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OLt-06-05 02:21 pm From-DR14ER ALLIANT IN6~ C <br />9497562713 T-470 P.02/03 f-547 <br />k I r '~, ~,( r, <br />~. ~ . ~ f~~ 10/8105 <br />PRODUCER <br /> <br />Driver • Alliant Insurance ServiCeS, InC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> <br />P.O <br />90X 25884 CONFERS NO RIGHTS UPON THE CERTIFCATE HOLDER, THIS CERTIFICATE <br />, <br />Santa Ana <br />CA 92799 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />, POLICIES BELOW. <br />(800) 821-9283 Ext 190 . Fax (949) )58-27+3 COMPANIES AFFORDING CbVERAGE <br />Li[Bnsa ND. DC3EB81 <br />~- <br />lNSURE09PECNL LIALIUTY INSURANCE PROGRAM (SUPI hrEASER OO~µY EVANSTON INSURANCE COMPANY <br />A <br />FAMILIES TOGETHER OF ORANGE COUNTY ~ <br />~~~ <br />, <br />ZQ ~ LETTER <br />, <br />. <br />o <br />801 3. LYON ST. <br />SANTA ANA, CA 82705 ~- a(`,CJ`~'.:2O.z DOE ~Ex B <br />,,// <br />/~}-~J7-avI-CJI cOMPnwr <br />LETTER C <br />~-aOU `~-cZ01- 0 I _.....~...__ .-_ <br />i <br />P <br />R <br />~ <br />/`~'dC~'.5~07~-0/~L D <br />k <br />TT <br />P <br />~ <br />" <br />~ <br /> E <br />LE <br />,T <br />En <br />THIS q TO CERTI TINT THE POLI(.I' 8e OF INSIMIANCE LIETEp BELOW HIWE BEEN I{EU6p TO THE INSUREp W1MED AEDVE FOR TH[ POLICY PERIOp WDICATEq <br />NOTYRTNSTANONG ANY REOUMEMENT, TERM OR CONDRXEI OF ANY COI(TRACT OR OTHER DOI.UtlNT WITH RESPEOT TO wNN.yf TMN CERTERCATE MAYBE ISBUED <br />OR MAY PERTAM, THE INSURANCE AFFORDEp BY 7NE PDLICIES DEBCRIBEp NEREq q SUBJECT TO ALL THE TERMS, E%CLYSpR AND CONp171DNS DF SUCK POLICIES. <br />LMNTS YE SEEN REDUCED BY PAID GLASAS, <br />CO <br />LTR TYPE OF INSURANCE POLICY NUNBER POLICY EFFECTNE <br />DATE {NLVpOhYI POLICY <br />EXPIRATION <br />LXArfB <br /> DATE DAH <br />A GEN ERAL LN01LfT1' SLIP300D-O$ D,~J28/QFj DJI29IOB GENERAL AGGREGATE wA <br /> X COMMERCIAL GENERAL <br />LwearrY PRODUCTS~COMP/OP <br />X1 <br />000 <br />000 <br /> ,~ . , <br />, <br /> CLAIMS ^ OCCUR <br />MADE x PE ONrYSADV.INAItiY $`1 OOO,DOO <br /> OWNERS&GONTRACTOR9 <br />PROT. EACH OCCURRENCE ~~ ODO,000 <br /> x GLDBD:S1,000 FIRE DAMAGEfMrWA•nn) $~ DOO <br />DDO <br /> , <br /> MEn.EXPFNSECAnrone NIA <br /> rsan <br />n ADT DMDBILELNBILLTY suP300o-D5 09rzsros $~,oao,o00 <br /> ANY AUTO <br /> O <br /> ALL <br />WNED AUTOS BODILY INJURY <br /> SCHEDULEDAUT03 <br />(Per pernonl <br /> HI <br />D <br />TO <br /> x RE <br />AU <br />S BODILY IWURY <br /> X NDNOwnED AUTOS AI'PROVETJ A5 O FORM {Prr acauenG <br /> QARAGE LUJ3ILITY PNOPERN WMAGE <br /> AurooeD: a+ <br />ooD <br /> , <br /> <br />UMBRELLA FOR <br />Laura Stitt S <br />eedy SACK OCCURRENCE <br /> M Assistant C ity ttorae A66REOA7E <br /> OTHER THAN UMBRELLA FORM ~ y <br /> <br />WORNER'9 COMPENSATI STATIfTORY LI n <br /> ON EACH ACCIDENT <br /> ANp <br />EMP <br />OYER D LILY LIMIT <br /> L <br />6 LNBILITY pISEA~fACM EMPLOYEE <br />A NON-PROFIT DIRECTORS <br />AND OFFICERS gLlp3ppp-D5 09!29/0$ 09/291QB $7.000,000 PER OCCURRENCE ANp <br /> ANNUAL AGGREGATE <br />PFACItl/rbN W OPERATpryyLOCATMNSNBACLEb$PEENL ITtMS <br />AS RESPECTS TO THE COMMUNITY DEVELOPMENT BLOCK GRANT, THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS <br />EMPLOYEES ANp <br />, <br />VOLUNTEERS SHALL BE NAMED AS ADDITIONAL INSURED. THIS INSURANCE 13 PRIMARY ANp ANY INSURANCE OR SELF INSURANCE MAINTAINED BY <br />SUCH ADDITIONAL INSUREDS SHALL NOT CONTRIBUTE 7p R. ADDITIONAL INSURED ENDORSEMENT ATTACHED. SUBJECT TO POLICY TERMS <br /> <br />CONDRIONS AND EXCLUSIONS. , <br />' SHOLIID ANY OF THE ABOVE DESCRIBED POLICIES BE GANCELLEp BEFORE THE <br /> EXPNtATION GATE THEREOF, THE ISSUING COMPANY WILL GNDGn4pR-T9 MAIL <br />CITY OF SANTA ANA -90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COMMUNITY DEVELOPMENT AGENCY M-25 BUT FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NOOaLN"aATION DR LIABILITY <br />ZO CIVIC CENTER DRIVE <br />Po Sox +088 OF ANY KIND UPON TKE COMPANY, ITS AGENTS OR REPRESENTA7NE5 <br />SANTA ANA.CA 92702 'EJ(CEPT +D pAYS FOR NON-PAYMENT <br /> AU NORIZEO ATIV <br />,1.'10FR:rJiw~~. -/ApN61ARl! MTJRYrtMMWNAA R~@.^,IIM. NW .'ApGRGALt/f T iC d r MrvK.~FR,a11~T.f:IN)IiW41 ,' M1MR,S,MIMY I,RA <br />