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<br />Jan 03 2007 2:~SPM <br /> <br />fP LASERJET 3200 <br /> <br />1'.1 <br /> <br />/jf:ORD. CERTIFICJ!,TE OF LIABILITY INSURAIIICE OPID~ <br /> OLYldP-3 01 <br />PRODUCU. THIS CERTlFlCATL 18 ISSUED AS A MATTER OF INFORMAl <br />Argo Ilaurance (Anaheim) ONLY AND CONFE R8 NO RIGH:"s UPON THE CERTiFICATE <br />Lie*nse *0650964 1\'-2006-122 HOLDER. rHIS C~mFICATE DOES NOT AMENO, EXTEND I <br />5101 I!l. La Palmll Ave. ~ '201 Ai. TER THE COVE tAGlE AFFORD-ED BY THE POLICIES BEL <br />AnahAim CA 92807 <br />Phone, 714-r'01-0668 P&x:7l4-701-0696 INSURERS AFFORD NO COVERAl;'E NA <br />~LiFtED --_.~- <br /> INSUI'!I:I'!A' :.ao4lMd _,.'c:ea:l:l>lOl'......O;.C9 <br /> INSUI'!EI'!B' <br /> OlYilfque lxPeat BU~ldin@ Care -- - <br /> Ol! ~. Waca e Act... oDaul INSlJRI"RC: <br /> -- --------.-- <br /> 26 3 ntA~riae Ct, INSJRERO; <br /> Lake Forest CA 9263C <br /> INS;JR~R ~, <br /> <br />lMIDDr'VYr <br />W1.!0 <br />JON <br />)R <br />OW. <br /> <br />c. <br /> <br />OOVERAOES <br /> <br />THI: POLICIES CF 1~,aUAANOE lISTECBELOW HAVEl" ':EN ISSUe:O TO THE INSUREO NAMED ANNE FOR Tl-IEPOUCYf'EFl OOINDlCATEV. ~IOTWITHSTANDING <br />/'Hi,"EQUIRliiMiiNT, TERM OR COl'lcmON OFANYCt NT~ OROTlfEROOCI.I~TWrrH REaPECT TO WHICH rnI6GE'UI~IGATEMAY[E I8SUEDOR <br />MA.... peRTAN, THE NSURANCEAFFORDED BY THE P 'lICIES DESCRIBED HEREIN IS 8lJBJECT TO ALL THE TERMS, EXClt SIONS AND CONllmQNS OF SUCH <br />NS:?:.~:~AGGR~~E.~'~~SHOWNI>>.VHo\VEBE.N ~EDlJCEOBYI'^IDCLAIMS, ___ _ _ __ _, <br />lTftW::; jYPe.OFINSURAI\ICI! POUCYNUMBER ~~r~~~ '"&l:~~~N <br />L GHIEFlAL llABLlTY <br />: r.;OM'IlE.RCIA1. G~RAL L'AB'LITY <br />[~ ;LAIMS WDE: C OCCUR <br /> <br />~j----_. . <br />_~~'l~O'l~....!,E ~~ AP~PER <br />I FOl,;V I I JEeT ! IlOC <br />~~O~EILELlABllITY <br />I PWI .,uTa <br /> <br />llMlT~ <br /> <br />EA ~H OCCLfRRENCE S <br />P~;MISES(~oo:u'l!Inc" S <br />_1JI..E~,~~_~E::'ll!~Lj--!_ <br />f>E't~~_.\_~~!__~_ <br />GENERAL AGGREGATE $ <br />- - -----..--.------ <br />PRJDUCTS-COMPIOf'AGO S <br /> <br />CCMllINEOSINOLEllMIT <br />IElllCddonll <br /> <br />, <br />:$ <br /> <br />, <br />~- <br />-- <br />- <br />-- <br /> <br />,IoLLfM'IIEDAUTCS <br />:SCHCDUlI"D AUTOS <br />HIRD AUTOS <br />NON, OWNED .l\UTOI!I <br /> <br />Il(JOllY INJURY <br />(1"Ifperw~) <br />----- <br />BODlLYINJUAY <br />(P"BCdllenl) <br /> <br />'. <br /> <br />~~(jEUABlLlr'l' <br />-I ANY WTO <br /> <br />1- <br /> <br />r>R~O':RTYOAMA.GE <br />(p,rto:ddMI) <br /> <br />DHER THAN <br />A.UTOONlY: <br /> <br />. <br />FJlACC $ <br />. <br />. <br />. <br />. <br /> <br />,.. <br /> <br />" <br /> <br />i <br />--/1 I.," <br /> <br />1'0 F )RM <br /> <br />AlJrOONLY. EAACCIDENT <br /> <br />ECE38ll'MBf'lELL.A. UAEllrTY <br />~ J OCC-JR [] CLAIMS MAOE <br /> <br />-l OEDIJCTIBL~ <br />-l RETI:f'fflON S <br />WMKU$ COWeNSAT10N AND <br />II!MPL.OYeRS'U...m <br />Af\Jy PRQPRIITORl?AflTNERlEXE(;UTIVE <br />OffICEl<1I.EPAB:R EXCLUOED1 <br />grJ;~~;~~~5 b.lgoo <br />IOTHElI <br />A ! P:rof.a.:!.oua~ I.ial). <br /> <br />/( Jl) .JJ, <br />I e" <br />-~ --I - -::~/J <br />I '" ,'" I ~ 1\ \~)r~,.;' <br /> <br />E},::H OCClF:RENCE <br />I A('GFl.E~TE <br /> <br />, <br />t----. <br /> <br />--1-'- <br />. <br /> <br />hORVll.l1 I'-'~~- <br />E:EACH~!?IOENT <br />E,l.DlSO':ASE-EAEMPLOY'E <br />0':.1 DISEASE - POLICY WAIT <br /> <br />. <br />. <br />. <br /> <br />] HJlB063l3 <br /> <br />10/04/06 <br /> <br />10'04/0' <br /> <br />Aggregate <br />Sa. Claim <br /> <br />$1, <br />$l~ <br /> <br />000, 'll 0 <br />OOO~':!.; 0 <br /> <br />DESCRIPTION OF OPlAATlONS I LOCATJON81~ICLE i I i:XCLU5lI;)N' ADDeD BY II!~OOP.nI'oeNT / SPecIAL ""O\IlSIONS <br />~i8 io a prof.8.io~al Li&bLlity. <br /> <br />The Certif~cate bolder i. D~ed as additional insured. <br /> <br />City of Santa Ana <br />Mario Ghiz.i <br />20 Civic Canter pla::a <br />Sar.ta An& CA 92702 <br /> <br />CANCELLATION <br />SHOULD NrfOFTHE Al.CJ\I'E DESCItIIlEt POLICIE81!lE CANCELLED BEFORt THe ~II'I llO <br />DATETHEREOF,TffEI61,UlNGINSURER"~LLINORA\IORrOMAll !!L lAYSMlIT!N <br />NOTlCe TO THE CI!:RT1I'I-::A.TE HOlDl!kN.UIlHlTOTtlE LEFT, .UT FJULURI'" 0 DOIMl II IL.L <br />It.POSE: NO OBLIGATlot OR LlA81llTYOl' AHYKlND Ul'OH TIE 1~;R, IT: AGENTS C <br /> <br />CERTIFICATE HOLDER <br /> <br />REPRESIiNTAT1V&S. <br />AUT? <br />r ... <br /> <br />ATW'~~. <br /> <br />;a, = ACORD CORPU~ATIO ~ <br /> <br />9BB <br /> <br />ACORD 2. (2001 ~8) <br />