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<br />'\ <br /> <br />JAN-30-03 11:59AM <br /> <br />'-' <br />FROt.1-PR I DMARK . -~EF I TSl <br /> <br />714-55927~ <br /> <br />11- c.OOC - IOS-- 3;;z. <br />H05 POllOI F 150 <br /> <br />- CERTIFICA1~ OF LIABILITY INS - <br />ACORD. .....,Cl;uB!i~ 9~ .,.IIIl\"UIUWl,QII/ , <br /> 01/29/03 i <br />'RQOU(::t:P THIS CERTIFICATE IS !SSLlED AS A MATTER OF INFORMATION <br /> ON~Y AND CONFI'RS NO RIGHTS LlPON THE CERTIFICATE <br />~.~deMa.~ tnsuranee HOWI'R. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />~820 E. r~rst St., ste /1500 AI.. TER THE COVERAGE AFFORDED BY TIllE POLlCII'S 8l:~OW. <br />s....ta An" CA 92705 I <br />Phone: 714-569-2700 INSLlRER5 AFFORDING COVI!'RAGE ! <br /> .. ..~ <br />,N$uRl!P INSUltER ~ r:i.rU Financ:i.<ll Insurance .l;? <br /> Oranqe iounty C.az~es, INSU~R I I <br /> lnc. .- <br /> cser~e e~r IN~Uft=R c <br /> 8 9 N. Ka.~n S~270 ..--- <br /> J~SURfR C <br /> santa Ana CA 1 --- <br /> , INSuRER e: i <br /> <br />TI1E ~ICtl:S o~ INSUFWiCe L1STE]) BiLOW NAvE eeEN ISSl.lfD TO THE INS\lRI:P NMilEO ABove: FOIl Tnt: pOuCv PERlOO INOICATl:.P r.oTWITI"lSTAN01/"lC, <br />ANY ~UIREMfNT. TERliI OR CONDITION OF MY CotfMACT OR OTnfR DOCUMENT wIT" ftfSfECT TO W"ICI1 Tl1fS CeRTtFICAn. MAY Be Issueo OR <br />MAY PERTAlN. TNE INSuRMCf AfFORDI5P IJ't TMf POUCIES OE'9CRlaea rlSREIN IS SUBJECT TOAl-L Tt1E TERMS, ExCI.UStONS AND CONOITIONS OF SuCl'1 <br />POIJCIES. AGGftt:G^Tt ..~~TS $"000 IN>.Y HAv~ BEj:N RSOUC~ lIly,AID CWIIIMS <br />'(1: n-I'I' Of' INlulW<Ce POuCV f<WIIIER <br />Gi~eRAa.l.JAaIU1'Y <br />A X COMMERC",-GENERAl..IAIII'-ITY 154i'000103 <br />C....S MAllE [i] OCCUll <br /> <br />COVERAGES <br /> <br /> <br />12/02/02 <br /> <br />12/02/03 <br /> <br />Gi:N'1. "GGRi~n: I-lMIT APPI-I~S PER <br />X fJOt.lCY ~g: l.CC <br />AuTONOD.I.' l.IABlIolTY <br />MY AuTO <br />'U-L OWr..EO '-LlTOS <br />SCI'\eOULXO AuTOS <br />NlRliO AUTOS <br />NOfr4-O'Mo(W AuTOS <br /> <br /> <br />GARAGe 1-lAB1I.'T'r <br />/\NY AUTO <br /> <br />1> <br /> <br />a.cu~ LlAaluTY <br />occuR 0 CI.AIM$ MACE <br /> <br />I <br /> <br />OIiPUCT!fi...e <br />AETliNTION $ <br />WOR~ERS CQMPetSAT1Of\I AfrtD <br />E~I'\.OYEfl:>_T\' <br /> <br />OTI'I~ <br /> <br />uMITS <br /> <br />EACH OCC""","NCE , 1, 000 O.Q.~ <br />F1RcPAMAGE(A,rl,Ol'ldTI/E1) .100,000__ _ <br />MEPE.'lP(AtI!fOllOpor~) j55.000 <br />PERSO~ IoAOv Irt.l\,lRv .s 1.000.000 ' <br />GENEFW-AGaR"""E ,$b 000 000.-.1 <br />PAOOr.lCTS" COMPJOP AGO ~_I!'iC"UDED <br /> <br />cOM8~....eo Slf\lGLj: LIMIT <br />tEil~IQo;!n!1 <br /> <br />'. <br />!.__no <br /> <br />SOOIl- Y INJuRy <br />tPtrpof~) <br /> <br />" <br />, <br /> <br />aaou.. '( IN..IIJRy <br />tft8(lKCI<lOR) <br /> <br />$ <br /> <br />PROPERty OAMAGe <br />(Pvr~Q8I\t) <br /> <br />, <br /> <br />-'UTO ONLY. EA ACCIDENT !.s <br />OTt'lSR T~ EA Ace, I' <br />AuTO ONl-Y AGO J <br />SAC" OCCURREfolce . t $; <br />~GATc i $ <br /> <br />. ri <br />. <br /> <br />. .1 <br /> <br />TOAY ..lMfTS I ERo <br />~,.L EACH ACCIOENl I $ _ . <br />e.. ~~SCAse.EAEM!-~_. ______ <br />E I. DISeASe - POI-ICV LIMIT 5 <br /> <br />OQiCRlPTION OJ" cpeRAll0~1lae.sNetuCl-ii~et.US'OMS ADN::D lilY ENDOfl$~EiI'CTI$Pt:.c.A1o PRO~ICt(S <br />C~ty 0; Santa Ana, ~ts otf~ce~s, aqents, employees & volunteers are n~Q as <br />add~uona1 ~ns="d pe~ ;0= CG 2010 (11/95). Except 10 clays for <br />nop-p"yuent. As respects caneel1at~on by the company. <br /> <br />CANCIi~LA110N <br />,"~I-P Al<4Y OF T"E::: AJSOve D~$CRiBSD POuctES pE eAAceu..E:O BEFOfiti: TI1E !XPIRA TIDr <br />OAn:Tt1IiFn~OF Tl1e 155\HNG INSURER WU-I-.... -----JI:"'" MAlL ..3..C- OAyS w~rn:/Il <br />NOncJ:: TO Tt1,'CEfll1FICATE HOI-DER IWAEO TOTtll~ ~~ I'''''' 'f 6Qtf~ <br />~~ ( / ~ jIf,Qi_m <br /> <br />AUTItOlOZEO RE~RE>t:NT~TI <br />J'ose CA!:ares , <br /> <br />CI'RTlfICAT~ HOWER <br /> <br />y ADOtTIO"A"IIfSU~D: IN5cJREf'. l-eT11!:R. A <br />CtTYSAN <br /> <br />C>-ty of Santa. Jlna <br />cOJIIJIlun~ty Pevelopllent Aqency <br />II. 0, pox +988 <br />Sant" Ana CA 92102-1988 <br /> <br /> <br />ACORD 25-S (7197) <br />