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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE(MMJDDIYYYY)
<br />04 17-2006
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />M<iguire Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />LI91I0377645 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />27101 Puerta Real, Suite 200
<br />Mission Vieio, CA 92630 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED INsURERkPhiladelnhia IndenihT Tns r,..,
<br />National Council on Alcoholism & Drug INSURER B:
<br />Dependence- Orange County INSURER c:
<br />2:t:l Aspan Street, Suite 103 INSURER D:
<br />TrA . 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. NOlWlTHSTANDING
<br /> PJ.JY 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 /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />I~!!l ~~I?' POLICY NUMBER P~4L':f~~t;~8~E POLICY EXPIRATION LIMITS-
<br /> 0
<br />A -XNERAL LIABILITY EACH OCCURRENCE d.OOO 000
<br /> COMMERCIAl GENERAL LlABIUTY PHPK159l86 04/07/06 04/07/07 I ~~~~~ Eaoccurence) ,100 000
<br /> I CLAIMS MADE .em OCCUR MED EXP (Ally one person) ,5 000
<br /> I- .. PERSONAL &ADV INJURY ,1 nnn nnn
<br /> I- GENERAL AGGREGATE ,?'nn"'nn,,
<br /> n'L AGG:EnE LIMIT APPlS PER: PRODUCTS - COMP/OP AGG ,?"""."""
<br /> POLICY ~~P-r LOC
<br />A ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT '1,000,000
<br /> ANY AUTO (Eaaccldent)
<br /> I- PHPK159l86 04/07/06 04/07/07
<br /> ALL OWNED AUTOS
<br /> I- BODIlYINJURY ,
<br /> fi SCHEDULEO AUTOS (Per person)
<br /> HIRED AUTOS BODILY INJURY
<br /> (Per accident) ,
<br /> I--- NON-OWNED AUTOS
<br /> I- PROPERTY DAMAGE ,
<br /> (Per accident)
<br /> RGELIABILlTY AUTO ONLY - EAACCIOENT ,
<br /> ANY AUTO OTHER THAN EAACC ,
<br /> AUTO ONLY: AGG ,
<br />A tK]ESSIUMBRELLA LIABILITY EACH OCCURRENCE ,1 nn" nnn
<br /> X OCCUR D CLAIMS MADE PHUB059287 04/07/06 04/07/07 AGGREGATE ,T ."""'n",,
<br /> ,
<br /> R DEDUCTIBLE ,
<br /> RETENTION , ,
<br /> WORKERS COMPENSATION AND I. WC STATU-, I jOJ~-
<br /> EMPLOYERS' LIABILITY
<br /> ANY PROPRlETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT ,
<br /> OFFICERlMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE ,
<br /> g~~tl~~;o~rs4~NS below E.l. DISEASE - POLICY LIMIT ,
<br /> OTI-lER Eirployee Dishonesty ?61,00
<br />A GrinE PHPK159l86 04/07/06 04/07/07 Professional $1,000,000 OC
<br /> Professional Liab:.....~ ; I Ao-o-reo-ate 52 000 nnn
<br />DESCRIPTION OF OPERATIONS J LOCATIONS/VEHICLES / EXCWSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
<br /> CertifiCAte,4old~r,~s~d, M aclditiorn1 ip.!l~c1wi,th respec,~s .t;{!.fu1.cling.
<br /> *lO-Day N:Jtice of Cancellation from Non-Payrrent of Premium.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />
<br />CANCELLATION
<br />
<br />, ., ., ~I
<br />L.J'---'
<br />
<br />/,,-~~
<br />
<br />;"i)
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
<br />INp)~~TQ THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />
<br />\Jl
<br />
<br />A tn: Frank Heman
<br />ACORD 25 (2001/08)
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<br />C t
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<br />DCORPORATION 1988
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