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<br />JUl 19 06 12:36p
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<br />Bo~s & Girls Club O~ Sant 714-565-1099
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<br /> ACORDN CERTIFICATE OF LIABILITY INSURANCE QIl,TG CMM/ODffYV'l'1
<br /> 7/19/2006
<br />_<:ell (949)215-5431 F" 194i)21S-SS09 THIS Q1RTIFlCATE IS ISSUED AS A IIA~ OF INFORMATION
<br />Bene~it5ourc. Znsurange (:A,OE36358 ONL V AHD CONFER8 NO RIGHTS UPON THE CERnFlCA TE
<br />1IOLIlER. TIl. cslTIFlCATE DMS NOT AMEND, I')(TeHD OR
<br />92 Ar9OJ'al,l,1:, Ai:TiR'Tiai 'c'DvE'iiAGE AFFORDED BV TIlE POLlCII!S BELOW.
<br />Suite 1.50
<br />A1iao Vie;o ell. 92656 lN~A_COIIERAGE : NAle.
<br />,....... ....lJf\IeflA:Hlaz-k.l. Ins.urance Com'Oanv --
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<br />Boy. AnA Qi~l. e1Ub Of San't.a Ana II: Sca.te Coap Ins Fund
<br />.9.50 _at Highland INSURERC;Ne.t:. UlUon. fire In.. Co. ..-
<br /> ,.........
<br />iSanl:a Anio ell. 92703 !'f6UR1RI!:
<br />COVERAGES
<br />not. POLlCJQSi ~ INSUfW\lcE LISTED 8ELOWHAVE BEEN I$$Uto TO nE JHSUREO Il/AMED AStNE. FOR THE. POuCY PERlOO INDICATED. NQTWIlHSTANDlr.1G ANV
<br />REQUlREMPlT. TERMORCONDJTION OF /fH'fCott'rPAClOROlH&RiDOQ.NINTWTHRESPe"t::TTOYMlCH 11116 CERTIFICATE MAY BE ~StJEC OR MAY PERTAIN.
<br />nE lNSWWrICE AfFORDED IN THE POlICIES DESCR8EO "EREIN IS SUBJECT TO ALL lttE 'TffWtIs, EXCL.USIONS AND CONotrlQNS OF SUCH POllCIBS
<br />~TELlMITSSHOVtWWAYHAvE'BEEHRB::JUCED8Y PNlJCLAlMS. ~ ~
<br />l lit "M"eOFlN~ r'OI.,tcYIrAaIIIER DA ft ""n.
<br /> ~LLIA8LI1V ~~~~ , 1,000,000
<br /> f- 3UIIE~IAl~IMLIT'f' AE SEe , 100,000
<br />A f- ~WDe oe~ 850"Clf2S32"10 1/1/2006 1/1/2007 aEOlOXP(AJlY<lnoper.otlj , 5,000
<br /> 1l1!A!N.l...' &AOV INJURY . 1.000,000
<br /> "'...""""..,A . 3,000,000
<br /> rxi'~"7i;;n.P<~ 1~~J~lS.COM~OP~C , 1.000,000
<br /> X POLe( P LOC
<br /> ~ro--.eu..1I&l.J1V COMBlN'D sINGle L....IT , 1.000,000
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<br /> '- ;WV AUTO
<br />A - ALL avwEQ AUTOS 1002cY283211 111/2006 1/1/2007 BODIL'IlNJUAV
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<br /> ~U~U.LM.1LITt ,.:..~... OCCUillRS~Cf , 5.000.000
<br /> OCCUR 0 CLAMlMNK. AGGREGATf ,
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<br />A =i :eOUCnIU "602CJ'2B3273 1/lf200. 1/1/2007 ,
<br /> RE:TENTlON $ :RW1lIIT :m '
<br />B WOMCEMoOIIPE.....'f'IOIrI..D
<br /> YI'lOYEU IJAlMUTY
<br /> ANY,",,~f'J'(:lAIfIAAT~Cu'T1\,I6 !.L FAl'....ACClD[NT S 1.000,00(1
<br /> OFF~ENB!." E;JtCLUDEtn 723-06 6/1/200. 6/1/2007 e.L OfH'A.se. '^ (MPLOYE ~ 1,000,000
<br /> ~~tlIPr - I"..,~~ -POL,eVL_lt- - .000
<br /> 0TttIIl p1riM:'t.O~. aad 1891517110 00/0112006 a%rne!7- \.1 ,s.~4_ - , .,000,000
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<br />0Ul;RP1)0N OF OHMTIOIlIIlLOCATlONINlMIClIaUCWItONSADIIGO BY DIDOAtlE""~~1!I -'-- ' L~ ~~";~i'.' (:; i ;;to(~:16edy
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<br /> j\ l",~.~L.F City Atlcxr-t1ey
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<br />Tha City of Santa. Ana
<br />TI>co S_ts Ana Recleval_nt Ag"""'Y CDBG
<br />P,O.Box 1989
<br />Santa Ana, cA 92"102
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<br /><:ANC!I.I.AllON
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<br />I=ALURE 10 DQ 10 &HM.L IMPOd ttO ODtJQAlION OR.........rrr OF' Alrrl'V KINO UJlOH n;e
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