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cl"-E _ e. __ _- :n:n -nL,L_~ nL _I<~tlnntv~.c -.._ _,~.._ _ _ <br />PpooucEp (8161 784-907D FAX: (9161784-0158 THIS CERTIFICATE Is IssVEU As A MA77ER DF INFORMATION <br />All-Cal Insurance Agency r T~~~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />p.2~6 QQE "IJVb HOLDER. TRIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />801 Rlvereide Ave ~^ gOQb_~~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 105 G <br />Aosav i11e CA 95698 INSURERS AFFORDING COVERAOE NAIC p <br />INSURED INSURER w~CsRANITE STATE INSURANC£ _ <br />CALIBOANIF. Hi SPANK CONFIISSION INSURERV GENERAL STAR INDENIIdITY CO i <br />ON ALCOHOL E DAUG ABUSE, INC. wsuREkc <br />2101 CAPTTOL AVENUE INSURERu <br />'~SACAAMENTO CA 95816 1NSUREkE <br />COVERAGES <br /> fHt YULIGItt V` 1NSUNANCE LISTED BELOW HAVE BEEN INSUED TD THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br /> AEDUIREM'eIJT, TERM OR CONDITION O: ANY CONTRACTOR OTHER DOCUMENTWITH RESPECT TO WHICH 7M1$ CERYIPICATE MA1' $E ISSUED OR MAY PERTAIN. <br /> THE INSURANCE AFFORDED 8Y THE PO~JOIE$ DESCRIBED HEREIN I$ $VBlEC7 TO ALL THE TERMS, E%ClU$IOPI$ AND CONDITIOINS OF SUCH POLICIES <br /> AGGRE AT IMIT6 HOWN F N RFquf.FO RY PAID Cl AIMR <br /> <br />RY6R <br />Wt {{~~ <br />D <br />E M <br />E <br />Y <br />P <br />P <br />1 N <br /> TYPE OF INSURaHCE PDEIOY NUMBER AT <br />N <br />DDNY D <br />TE MMIDM LIMITS <br /> A X GENERAL UaeIUTY 02Lx137375700D0 11/18/2006 11/18/2007 ~ ., p^ RRENCE s 1,000, OGO <br /> X COMMERCIa~ GENEPAI LIABILITY <br />~ OAN~RGE TO RENTEp <br />PkFMISFr, Fa nrru~.mrn <br />S 200 , 000 <br /> I X I <br />CLAIMi MADE J OCCUR 1 MEb ta° M ane er5pl S 10, 000 <br /> la` PROFESSIONAL IIRH. <br />F-J + PFRRt~NA1 AA VINI RY $ 1,OOD, DOD <br /> 1, 000, 00013,9D0,900 GENENAL aGGkEGATE S 3, 0OO, ODO <br /> fN' <br />AGGREGa7 <br />'lNMi APP <br />IE <br />PER <br />i D <br />. <br />c <br />L ; PRppU: TS~COMPipn AGG ~ 3,000,000 <br /> I X POLIC FN~ I.O:' SEXUAL ABU3L/HOLEBT 1, D00, 000 <br />A 'AUrbMDBILE LMDRm D2CA534b04900W 11/18/2D06 1 11 /18/2007 ODMBINFO SMlGLE LMIrt <br />+ I X ANY AI!TC ~ tEa acnamr, b 1,000,000 <br />~ ALL OWNEtr A'J I(1 BpDrIY USJURY <br /> SCNEDUIED AUTOg I IPE'PBfYON S <br /> X MIRED AVTDg T~ T~ <br />APPFtOV~DA Lf 7~~1 <br />TO FOlU• } BODILY IPAILIRV <br /> <br />> <br />P S <br /> X HDIA~OWN[D AUTOS CB btu0[011 <br /> <br /> PROPERTY DAMAGE <br /> S <br /> IP[r plGaC,lll <br /> caRacEUAB/urr ASS1St811t Cl Attorney ~ Aur n r- accl NT s <br />J ~~~AN°qNU , CTH'ek THaN PAaff. 5 <br /> AUTO ONLY <br /> AGG S <br />H EE6NMERELU LIA81{.ITY SXC 402973 <br />'~E%~C 12/1/06 11/28/07 F r nfru pvl F 4, OOG,000 <br /> I <br />I ^ I DCCVR ~ C <br />AIM <br />A <br /> L <br />3 M <br />DE <br />I- AGI' [: TF 5 4 , 000 , O00 <br /> S <br /> UEWCIIHLE <br />o S <br /> Y. RETINnbM ic,ooa .1 Zd s <br />' WpRRER6 DDMPPNSATIDN AND V I L f S Tt . p N. <br />EMPLOYERS' LIABILITY ~ <br />(~ CA V l.v rT <br />ANY PRDPRIETDwPMTNEPJEAECUrreI (~ <br />•`~U9I c:_[ACN ACUDErsr [ <br />OFF]C£WMEMBER E%CLUDEU"~ <br /> <br />Ilytt <br />oacnE[oNe, EL OISF.A$F. - FA EYPIOYEE S <br />. <br />. IAPF<JA' uk!1 Rm4u~ <br />E-P 'Y IMIT <br />5 <br />p OTRER EN.PLOYEE THEFT 02LX15737570D00 11/18/2D06 11/18/2007 LZHITB 100,000 <br />FORGERY/ALTERATIONS <br /> DEDV:TInt6E 1,000 <br />DE6GRIPTION pF OPEMTION61lOCATIONENENICIEElE%CLUSIONg ADpEO BY ENOORSFMENT/BPECIAL PROVIgIONg <br />THE CTTY OF BANTA ANA, ITe Ob'FICTR8, AGERTB, OYTIOIALS, El1PLOYEEb, AND VOLVNT'CEAS ARE NAMED ADDFTIONAl iNBVRLTD AS A <br />I FUNDING SOURCE AEGARbING TNL OPEAATIONH OF THE INHUF$D UNDER TNi6 ALAERE~N?, FORM CG ?0 26 OT 04 APPLIES <br />I •IG DAY NpTICE OF CANCELLRTION FOR NON-PATn~FT OF PREISIUM <br />CFQTIFICG TC HAf nFV <br /> gNOUlO ANY OP THE ABOVE DESCRIBED PbLIGEg BE CAHC <br />E <br />I <br />ED <br />I <br />e <br />Ef <br />OR <br />E THE <br />CITY OF SANTA ANA y <br />~ <br />y <br />[ <br />y y <br />y <br />~ <br />y <br />E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL 9M1LA[YATC,I{F\ M <br />AR <br /> <br />20 CIVIC CENTER PLAZA VV <br />YY <br />3O DAYS WRITTEN NDTIGF TO THE CERTIFICAtk HOLDER NAMED TO THE LEr•T <br />BycX <br />P.O. BOX 1988 , <br />YKiXdfX~~'o"BYuKY~1Gi6~y~E,XL~o~41G1(iSuKeX <br />?E,1Cd6)L~Gi4dSiK3fJ6iCl4i€ <br />SANTA ANA, CA 92702 , <br />?6~ieYr+`6AtF~E>1SeE~1Ei(dla~.WYI (~~ <br /> AUTHOAILEO AEPAEHENTATIVF j ' r - <br /> <br />nwu+t. (smulVD) I ~ OACOR, D'~} RA~19S8 <br />INS0251moe)ue AM$ (_E7n W'dleu nwwer FlnenaAl9emces I `VT ~ Pay,, ~, <br />V <br />