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<br />, .... .""roiii:'An~a Perez At: Mulholland Insurance FaxlD: To: Alma Flores <br /> <br />Date: 101912006 02:10 PM Page: 20f2 <br /> <br />ACORD. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP ID DATE (MMlDDIYYYY) <br /> <br />USADV-1 10/09/06 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />United Valley Ins. Svcs./ <br />Mulholland Insurance Agency <br />2358 Marittme Dr., Suite 100 <br />Elk Grove CA 95758 <br />Phone:916-691-5555 Fax:916-691-0555 <br />INSURED <br /> <br />u.s. Advocacy <br />Bruce Young <br />925 L Stree!;, <br />Sacramento W\ <br /> <br />4-;)00&--085 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A Lloyds of London <br />INSURERB <br />INSURERC <br />INSURERD <br />INSURER E <br /> <br />NAte # <br /> <br />suite 1490 <br />95814 <br /> <br />COVERAGES <br /> <br />. <br /> <br />THE POLCES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED PBOVE FOR THE POLICY PERIOD INDICATED, NOT'NITHSTIINDING <br />ANY RECUIPEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTtER DOCUMENT WITH RESPECT TO 'NHICH TtlIS CERTIFICATE MAY BE ISSUED OR <br />"lAY PERTAIN, TtlE INSURANCE />.FFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TtlE TERMS, EXCLUSIONS PNJ CONDITIONS OF SUCH <br />:>OLlCIES AGGREGA~E LIMITS SrlO\NN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSRC' TYPE OF INSURANCE POLICY NUMBER DATE (MMlDDIYY) DATE (NIrNDD1'YY) LIMITS <br /> GENERAL L1ABILIlY EACH OCCURRENCE , <br /> ---, <br /> =MERCIAL ~~C'NERh LIABILITY ~~~ES {Ea occtrence] , <br /> CLA.I'vlS MflDE D OCCUR I MED EX? (Any one pe~()(l) , <br /> PERSONAl & Jl.DV INJURY , <br /> I GENERAl AGGREGATE , <br /> -.-' - <br /> GE~'L AGGREGATE L,MIT p.pPLlfS PER PRODUCTS - CO~fOP AGG , <br /> :1 POLICY I j~2T n LOC <br /> ~OMOBILE LIABILl1i' COMBINED SINGLE LIMIT , <br /> ANYAJJTO (Eeeccldert) <br /> ~ <br /> - AL~ OVVNEC AlJTJS BODILY INJU~Y <br /> , <br /> SCf<EDULED AJTOS (Perp.,rson) <br /> f- <br /> f-- H,REDAUTCS BODILY INJURY <br /> , <br /> ~:ON-OWNED AUTOS (Per accident) <br /> , <br /> , <br /> -. I PROPERTY QAM.O,(3E , <br /> (Perllccident) <br /> RARAGE l".LITY ro AUTO ONLY - EA ACCIDENT $ <br /> ANYAIJTO II OTHERTHJl..N EAACC , <br /> AUTO ONLY AGG , <br /> : EXCESSfUMBRELLA LIABILITY . I EACH OCCURRENCE , <br /> =:J OCCUR D CLAIMS MADE AGGREGATE , <br /> , <br /> r~ <br /> H D~[!UcrIBL[ , <br /> , RETE~TIOtJ , , <br /> WORKERS COMPENSATION A.ND ITOR\-tiC:,~ I IU~~- , <br /> EMPLOYERS' LIABILITY <br /> AW"ROPRICTORIPARTNERIEXECUTIVE E L. EACH ACCIDENT , <br /> OFFICERfMEM8ER EXCLUDED? E L DISEPSE - EAEMPLOYEE , <br /> It yes, describsunde' <br /> S~ECIAl I"FlOV'SIO\lS bejow EL DISEASE - POLICY LIMIT , <br /> On-lE~ <br />A Professional Liab 050700065329C OS/21/061 OS/21/07 SEE BELOW <br />DESCRIPTION OF OPERATIONS f LOCATlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl.. PROVISIONS <br />1,000,000 EACH CLAIM/l,OOO,OOO AGGREGATE LIMIT; 5,000 DEDUCTIBLE <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYOFS <br /> <br />CANCELLATION <br />SHOULD NN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT10N <br />DA1E THEREOF. THE ISSUING INSURER WILl. ENDEAVOR TO MAIl. * 30 DAYS'MilITTEN <br />NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAlLURETO DO SO SHALL <br />IMPOSE NO OBLIGATION OR L1ABILm' OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />REPRESENTAllVES <br />A lZ ATIVE <br /> <br />city of Santa Ana <br />City Managers Office <br />Attn: A1ma Flores <br />P. O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />ACORD 25 (2001f08} <br /> <br />@ACORDCORPORATION1988 <br />