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COCIOlete Insurance 8/30/2006 3:00 PAGE 002/009 Fax Serve? <br />9.QBD CERTIFICATE OF LIABILITY INSURANCE <br />PnO'AcER (949)263-0606 FAX (949)263-0906 THIS CERTIFICATE IS ISSUED AS, <br />Complete Insurance, Inc. ONLY AND CONFERS NO RIGHTS <br />California DOI *0437762 HOLDER. THIS CERTIFICATE DOE <br />19000 MacArthur Blvd., PH Flr ALTER THE COVERAGE AFFORDE <br />Irvine', CA 92612-1447 INSURERS AFFORDING COVERAGE <br />"ILAED N-2003-IZI-001 Rw -- Fir n's Fund Insur <br />INS R ER a <br />Caribou Industries NSLWEIi C, <br />1200 North Main Street, Suite 900 IMTLnERa <br />Santa Ana, CA 92701 INURIOR E: <br />ante LLwDPYTYT) <br />NAIL 8 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSUREDPNA*O ABOVE FORTHEPOLICYpERIODI ;&T� ED.Ix1TN'I)2.DG0, <br />ING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSMAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREN IB SUBJECT TO ALL THE TERNS, EXCU.USIONS AND I:ONOInONCHPOLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCWM& <br />FOLLY EFECTWE <br />TYPEOFIHL41m11NCE POLLLY MRiBtGEIFAk <br />UAREITY MZX808S9747 D6/14/2006 06/14/2007 EACH DGCURBENOE 6 ,0DAI100 <br />uANEwDE//pv,-n�GccuR Leo E�w pe„r e,. F.•...,� ...A <br />X $ZS,DBB 6I/PD Bed PI'ASONAL 6 API INJURY ,GEHEPAL <br />AGGREGATE ,_�GEPRODOCTS-COMFHDPAGG <br />,EoucY JOLTX LOL..__ <br />COMBINED $INGI F I IrAO <br />ANY AUTO <br />IteR 1YA1 <br />KLOWNEUAUl09 <br />ME <br />_KDULEDA�OS <br />DLY W <br />ODDLY <br />Ip. RV <br />HREDN1165 <br />d.IdIV INJURY <br />ILY40WNEU All1O5 <br />(Ptt acgOlnl] <br />flIOPERtt DAMAf.E <br />IPW FznKi'.1) <br />GWGE YAnlf1Y <br />AUTO ONLY- Fq ACCIGEN <br />OME GA <br />I <br />ONLY <br />GG <br />EXCEY.4UINEWLN9UIY <br />XA000069730657 <br />06/14/2006 <br />06/I4/2BB7 <br />HOCCURRENCE <br />I. so, DBB,D <br />X CCCUR O CWNSANUE <br />AGGREGATE _ _ <br />1.— SO,DDD.O <br />EWP® uAmUn TIDNYID <br />EMFL01•E16 MA�1TY <br />WGSPATLL OT,4 <br />AHI FROFRETCRT'RRTMEREAECVINE <br />....�'•" <br />.. <br />EL EK'M AfI.IOFN, <br />L <br />CfiCER11lAIEER fMYLREGi <br />_ _ <br />I. <br />E.L gSEASEFA HIPIDY" <br />. <br />S <br />yy�M,, <br />101Y NN[w <br />El. DISEI•SE-POLICYLANT <br />OVER <br />Oneft <br />REGCRPTION OEDPEwLTwalLxwTLGHsrvNPCLESIEuulelpe ADODLn EroGBEEEExrLSEEGPL PRpYLspg -- <br />e: Walnut 0 Sycamore, Santa Ana, CA. The City of Santa Ana, its officers, employees, agents, <br />lunteers and representatives are named as additional insured as respects to the general <br />iability coverage per form OG7193 1203, but only if required by written contract with the <br />awed insured prior to anocCurrence. Subject to all polity term and conditions. <br />Except 10 day notice of cancellation for non-payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza (M-25) <br />Santa Ana, CA 92701 <br />sxaxD ANY or TLEAROVE DEscwarD POLICIES SE CANCEL LED BEFORE THE <br />E%PSLATKW DATE THEREOF, THE 1WKJMG INSLBER WS.L rNDEAYOR TOL <br />*30 DAYS wNTT HOTLCE TO THE CEWWICATE HOLDER WIN EDTO THE LEF` <br />INK FAEURE TO MY RICH NOTICE SHALL RHPOSE NO OBLIGATIOH OR LNNLDY <br />OF ANY XOU THE HORLEA TIS MEWS OR REPAESENTATNES <br />ILIOR@DPlPESmITATNB �.Ld -- <br />dd Holliday/PEC <br />A,..a U.TLLMH ©'CORD CORPORATION 798E <br />