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<br />\J,. L ~ L /", {, .. ~ flAt..! <br /> <br />_~K: :~~v~A~~: A~:\~V <br /> <br />, ~ <br />Ie <br /> <br />!, ' <br /> <br />L <br /> <br />~JJB.Q. CERTIFICATE OF LIABILITY INSURANCE I OATE(MMlDDIYYYY) <br /> 10/23/2006 <br />PRODue'R (714)838~1912 FAX (714)838-7568 THIS C~RTlFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />Lake Ir"t5uranCE' Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTJFICA T~ DOES NOT AMEND, EXTEND OR <br />13891 Newport Ave, Suite 285 ALTER THE COV~RAG~ AFFORDED BY THE POLICIES 8~LOW. <br />Lie 10747473 <br />Tustin, CA 92780 INSURERS AFFORDING COV~RAGE NAICN <br />IN'UI\ltl Orange County Ch i I dren' s Therapeut j c Art Cent IN'SURfR A Chalx/Western Heritage Ins Co <br /> 2215 Noeth 8roadway 1100 IN'SURER e Phi ladelphia Insurance Co. ~-- <br /> Santa Ana. CA 92706 ;4 INSURER C' <br /> - ;?( (;{)(jr ::J 3 C( INSURER D <br /> INSURERE: <br /> <br />COV~RAGES <br /> <br />THE POLICIES OF INSURANCE lISlED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlleY PERIOD INDICATeD NOTWlTHSTANDING <br />ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VV1TH RESPEcr lO WtiICH THIS CERTIFICATE MAY Be ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED EJY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All TI1E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLlCI~S. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN" OD' TYPE OF INSUAANCt "OllCY NUM8ER , Y .. , "ouey EXPIM llON LIMITS <br /> OENEI\AL LIABILITY SCP0616374 06/02/2006 06/02/2007 EACH OCCUR-RENCE , 1,000,OOC <br /> tx- CQMMI;:RCIAl GENEAAL lIA91L1'f'Y OAMAOE. yo RENTED , SO,OOC <br /> l- T- CLAIMS !,IAOE 0 OCCUR MEOl:x~{Ar1YO!'l"J""I)/I) , 5 DOC <br />A f- PERSONAL &AOV INJURY , 1 . 000 DOC <br /> REVIS ED GI:NEltl.lAOOREOATE , 2.000 000 <br /> OEN"LAGGREGATE LIMIT APPLIES PER PAODL/CTS . COMJ'IOP AGG , 2,000 DOC <br /> n- POLlCY n ~:&'i n Lac <br /> AUTOMoallE LIABilITY COMflINEO SINGLE LIMIT <br /> - (Ellocide/ll) , <br /> - ANY AUTQ <br /> ALL O\I'iNEO AUTOS eoOIL Y INJURY <br /> - ,Pt:'~tQI'l) I <br /> SCHEOUU;:OAUTOS <br /> - <br /> - HIREOAIJTOS BDOIL Y INJURY <br /> , <br /> NON.QWNEO AVTOS V (F'~racc.idr"l) <br /> - t'>~~O i <br /> ~ PROPI;.RTY DAMAOE , <br /> (P..r;J~l) <br /> GARAGE L1PiIJILlTY ,0"1"'- ~. AurO ONLY. fA ^CCIDfJ'lT , <br /> RAtiYAVTO />Jc},~ /- .S'\~I'0! i;,.:J OTHER T~N "'ACe , <br /> ',". ....VTOONLy AGG , <br /> p:SGlUMIRELI.A lJA81llTl' -,~\-\ ~['~f K / EACH OCCURRENCE , <br /> OCCUR 0 CLAIMS MADE " If.>'" ^GGREGATE . <br /> , <br /> =l ~EOUCTI"LE , <br /> RETENTION I , <br /> WO'U(EI\! COMPENSATION AND V\,CST4TU 10.[..H. <br /> EMPLOYEft6' LIA"LllY E.L EACH ACCIDeNT . <br /> ANY PROf'RIETQRtPARTNERlEXECUTIVE <br /> OFfiCER/MEMBER E}{CLUOEO? Ii.LOISEASf-e-AfMPLOYE S <br /> II ~!~I~!~"&VI6:o~s b'Ktw E.L. DISE...&E' -POLICY LIMIT , <br /> OTHER & Of'flcers PHSD20S384 08/07/2006 08/07/2007 Limit - $SOO,OOO Pol icy PeriOd <br /> Directors <br />8 L1abi t ity Limit. $SOO.OOO Aggeegate <br />D.E3CRlPTrN Of OPERATIONS I ~T10HS IVEHICLISI ~C~ttSJONS rOQfD 8'1' EnDORSEMENT J SPECIAL PROV~IO~S Primary and non-contrIbutory <br />Ity 0 Santa Ana IS named as ad Ittona Insured per form att.ac e . <br />ording appl ies per attached form. '10 day notice Of cancellation appl ies if' for non-payment. <br />f premIUm. "'THIS CERTIFICATE SUPERCEDES CERTIFICATE ISSUED ON 8/7/06'" <br /> <br />C <br /> <br />N <br /> <br />TI N <br /> <br />THE CITY OF SANTA ANA <br />A~tn: Frances Cadenas <br />PO BOX 1988 <br />Santa Ana, CA 92702 <br /> <br />~ItOUlD ANY OF THE ABOVE DEICR1IJiP rOLICIE5IJE CANCELLED 8efORE THE <br />EXAI\ATION DATE TNEMOF, T~~ 116UINOINtURfA WlLL ~~}!\ MAll <br />~ DAYS WRlTUN NOllet fO 'THE CERTIfiCATE HOLcEfI HAMiD TO THE Lli:H <br />IIrl!ltXnAllII6 HIlIm6IJtI(llilOlXJI/lIlilllOOllWIX~XX <br />N~~ XXXXXXXX <br />AUTNORlliD R <br /> <br /> <br />@ACORDCORPORATION18B8 <br /> <br />ACORD25(2001/0B) FAX (714)835-7330 <br />