSuRANCE AFFOI\OEO OY THE POlICIES DESCIIIBEO H!REIN IS SUBJECT TO All THE TIifIMS. EXCLUSIONS AND CONDlnONS OF SUOH <br /> POlICIES. AGG!\EGAT! liMITS SHOWN MAY HAVE BIIN REDUCIiD BY PAID CLAIMS. <br />~ TYfII or INSlJItNIG! pOL.ICV NUUSGR 'n'.."T'E' m- 10/0~Z~ I'ACH<X:CI.JIIR5NOi LIMIT" <br /> ~WL UAIOLI'" 1575:0795 ll17ll1/2001 I 1 000 OO~ <br /> X COMNUO",," QIiNe.~ '-IAWtv I'll@. C1AM.l.Gi. (Any 0"0 fire) . Incl udlld\ <br /> I CLAIMS MACE [!] OCCUR MED exP tMY Ol'i' pelRn) . 10.00 <br />A 'PI;RSONAl &. ADV INJUlty I 1 000,00 <br /> - eENe.m IoGGtd!!GATE. . 2.000.00 <br /> - .M PROQucrs. COMPter AGO , Z OOo.oor <br /> l,],EN\IIGG~E~U lTA!'PLII!!~R: <br /> I POLICV ~r8r n lOC <br /> AUTOMaLE UMIUTY 71260159 10/01/2001 10/01/200Z CQMDINI:D &1t4~L.& lIML" <br /> 'f"",AUlO (~.tdClent) I 1 OOO,OO~ <br /> .:.;:.. <br /> AU. OWNIiiO AU108 aoglLY IHJUFlV <br /> - SCMIDULEO AUTOS (P~rper5Ont . <br />B X _.AUTOS <br /> welL V INJ\.nW <br /> "t NO!+<)WN"" J'\\JTOIi (Perllocld8nl) . <br /> f-'-'- <br /> - 1l'R09;RT"( OAMAQI;; . <br /> (Ptr.iil~ent) <br /> c;ww1I uulUTV AUTO OHL. Y -liA ActibENT . <br /> =1- AUTO OTH~R THAN IiAACC S <br /> ALJTO ONI. '1'; .<co . <br /> I!)ljce& LlAIIUTT EACM oCCUI'lRiNCii I <br /> ::J OCCUR 0 ClAIMS""" AilC.EG,A.... I <br /> . <br /> R tlEDlJCTI8L! . <br /> RITI!HTIQN . xrnm'M'rf' I"!II'" I <br /> WOfU(!U CO.!NaATlDN ANO D4f01Ei60G 01/01/2001 01/0112002 <br /> EM",OVPS' UAllU'I'Y e.l. 'EACK M;CIOENT . 1.000,000 <br />C E-L. Dl9EAG'. iA. !MPt.OY&1 5 1 000.000 <br /> e,t.,OIllASe..PQUCYL.INIT S 1.000.000 <br /> o"tti1R <br /> :naNSN ~c ; ~~I?!!~ ~1 ,.... <br />SANTA ANA POUCE DfPARTIIENT, cm OF sANTA ANA. ITS OFFICERS. WLOYEES. AGENTS. voLUNTEERS .. <br />REPRESENTATIVES AIlE NAMEfl AS ADOITIONAL IMSURW <br />*SUPERCEDES CERtIFICATE DATED 11-21-01.. <br />CEaTI KQLIlPl T -1 ""omoNN-1NSU..O, ,NSOMIl linER <br /> 8MDULD Nftf 0.11'11 AtDYe DESCftlB!D I'O~CIa al: ~ELl.BJ "'ORE THE <br /> mtPIftATtON DATIl 'floEtdOII, TIoI! ISIUlNG COMPANY WlU."",~~ r-tAIL <br /> SANTA ANA POLICE DEPARTMENT ..:iD!- DAlSWRlTTIN NOTtC~ TOTHfOll\TIFIC;"l'II'tOI-DUl WAMIDTOTHII..II=T. <br /> ATTN; MARY CALIIERWOOO-CHIECHI ~lJlllMKM,--~ !YllllOlllllllUllI"9I1llll!lll'~JllIl()lXX <br /> P.O. BOX 19" M-30 APPROVED ~ XXXxxxx <br /> SANTA ANA. c:A 92702 V ~ .~ // <br /> ~ / / A _ c:;;ii 'JtsIvti S . <br /> '\""1 FAX: (714)647-(;515 Laura Sh~edY / '" j-' "..... ,.. <br /> <br />Deputy Clly Attorney <br /> <br />EOIIO 'd <br /> <br />'ON Xli:! <br /> <br />~Ii 90:01 03M 100G-SO-Q30 <br />