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<br />MAR-12-03 11,01 FROM,C & F ISURANCE SERVICES
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<br /> Policy NumlM,. ~S 3Ui32555
<br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE
<br />3/12/2003
<br />PO- ".. " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAllON
<br /> 3580 Pacific coaat Highway suite 3 ONLY AND CONFERS NO RIGHTS UPON THE CERllflCATE
<br /> Long Beach, CA 90804-1980 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> (562)986-4251 INSURERS AFFORDING COVERAGE
<br />INSURED Orange county Bar Foundation INSURERA: )fa y~y
<br /> INSURER B: UniUocl Stat_ t.i.IIbi1i~y InauxaDla Co.
<br /> 313 N. Birch street 2nd I'loor INSURER c:
<br /> Santa Ana, CA 92701-5263 II'<<'URERD:
<br /> , lH8URER e:
<br />
<br /> 111E POLICIES OF INSURANCE USTED BELON HAVE BEEN ISSUED TO 1I1E INSURED _0 ~E FOR 1I1E POUCY PERIOD INOICATED. NOTMTHSTANDlNG
<br /> ANY REQUREMENT, TERM OR CONOIT1ON OF Nf'( CONTRACTOR 01l1ER DClCOMENTWI1H RESPI!CT TO WHICH 1I11S CERTIFICATE MAY BE ISSUED OR
<br /> MAY PERTAIN. Ti'E INSURANCE AFFORDED BY 1I1E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOINN MAY HAVE BEEN REDUCED BY P,tJD CLAIMS.
<br />11'-': 1'VPI Of' IN&IMANCE POLICY ....&11 PCUCYII'>ecrM! POUCYIXHlAn::HI LlMTI
<br /> CllNliRN..UAMJ'TY EACH OCCURRENCE ,1,000,000
<br />A ~ COMMERCIAL. GeNERAL UAElILI'1Y pps 34632555 3/15/2003 3/15/2004 FIRE DAI.lAGE(AtftOnlftN) ,1,000,000
<br /> l ClAIMSMAOE ~ OCCUR MEDEXP(AAyOl'll-n) , 10,000
<br /> ~ Broad Form prop PERSONAL. , AOV INJURY ,1,000,000
<br /> Contractual Lia GENERAl. AGGREGATE S 2 ,000 ,000
<br /> n'l"'GG:nUMrr~PER: PRODUCTS. COMPIOP,t.GG , Z,OOU,OOO
<br /> POLICY ~ LOC
<br /> !!!!~"""U1Y COMBNB) SINGLE LIMIT ,1,000,000
<br />A ANYAl1TO PPS 34632555 3/15/2003 3/15/2004 (ElitcCldent)
<br />-
<br /> - AU. OWNED AUTOS BODILY INJURY
<br /> ,
<br /> SCHEDUl.EO AUTOS (Fterpe..n)
<br /> ~ HIRED AlITOS BODIlY INJURY
<br /> (Pw- ,
<br /> NON-OWNEO AlITOS
<br /> PROPERTYDAMAGE ,
<br /> (Peracclclentl
<br /> _ UAHJlY APPROVED A" TO FOR \11 AUTO ONly- EA ACCIDENT ,
<br /> 1 ANY Aurn /'Y'.I OTHER THAN EA Ace .
<br /> ~ I AUTO ONLY: AGG .
<br /> EXCUI UAHJlY IT EACH OCCURRENCE .
<br /> o OCC\JR c:: c........ .ADE L;;-;fr:\-!l1I'cedY AGGREGATE ,
<br /> Deputy City Attor "ey ,
<br /> R DEOUcnSLE ,
<br /> RETEl<l1ON . ,
<br /> \NORKUS COIlFENlATION .tHO WCSTATU-, I 10,];'-
<br /> IJlFU)YERI' UMLIlY E.L.. EACH ACQDENT ,
<br /> E.L.DISE4SE-EAEMPLOYEE: $
<br /> EL. DISEASE- PQ.ICV L.IMIT ,
<br />B oTHER Director. '- ND01021018A 5/1/200Z 5/1/2003 Per Qccurence ~ 1,000,000
<br /> Of'f'icer. LiBhili ty Xncluding Employment Aggregate $ 1,000,000
<br /> In..urance practice. Lial:>ili ty Deductihl. $ 1,000
<br />opcllI'TON OFOPStAnaNlt' OCATIONSNWHICLEalEXCLUIKHiII ADDED IW ENDORSEMENTlSPlCIAL. pROY\&IONS
<br />Th. city of' santa Ana, it. of'f'icer., agent., _lo~.s and volunteer. ar8 n...d as addition
<br />in.ured8 ~r attach.~ Additional Xn.ured .ndors~nt.
<br />*10 day notice of' cancellation in th. .v.nt ot: nonpayment of' prudum.
<br />S.nt via f'a.c~l.: (714) 647-6515
<br />CERTIFICATE HOLDER I^ M)DIT~ IN8lMlO: MUIltBli LETTER: A CANCELLATION
<br /> SMOU.D ANt of THE ~ DESCIRID POLlClEI . CNICZLLID 8EFt:IfIlE THE !XPIRATIOH
<br /> City o~ santa Ana-CDBG )(-25 DATE THEREOF, THE IUUIIIG IN8UR!K WILL lIIIAL *30 DAyS 'MllTTBI
<br /> cooaunityo.v.lo_t AgenCY NOTICE TO TH&: caRTlACAU HOLDEA NAIlED TO THE L&FT,
<br /> P.O. Box 1988 )(-25
<br /> sane.. An., CA 92702 Attn: Laura slwedy ....-IZED .........T.TM! (jJ7' ,g., _ .'. A
<br /> , cbarl.. West -
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<br />1
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<br />COVERAGES
<br />
<br />~ACORDCORPORATION 1988
<br />
<br />ACORD 26-11 (7197)
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<br />1\-_02.-10;:S-- -Z9
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