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<br />ACORD CERTIFICATE OF LIABILI DATE IMMmprrrrrl <br />TY INSURANCE 11/e/aoo6 <br />PRODUCER (626)275-3000 FAZ (626)273-0190 <br />Goldea Pacific Insurance 9ervice6 GNIL CMIDFICONFERSISNOE RIGHTS UPONRTHE ICERTIF CA7E <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />181 W. Runtingtca Dzive <br />Buita 200 <br />IdOarOVia CA 9101fi-3494 <br />INSURED <br />INSURERS AFFORDING COVERAGE <br />INSURERA GOldea Eag10 IIIB CCS•D <br />NAIC# <br />10836 <br /> <br />Inc. <br />duatries <br />I <br />i INSURER e: <br />, <br />a <br />Dekra-C <br />te <br />Avenue <br />l m3URER C'. <br />tOa <br />3102 W. A <br />CA 92704 <br />An INEURER D: <br />a, <br />Santa <br /> INSURER E'. <br />CTIVFRACES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED rvAMtu Avuv¢ run me rMU.., .~~••+~ •••~•w-~ --~ °-• -~° ~ ~-- -~---- ~ -- <br />ER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN. <br />REQUIREMENT, TERM OR CONDITION OF AN <br />INSURANCE AFFORDED BV THE POLI V CONTRACTOR OTH <br />CIES DESCRIBED HEREIN 6 SUBJECT TO ALL THE TERMS, E%CLU610NS ANO CONDITIONS OF SUCH POLICIES. <br />THE <br />AGGREGATE UMR6 SHOWN MAY HAVE BEE N REDUCED BV PAIDCLAIMS. <br /> <br />' pD FEOTNE POUCY EYPIRAnON <br />L0AR5 <br />INSR ADD <br />L TypE OF INSURANCE <br />LTR INSRO POLICY NUMBER DATE MIDD MTE MMIO <br />odD, DDD <br />1 <br />GENEMLLM01DTy , <br />EACH OCCURRENCE B <br />T <br />0 <br /> WMAGE <br />O <br />lOD, 000 <br />X LOMMERCW.GENERAL LWBLITY PREMISES EB OCWmrca <br />000 <br />5 <br />A cuDns MADE ^X OCCUR , <br />cBPe13965a 4/9/2006 4/9/3007 MED E](P aN c„oB B <br /> PERSONAL6AW INJURY B S, DOD, ODD <br />X dodaotJble -0- 000 <br />3 <br />000 <br /> , <br />, <br />GENERAL AGGREGATE B <br /> PR000LT3-COMPIOP AGG 6 2x000, ODD <br />GENLAGGREGATE DMRAPPLIES PER: <br />X POLICY PRQ LOC <br /> AUT OMOBaE LIABRfTY COMJNNEO SINGLE LIMIT B 1,000,000 <br /> (Ee BvJde,U <br /> X ANY AUTO <br />A ALL OWNED AUTOS CBP6139650 4/9/2006 6/9/2007 IiODILV INJURY <br />B <br /> (PU PwBm) <br /> SCHEOULEDAUTOB <br /> HIRED AUTOS BODILY INJURY B <br /> IP&eccidenl) <br /> NONOWNEO AUTOS <br /> PROPERTY DAMAGE B <br /> (PefattMBnl) <br /> GAMCE MABILfTY AUTOONLY-EA ACCIDENT d <br /> OTHERn1AN EAACC e <br /> ANY AUTO <br /> AUTOONLY: pGG e <br /> E%CESSNMBRELN MPaILfTY EACH OCCURRENCE B 2,000,000 <br /> ~ AGGREGATE B 2, 000, DOD <br /> CLAD.16 MADE <br />X OCCUR <br /> B <br /> COe]J9fi50 4/9/200fi 6/9/2007 8 <br />A DEOUCnBLE <br /> X RETENTION f 10,000 <br />MPENSAnON AND NC5 ~~ppT~U _ <br />TO'PY UMW O B <br /> WOgKER6 CO <br /> EMPLOYERS' DABRRY E.L EACH ACCIDENT B <br /> ANY PROPPoETOPR'ARTNERE%ECUnVE <br /> DFDLER9AEMRER E%CLUDFDT EL DSEASE-E4 EMPLOYEE B <br /> <br /> If yBB, dnscnbe ubBT EL DISEASE-PyJGY LIMIT 6 <br /> <br />A SPECIAL PROVISIONS hxlvx <br />DTTIEa gpaipmeat Yloater <br />CBPe139a30 <br />4/9/2006 <br />4/9/2007 <br />T,...eaJRaec.e eavin. 50, 000 <br /> Hired P1Lyeical <br /> r.+-Te 50,000 <br /> DeIDBae <br />DESCRIPTION DF OPERATION9ILOLATONSNEFIILLEBIE%C WBIONB ADDED BY ENDORSEMENDSPECIAL PROVISIONS <br />]US, ly¢Nntown Chriatma0 DOeoYatlone. C1ty ¢E Baste .9Ra, ite RttieaYe, aaployeea, ape¢te, volunteers and rapro0entativea <br />aze included as additional iawrad ae xeapecta to the iaeurade epetationa sad oNDx iE required by Vrittea eeatraot Der <br />the attached eneereemeat. 30 date NOC except 1D days l:ar ¢oa-payment of Dremium. <br />___.._.- <br />SXODLD ANY OF THE ABOVE DEBCR1060 POLICIES BE CANCELLED BEFORE <br />City of HantB Ana dP0iAn0N GATE THEREOF, THE ISSUING INSURE0. WILL ](t~~AYid(L)(YO(MAIL <br />Attn: DBaJall 33BYCadO 3D DAYS WRITTEN NOTCE TD THE CERTIFlCAIE HULOER NAMED TO THE LEFT, <br />20 Civic Ceatar Plata, D7-25 <br />Santa Ana, CA 92701 <br />pU1HOR12FA REPRESENTATIVE <br />Fritz MuttedMER <br />ACORO 25 (2001/88) - - ®ACORD CORPORATION 7888 <br />INSD251B1DB)BB ANS VMP MBn0e9B SClutlwe.Irc.IS001~Zr-0Sd5 PB0BI WR <br />