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<br />MA~-30-~2 03:38 FROM:C & P ISURANCE SERVICES <br /> <br />ID~5629864258 PAGE 2/3 <br />1+ /200.).- J 0 _ <br />P<>icy Number....., 34632555 S- ~ <br /> <br />'-' <br /> <br />ACORD. CERTIFICATE OF LIABiliTY INSURANCE I DATE <br /> 5/30/2002 <br />PAODUCER " --.--v THIS CERJIACATE IS ISSUEO AS A MATTER OF INFORMATION <br /> 3580 Paci'fic Co...t Hiqhway Suite 3 ONLY ANO CONFERS NO RIGHTS UPON THE CERTIACATE <br /> Long Beaohl CA 90804-1980 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br /> (562)986-4251 INSURERS AFFORDING COVERAGE <br /> _."."---~_._..._--~ ..n_____ . ...n NSYRER A: A$$uranc.e co of Ameii1ca ..._._--~-~ <br />INSURED Or.;m.ge CO\m.ty Bar- FoUJ:lda.t.ion <br /> S\+olZ-, 'STo r f=--:'_.~~- .. .. -----.--~-~--.~-~---- <br /> II'4SUREf\l8: Unit.ed st...bIIII. Li;abil.i~y Imrur.a.n.oe Co. <br /> f=-"--. ... ~_....... .... <br /> 313 N. Bi rah S treat 2nd Floor ~.!!~R:~~"<:::_" ---.-----.-.... <br /> santa Ana, CA 92701-5263 INSUREFi 0: ....~- <br /> ..- -- <br /> . IHSlJI'i:ERE: <br /> <br />COVERAGES <br /> <br />TtE FOUClES OF INSURIlNCE LISTED BElON HAVE BEEN ISSUED TO nu: INSURED NAMED ABOJE FOR 'THE POUCY pe~,oo iNDICATeD. OOl'MTHSTANOING <br />ANYREQUlREUENT. TERM OR CClN)rnON OF AN1~TRACTOR oniEROOCLNENTWITH RESPECT TO WHICH lHlS CERTIFICATe MAY BE ISSUEC OR <br />MAY PERTAIN. 1HE INSURANCE AFFORDED BY n-le POLICIES CESCRlBl!C HEREIN IS SL.l8.ECT TO ALL THE lERMS, eXCLUSIONS AND CONDITIONS OF SUCH <br />POUOES. AGGREGATE LMITS SHOWN. MAY t-Io'VE BEEN REDUCEO BY PAlO CLAUS. <br /> <br />lNeJill TVPEOFlN$lJRANCE . .- PQLJCVNU_EIf -POt.JC::VIiiFFEC'TM:: PoUCYExPtRAl1CP4 <br /> <br />A <br /> <br />......... .........., <br />COMMERCIAL. GENEAAL lLo\BILITY <br />~ ~ __.' ClAIMS NADE ~ QC(;UR <br />Broad Form. prop <br />Contractual 'Lia <br /> <br />PPS 34632555 <br /> <br />3/15/2002 <br /> <br />3/15/2003 <br /> <br /> <br />lDC <br /> <br />UArnO <br />,1,000,000 <br />$l.OOO,ooo <br />~____. 10, OOO~--""- <br />PERSOfobt.L6ArNIN.!lIRY $1,"000,000 <br />GENERALAGGREGA.1E $ 2";000,000 <br />PR.OOUCTS-OOMP.CPAGG , ,-000,0-00 <br /> <br />e,\CH~~_~e;ra: <br /> <br />F1RE~~~t~of'lll_ft.!8} <br />h1EDEXP f!on/ (IOIC._~~t <br /> <br />f 1,000,000 <br /> <br />A <br /> <br />PPS 34632555 <br /> <br />3/15/2002 <br /> <br />CO"BlWED SlPlKiLE UI\IIT <br />3/15/2003 (E..""",mll <br /> <br />'. BOOIL YIIlUVRY <br />("-r~n) <br /> <br />, <br /> <br />SCI--lmUlED AUTOS <br />HIRED ALfTOS <br />NON-OWNED N.JTOS <br /> <br />THIS CERTJF <br />ANY OTHER <br /> <br />TE SUPER EOES <br />IOUSl Y I SUED. <br /> <br />GARIoGC UASIlrT'r' <br />ANY AUTO <br /> <br /> <br />UCUSUABILITY <br />OCCUR C Cl..o'IMS WADE <br /> <br />oe:xJCTl8LE. <br />"""""'" <br /> <br />, <br /> <br />WORt<ER8 COtIPENlliA.TlDN AND <br />EM'I..O'fERS' U.lBIJTY <br /> <br /> <br />B OTHEltDireetor.. to ND01021018A <br /> <br />officers I.iabi~ity rncludJ.nq EmpJ.oyment <br /> <br />Insurance Practice.. Liabi~ity <br /> <br />~RP1IO" OP'OPBlAltON8I.DCATtoN8NEHlCl....E8lt::lU:lU$IOH& ADDB)8f'f EMOORSEIlEllTJaPECW. pROVIlSIOHS <br />The city o:f Santa Ana, i.ts officers~ agents, eIIlployees <br /> <br />insureds per attillched Additi.ona1 Insured endorsement. <br /> <br />BODilY INJURV <br />(PeriICCKat) <br /> <br />. <br /> <br />PRCIPERTYDAh'lAC-.E <br />(Peracck2nl) <br /> <br />, <br /> <br />~9.~NLY. EAACCIDt:tH S <br /> <br />ClTHI:;H THAN <br />.tVTOOWlY <br /> <br />EAACC $: <br /> <br />~ OCS_I!~~~E <br />AGGREGATe <br /> <br />L~ <br /> <br />we srAT~ <br />.r <br />_H. EACH~~~t'H <br /> <br />E.l. ()ISF~ - EA EMPlOY'E.E:. $ <br />.~ ..,+---. <br />I E.!.. D1SE.\SE.POUCYLJMIT : $ <br />Per Occurenc:e <br />Agqraqa te <br />Deductible <br /> <br />1,000,000 <br />$ 1,000,000 <br />$ 1,~00 <br /> <br />and volunteers a.re n.amad as a.dd1tion 1 <br /> <br />10 day notice of cancellation in the event of nonpayment of premium. <br /> <br />CERTIFICATl: HOLDER <br /> <br />CANCELlATION <br /> <br />$l-tOlIU) All" OF THE_ AIlO\It: DESCRIBED POllc::lES BE CANCiEU.I!O I!lER:IRE THE IE):F'lRAnoN <br />DATE THEREOF, HE t88t.Ia.IG IM8URER Wl.L IIWL. 30 DA'l'S .- <br /> <br />ADDITIONoIlL ....11). l1fEI;URER LETTER: <br /> <br />ci t;y of Santa Ana-CDBG M-25 <br />CoJ[ll1.UDi ty Development AgenCy <br />P.O. Box 1.988 M-25 <br />Sant. Ana, CA 92102 <br /> <br />- <br /> <br />NJTl'ORlZEDRl"PII~ATNE <br />Charles West <br /> <br />ACORD ZS-S (7197) <br /> <br />