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�Hor'02 03 12:19p PRCSR 5714211 P•5 <br />FROM : <br />FAX NO. :8585190822 Mar. 28 2003 01:54PM P2 <br />nara f1111ReANYY1 <br />ACOBD CERTIFICATE OF LIABILITY INSURANCE 03 <br />ms U AS 1 <br />PRDMIDlR ONLY AND CONFERS NO RIGHTS <br />Fitness s wellneas Insurance HOLDER. Tws CERTIFICATE DOE: <br />3ageonscto~m Ave., rirat doer <br />ALTER THE COVERAGE AFFORDS <br />Belana Beach CA 82075 <br />Vhene:000-395-9075 Pax:850-519-0822 INSURERS AFFORDING COVERAGE <br />~I rano <br />03761262/20/03 <br />iKarats Do Kiwi <br />1f2162 Ranchero Way <br />darden orove CA 02813 <br />FR <br />NSUPA' Steadfast 11 <br />I <br />MAIC A <br />COVERAGES <br />THF POLICIES OF liSURANOE LIST BELOW NAVE BEEN ISSUED TO TME INSURED NAMED ABOVE <br />FOR TMC POLICY <br />TO THIS <br />PERIOD INDICATED. NOTYMMSTANDtV6 <br />CERTIFICATE MAY BE ISSUED OR <br />ANY REOUIREMENT� TERM ON CONDMNJ OF ANY CONTRACT OR OTHER OOCUMENTYe7HRESPECT <br />ALL THE TERMS, EJNCLUSM:NS <br />TERM <br />AND CONDfiTDNS OF SUCH <br />MAY PERTAIN. TME INSURANCE AFFORDED BY TME POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />POLICIES. ADOREOATE LIMITS SMO"NIAV NAVE SEEN REDUCED BY PAID MAI IS. <br />._ <br />LIMPS <br />MY+ <br />lydy. Y�lf <br />DAT! <br />IACNOCCURAFAICE <br />t 1,000 000 <br />LT A !OF 3 PoUCY NUMSER <br />°�` `a°°� <br />X COMMERCIAL GENERAL WUILRY FAL5291391-00 D2/2D/03 <br />02/20/01 <br />_ _ <br />ppFMIaSS +mnwmw)� <br />s 100 000 <br />J .� <br />MEDEAPWW^n___t"Ifty <br />A X <br />MAIMSMAO! UOCCUR <br />� <br />PEAIERAL LAADVtNJIeY <br />51,000 <br />711000,000 <br />A X Mise. Prolaseional <br />_... ._.... <br />O,_Ooo <br />3...... <br />sSStt <br />n6vERALADOREMTE <br />FRGGUCTS-MWMIAAG <br />XNCLODE <br />GTNLAOGDA7EOASTAPPIESPFR <br />POL <br />AUTOMnBIUTY <br />COMADSWOLE MMT <br />AWAUTO <br />-..O <br />ALLOYMEDAUT03 <br />BODttY MAY <br />ACNCDUUNDAUTOP <br />.._ <br />-.._ .__.O <br />MIREDAUTO <br />BODILY 1/UURV <br />rY3 <br />)) <br />NONOWEDAUTOS <br />PROPERTY OAMADE <br />lPx <br />M1UTODHY-EAACGCCM <br />_. <br />GARAGE LIABILITY <br />t <br />SAACC <br />AWAVTO <br />OTM6RTHAN <br />AUTORYAUG <br />_ <br />i <br />EACHOCCURRENCE <br />S - <br />!NDlbL1AARRRLLA LMM°oY <br />OCCUR n CLAIMS MADE <br />--' <br />--- <br />-f <br />FORM <br />t <br />' <br />Y <br />D AS <br />DEOIICTMALE <br />APPRO <br />a <br />RETENTION f <br />T <br />WOIIRGACDMFENMTIOR AND <br />lNPLGYlRC 41ASILRY <br />E EACH ACCIDENT— 7 _....._ <br />ANY ppOpRIF,TOTUPAgT,IgifEIiECLRNF: <br />aU a She <br />dy <br />EL DIMASE.FAEMPI.OI S _.. <br />— <br />RORFyFA�IL�ERAIk7AAFl1ERCI.UOFDT <br />DCj1Ul`j C•ty <br />Attorney <br />- --- <br />FLU SFASE PoUCY I,IMR S <br />=IALLMOV13104SbM+R <br />a <br />Orm" <br />sexual Abuse <br />LRL529139/-00 <br />i <br />I <br />ODD. 100,000 <br />30D 000 <br />ppSCI11FTIDX OF OPEpA71DN71 LOCAIIOWIMTNWLlS IlSCLVSItSNO AODEO eY DIDOIIeIa IRlC1ALPAGNxGMt <br />representatives <br />City of Santa Ana, It`s officers, owpoloyeea, agents and <br />n&nsd as additional insured per the attached forla 002010 11/05 <br />_ nwurrCN N ATlnu <br />CITfBAA e10ULRANY DF THE AaGYanlSCRIBED POLIDIES DECANGlLLER eEFDes THE lWMTID <br />DATE THEREOF, THE MUING BI3URG WILL AUNMOMMISkIL 30 DAYOWRITTEN <br />ROTIOE TO THE CEIITIFICATEHOLDER HAMED TD THE LEPTL <br />The City or Santa Ana <br />20 Civic Center Placa <br />Santa Ana CA 92701 <br />