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Ru3130-2006 16:01 P.02iO3 <br />ACA disk Services,inc of Washington <br />HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />1420 Fifth Avenue <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Suite 1200 <br />9 `JOs <br />4ODuLov0n DDaDWMTIONAND ADS <br />Bgl'6' NABIGr[Y <br />CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE <br />Seattle WA 98101-4030 USA <br />B� <br />05/01/06 DS/01/07 ELRACRACCIDOR <br />COVERAGE AFFORDED BY THE POLICIES BELOW, <br />,y <br />d <br />r <br />.A <br />o <br />INSURERS AFFORDING COVERAGE NAIC0 <br />rmon- 206 749-4800 PAx- 206 749-4860 <br />, <br />3 <br />1KaJ"M <br />1'-e enc. <br />WSUAERA: Greenwich insurance Comoany 22322 <br />'- <br />itsssubsidiaries and Affiliates <br />m3uRckU: Travelers Pro rt 25674 <br />Pe Y Cas Co of America <br />� �• <br />12920 38th street <br />Bellevue <br />ue w 98006 USA <br />INSURRRn National Union Fire Ins Co of Pittsburgh '19445 <br />g <br />O <br />P. <br />INSURER D: <br />a1 <br />AUEOUG ma mAwmm <br />INSUREAE: <br />+r <br />OS/01/D7 <br />TO DAVE WRITTEN NO11CB tV 7}IE CBRTRICAT6��YOA <br />BUTPAIwReID[q$O SNA71I1aorx NPO OaLIGAHjIgr 9A L�NBW�IY�ELEFi. <br />x7 <br />THt."OLT lS OF INSURANCE LISTED BELOW HAVE WEN ISSUED TO TIB: DISURBO NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />OPANY KIND VPON iNe IN3yRE1�TBAGENTS OR RBPR6WIMAT}VET, <br />ANY RE000WFIAENT-TS'M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPnCr TO WHICH THIS CERTIFICATE <br />AO-,` <br />MAY BE 15SUED OR MAY <br />BY THE FOI.ICIS DESCRIBED HEREIN IS SUBIBCT TO ALL THE TERMS, EXCLUSIONS <br />PERTAIN, ULE IMITSSH <br />WN MAY <br />AGGRBG,LTB LIMITS SHOWN MAY HAVE BBEN REDUCED BY PAID CLAIMS. <br />AND CDNDMONS OF SUCH POLICIES. <br />A <br />aall <br />LTR TYPE Or MWALANCR <br />r Cy NUMBER <br />POIJCY <br />EXPIPATIM <br />05/01/07 <br />cw l $1,000, <br />Z <br />RAT COM M MYli <br />MTMMMIDD" <br />LIMITS <br />A IMIMALUA4-- <br />^OnM.eLIALOMNERALLUBElrY <br />RGD5000064 <br />OS/01/O6 <br />0S/01/07 <br />cuNuccDARENCE 1110001000 <br />DAMAGRTORDMO 51.000,000 <br />rtmes E & ww".. l <br />f <br />CLAINSMADE ff] OCCUR <br />x <br />Calc ual Lla6ilitY acl. x <br />f Pi Penael <br />aa°PGF—P�0" <br />HIRM AVIOS <br />NWOWNBDAVr <br />PERSONAL lnDV O1m0.Y f1,000r000 <br />�0 <br />Q'ADOMM.LDE <br />AOORBGAtA 55,000, <br />x�NERnLACCREWTa <br />9 `JOs <br />4ODuLov0n DDaDWMTIONAND ADS <br />Bgl'6' NABIGr[Y <br />CR!'LAGGREG <br />B <br />ANY PRONUrICal PARTNmI/P ACUTWS rR3V114193595606 <br />B� <br />05/01/06 DS/01/07 ELRACRACCIDOR <br />S2 r00D,000 <br />OFMCOMOM EWUMWI AZ, NA, OR, WI <br />r <br />LRRTAPPLIRSPER: <br />� PGP.ICY 11IECr ❑ LOL <br />BPOIAYii Sar000, <br />TNI,. <br />N <br />a . <br />O <br />rRODUCrB-ODI&ROP AGO $2.000,000 <br />PRIB'f10N OFwaa,1T10NY�6,rwY1W+SNa1nCLH&PYCWSIWi3AOOAD aY000LU ,I@fTy�pOu4 PROVISIQI3 <br />tea` LA0307AA Site Hanle: TM010 Jerome Park Site Address- 2115 W. MCFadden Ave., Santa M A <br />icate Moder is <br />an additional insured dor General Liabilit solelyas respect to ]A9-050-30. The <br />at the shove location if required by contract. y operations of the Named <br />O <br />P. <br />A <br />AUEOUG ma mAwmm <br />RAD 5000066 <br />05/01/06 <br />OS/01/D7 <br />TO DAVE WRITTEN NO11CB tV 7}IE CBRTRICAT6��YOA <br />BUTPAIwReID[q$O SNA71I1aorx NPO OaLIGAHjIgr 9A L�NBW�IY�ELEFi. <br />— . <br />OPANY KIND VPON iNe IN3yRE1�TBAGENTS OR RBPR6WIMAT}VET, <br />ANY AUTO <br />AO-,` <br />nUTNVAQED R[@RASENTnTIYE R�dr � �!�� <br />CVamRaaDSINCLEL1MW <br />. <br />A <br />Req 5000067 <br />05/01/06 <br />05/01/07 <br />cw l $1,000, <br />Z <br />ALLOMNED AVI08 <br />MA <br />6ODILYMUURY <br />KINDL"l? <br />f Pi Penael <br />HIRM AVIOS <br />NWOWNBDAVr <br />BOMYMNRY <br />_ <br />/ROPMRTY OANnOA <br />(NrwcMsq <br />CARAER LLAMl1TY <br />r' "'�'/�'/ <br />ANY AVTO <br />AUTO ONLY•An ACC1OENT <br />OTHERTNAN AAACC- <br />•. <br />AUIDONLY: <br />Q'ADOMM.LDE <br />AOORBGAtA 55,000, <br />PBXX XBL <br />$25,000 <br />9 `JOs <br />4ODuLov0n DDaDWMTIONAND ADS <br />Bgl'6' NABIGr[Y <br />x We SI'ATLL o1H- <br />B <br />ANY PRONUrICal PARTNmI/P ACUTWS rR3V114193595606 <br />B� <br />05/01/06 DS/01/07 ELRACRACCIDOR <br />OFMCOMOM EWUMWI AZ, NA, OR, WI <br />ILL. DBeAWEA <br />urM.baa..Wr09CLALFROV6DDWS <br />BPOIAYii Sar000, <br />TNI,. <br />aL. DISBASLPOULY LISGT Sl, <br />PRIB'f10N OFwaa,1T10NY�6,rwY1W+SNa1nCLH&PYCWSIWi3AOOAD aY000LU ,I@fTy�pOu4 PROVISIQI3 <br />tea` LA0307AA Site Hanle: TM010 Jerome Park Site Address- 2115 W. MCFadden Ave., Santa M A <br />icate Moder is <br />an additional insured dor General Liabilit solelyas respect to ]A9-050-30. The <br />at the shove location if required by contract. y operations of the Named <br />City of Santa Ana <br />.x,E1 U- Santa Ma Ave. <br />Santa Ana CA 92707 VSA <br />SNouL <br />DEW TM�DANY �OP 77a+.� ARWEQFHQImSEDPOitltic ME CANCELLED RM99 THE MIRAMM <br />TO MAD, <br />TO DAVE WRITTEN NO11CB tV 7}IE CBRTRICAT6��YOA <br />BUTPAIwReID[q$O SNA71I1aorx NPO OaLIGAHjIgr 9A L�NBW�IY�ELEFi. <br />— . <br />OPANY KIND VPON iNe IN3yRE1�TBAGENTS OR RBPR6WIMAT}VET, <br />nUTNVAQED R[@RASENTnTIYE R�dr � �!�� <br />