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<br />From: Comprehensive Insurance 949-709-1668 To: Lynn <br /> <br />Date: 1012812002 Time: 12:07:48 PM <br /> <br />Page 4 of 4 <br /> <br />A CORDa <br /> <br />ROOUC," (949)709 &&00 FAX (949)709-1668 <br />:omprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 926&& <br />/sUREll Blind Children's Learning Center <br />1&,42 Vanderlip Avenue <br />Santa Ana, CA 92705 <br /> <br />CERTIFICATe-6F LIABILITY INSURA <br /> <br />DATE (MMlDDm') <br /> <br />10/28/2002 <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 TliE COVERAGE AFFORDED BY TliE POLICIES BELOW. <br /> <br />E <br /> <br />..w <br />'-rflJ-- <br />~/19 <br /> <br />U",SURER A: <br />INSURER B: <br />I~SURI:;:R C <br />lNSURE:R D <br />INSURER E' <br /> <br />INSURERS AFFORDING COVERAGE <br />STATE COMPENSATION INS. FUND <br /> <br />;OVERAGES <br /> <br />THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANOING <br />ANY REOUIREMENT, TE~M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESFJECT TO WHICH THIS CERTJFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THe INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDlTtONS OF SUCH <br />~L1CIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS. <br />r: TYPE OF INSURANCE POLICY NUMBER ~l~ liMITS <br />~ifW. LIABILITY EACH OCCURRENce , <br /> COMMERCIAL GENERAllIASIt.ITY FIR!:: DAMAGE [Any Qn& fire) , <br /> I CLAIMS M,IIJ)F 0 OCCUR MED EXP (Any one ~1'8Ofl1 , <br />f- PERSONAL 5. AOV INJURY , <br /> OENEAAl~GGREGATE , <br />r- PRODUCTS. COMPIOP AGG , <br />n'L AGG;[lE ~~ Af~rPER <br /> POLICY JEer Loe <br />~OIlIO.llE LIABILITY COMBINED SINGLE UMIT , <br />__ j ANY AUTO ~e.. aeeid8rrt) <br />- ALl OWNFD AUTOS WDIL Y 'NJURY , <br /> SCHeOUlED AUTOS lPerperson: <br />- <br />"- HIRED AUTOS BODILY INJURY . <br />NON-OWNED AUTOS WlIlraccidlll't} <br />- <br /> PROPERTY OAMAGF . <br /> (Peraooioenl) <br />GARAGE LIABtl.fTY AUTO ONLY - UI ACCIUENT . <br />~-ANYAUTO OTHER THAN EA Ace . <br /> AUTO ONLY. AGG S <br />EXCESS LlA8ILITY EACH OCCURRENCE: . <br />P OCCUR o CLAltvtS MADE AGGRE.GA TE . <br /> . <br />R OFaUC"'" . <br /> RI:TEJt.iTION . . <br />WORKERS COUl"EN$ATIOft AND ~675790-02 03/01/2002 03/01/2003 X I TORY LIMITS r I'-'ER'- 1 000,000 <br />E.MPLO'l'ERS' L.IABIUrt E.L. EAa-i ACCIOENT . <br />, E,L. DISEASE. EA EMPLOYEE . 1,000,001 <br /> E.L. DISEASE. POLK;'( LIMIT . I,OOO,OO! <br />OTHER <br />!SCRlPTlON OF OI'l:RATION-M..OCATIONSNEHICl..ESlEXCLUI5IONS 4DOED BY ENDOftSEMENTJSPECIAl PROVISIONS <br />J(CEPT 10 DAYS FOR NON-PAYMENT <br />ERTIFICATE HOLDER I r ADDITIONAL INSURED; JNSURER LETT!": CANCELLATION <br /> SHOULD A1l'I' OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> ExPfRATION DATE THEREOF, THE ISSUING COMPANY WlL.L. tatttX~ MAIl. <br /> CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, ~ DAYS WRITTBrl NOTICE TO THE CERTIFICATE HOLDiR NAAED TO THE lEFT, <br /> AGENTS, VOLUNTEERS AND REPRESENTATIVES ~~lfll(___~XX <br /> 20 CIVIC CENTER PLAZA ~U:~IIiCUI~-""~-XXXXXXXX <br /> SANTA ANA, CII 92701 AUTHORIZED Rl!PRESENTAnV! /7 . c:; <br /> Richard Evnon erC/BRANDI ;,,-fVZ _ <br />CORD 25.S (7/97) FAX: (714)647-6549 @ACORD CORPORA110N 1988 <br />