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<br />1 <br /> <br />" . <br /> <br />. ACORD'M. CERTiFICATE OF LIABILITY INSURANCE <br /> <br />DATE <br /> <br />PRODUCER <br /> <br />1 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br /> <br />YEARGIN INSURANCB AGBNCY <br />SUITE C-102 <br />15375 BARRANCA PKWY. <br /> <br />INSURED <br /> <br />PARADIGM IMAGING GROUP INC <br />1590 MBTRO DR #116 <br />COSTA MBSA, CA 92626 <br /> <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER 0 <br />INSURER E: <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 <br />MAY 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 />~.- TYPE OF INSURANCE PQUCY NUMBER POLICY EFFECTIVE Pgkl-FE~ EXPIRATION LIMITS <br />.~-~ 72rJT1CJQ2586 11/20/2001 11/20/2002 EACH OCCURRENCE $ <br /> . COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ <br /> CLAIMS MADE W OCCUR MED EXP (Anyone personl $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> r~~'L AGG~En LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ <br /> ~ POLICY ~~9.;. LOC <br />A t=aMOBlLE LIABILITY , 12UUCJQ2586 11/20/2001 11/20/2002 COMBINED SINGLE LIMIT <br /> $ <br /> r-' (Eaaccidentl <br /> I -- ALL OWNED AUTOS aOOIL Y INJURY $ <br /> (Perpersonl <br /> ; _ SCHEDULED AUTOS H_ <br /> ~ HIREa AUTOS BODILY INJURY <br /> lPeraccidentl $ <br /> NON-OWNED AUTOS <br /> -~ ------ ---. -- <br /> PROPERTY DAMAGE $ <br /> I . (Per accident} <br /> ~ARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> -l ANY AUTO OTHER THAN EAACC ' $ <br /> ! AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> _ OCCUR C, CLAIMS MADE AGGREGATE $ <br /> -.- $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br />B WORKERS COMPENSATION AND 3900001790011 10/01/2001 10/01/2002 I :!;'.S~T~T,~~ I v lai~ <br /> EMPLOYERS' LIABILITY . <br /> E.L EACH ACCIDENT $ <br /> E.L DISEASE - EA EMPLOYEEi $ . ..... <br /> EL DISEASE - POLICY LIMIT I $ . """""" <br />A OTHER 72UUCJQ2586 11/20/2001 11/20/2002 25000 <br /> I VALUABLE PAPERS <br /> .,..,,..,nf"\1n T'\ JI '1'1'\ . <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ~~(1/ <br /> -- <br /> C NE LEE SHA <br />CBRTIFICATB HOLDBR IS NAMIID AS ADDITIONAL INSURBD AS PER ATTACHBD BNDORSllMI5~uty City Attornc <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION . n _ no v D^ft "^"_ ^D nn~ <br /> DAVB PATTON ASST. BNGINEBR II SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> CITY OF SANTA ANA DATE THEREOf. THE ISSUING INSURER WILL ~MAIL 3-0-- DAYS WRITTEN <br /> PUBLIC WORKS AGBNCY M85 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.~ <br /> 220 SOUTH DAISY AVB. <br /> SANTA ANA, CA 92703 <br /> AUTHORIZED REPRES~/L~ jJ ~ t!.:z-c.., -- <br /> <br />COVERAGES <br /> <br />ACORD 25-S (7/97) <br /> <br />~ACORD CORPORATION 198B <br />