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<br /> - - ~ -- --- A - DDO /' - / /),. , I <br />ACORD" CERTIFlr~TE OF LIABILITY INS' !RANCE I DATE (MMJDDIYY) <br />01/09/2003 <br />PRODUCE, (714)-838-1912 ~(714)838-7568 THIS CERTIFIC.~-'S ISSUED AS A MATTER OF INFORMATION <br />CAM-BMR Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 1025 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Tustin, CA 92781 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Chaix/Nautilus Ins. Co. <br /> Orange County Children's Theraputic INSURER B: <br /> Art Center, Inc. and Volunteers -------..-- -_._.-. .-..-.--------.- "--_._--~_._-- - -.. ---------------.- <br /> INSURER c: <br /> 208 North Broadway INSURER 0: <br /> Santa Ana, CA 92701 INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLlCIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER PRk+~~~~68~\E PgklfJf~~~N LIMITS <br />LTR <br /> ~NERAl LIABILITY C186546 08/02/2002 08/02/2003 EACH OCCURRENCE $ I,OOO,OO~ <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ SO,OO~ <br /> Uj CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ S,OO~ <br />A - PERSONAL & ADV lNJURY $ I,OOO.OO~ <br /> '- GENERAL AGGREGATE $ 2,OOO.00~ <br /> m'l AGG~EnE LIMIT APnS PER: PRODUCTS. COMP/OP AGG $ Incl udec <br /> X POLICY j~8i LOC <br /> ~TOMOBllE LIABilITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Eaaccidenl) <br /> '- <br /> '- n!... Q'....I~!!:D AUTOS \l\",st\l BUDIL Y INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> '- <br /> '- HIRED AUTOS BODilY INJURY <br /> $ <br /> NON.OWNED AUTOS {Per accident) <br /> - <br /> - APPRO)! P , S TO FOR 11 PROPERTY DAMAGE $ <br /> J ,_ (Peraccidenl) <br /> ~RAGE LIABILITY t'" tl __ . {t.-' AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO C~Nr EE SHAW OTHER THAN EA ACe $ <br /> De Cit Attornev AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> :::J~OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> ==1 DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I T'6*';; lf~,~s I IVE" <br /> EMPLOYERS' LIABiliTY E.l. EACH ACCIDENT $ <br /> E.l. DISEASE. EA EMPLOYEE $ <br /> E.l. DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSllOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />dditional Insured as per Exhibit B attached <br />o days notice except for non payment of premium in which case 10 days notice to be sent <br />CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY Will ~ MAIL <br /> Community Development Agency ..l.!L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Attn: John Maloney ~K~J(ll(lI_IClXIXl1iXIUlJX<<i(XX <br /> P.O. Box 1988 ~U~~JIdliIOOIl1tIi)(<l(XXXXXXXX <br /> Santa Ana, CA 92702 AUTHO ~TH'I .IL1ra.. <br /> ., ILl <br /> - 1.7 @ACORD CORPORATION 1988 <br /> <br />ACORD 25-8 (7/97) <br /> <br />FAX. (714)647 6549 <br />