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.�1 CORD <br />DATE 12� <br />PRODUCER <br />Hull & Company, Inc. - Newport Beach <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1600 Dove Street, Suite 315 <br />Newport Beach, CA 92660 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A SCOTTSDALE INSURANCE COMPANY <br />INSURED <br />Orange County Crazies, Inc. <br />COMPANY <br />B <br />809 North Main Street <br />COMPANY <br />C <br />Santa Ana, CA 92701 <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Co <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MMODNY) <br />POLICY EXPIRATION <br />DATE(MWDpYY) <br />LIMITS <br />GENERAL <br />LIABILITY <br />GENERAL AGGREGATE <br />$ 2000000 <br />X <br />PRODUCTS - COMP/OP AGG <br />$ INCLUDED <br />A-1 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE LXJ OCCUR <br />CLS1189310 <br />12/2/2005 <br />12/2/2006 <br />PERSONAL & ADV INJURY <br />$ 1000000 <br />EACH OCCURRENCE <br />E 1000000 <br />OWNER'S A CONTRACTOR'S PROT <br />FIRE DAMAGE (Any one fire) <br />$ 50000 <br />MED EXP (Any one person) <br />$ 5000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />$ EXCLUDED <br />BODILY INJURY <br />(Per person) <br />$ EXCLUDED <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURYS <br />(Per ecddern) <br />EXCLUDED <br />PROPERTY DAMAGE <br />$ EXCLUDED <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ EXCLUDED <br />OTHER THAN AUTO ONLY <br />ANY AUTO <br />EACH ACCIDENT <br />$ EXCLUDED <br />AGGREGATE <br />$ EXCLUDED <br />EXCESS DABILRY <br />EACH OCCURRENCE <br />$ EXCLUDED <br />AGGREGATE is <br />EXCLUDED <br />UMBRELLA FORM <br />$ EXCLUDED <br />OTHER THAN UMBRELLA FORM <br />;-,..z r- <br />:.f `. <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />- -' .. 11 <br />_ <br />VYC 57ATLL OTH- <br />ITUrrSIER <br />q <br />..a aL�:� <br />EL EACH ACCIDENT <br />$ EXCLUDED <br />THE PROPRIETOR/ INCL <br />PARTNERS/EXECUTIVE <br />L////// <br />EL DISEASE -PODGY LIMIT <br />$ EXCLUDED <br />EL DISEASE - EA EMPLOYEE <br />S FCCLUDED <br />OFFICERS ARE: EXCL <br />- <br />OTHER <br />AS.dI.'I�.{LL.iq <br />AI-,o E,`_Jy <br />DESCRIPTION OF OPERATIONS20CATKINSIVEHICLESSPECIAL ITEMS <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED PER FORM CG2010. <br />*10 DAY NOTICE OF CANCELLATION APPLIES FOR NON-PAYMENT OF PREMIUM <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />COMMUNITY DEVELOPMENT AGENCY <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL MAIL <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702- <br />'30_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />, <br />AURROTIZED REPR �' /'� <br />