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SRN - fly -2AA-, 09:49 EMPIRE CO. <br />7148369946 P.Oi <br />-0. <br />10 any ..-.. y nott <br />ice of eAacellatiOD 80D11ee tar nenpByaent of preniTm,. <br />City Of Santa Ana <br />Attn: Roaa Flores <br />P.O BOX 1988 <br />Santa ADa, CA 92701 <br />Ros4iCFaxNote °Ale _,q_o6 wolf <br />YY�� pages � <br />/F:,aIJ�LXP.SA From r <br />CP /OAPL �. Cc <br />Phone R� <br />PNanep � I c� -g36 9`!4� <br />Faxn -� I y -6�i 7,47877 931a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLIeleR BE CANCELLEO BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN HCTOE TO THE CERDFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO GO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY RIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />A�2RU <br />Iherr12ED REPRESENTATIVE C ` Lj <br />Ch2rryl Young /£Mx[.r Y\W��- <br />® ACORD CORPORATION 1888 <br />WnPI FlOBPCIPI $C�elree Pape 1 W 2 <br />C A <br />OF <br />LIABILITY <br />INSURANCE <br />RATE i2o"" o7 Y' <br />ROD R (714) 636 -9945 FAXL (714) 636 -9946 <br />BE <br />-he Empire Company N -A-01 -10 p <br />ISO Parkcenter Drive <br />ITIile 205 N-2.001 IOO-ool <br />InAta Ana CA 92705 -3521 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLJCIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAICX <br />LURES, <br />Laraaich Reporting, Toe. <br />;241 E Santa Ana Canyon #100 <br />Liumbeim Hill. CA 92687 <br />INSURERA Preferred Employers Inv. <br />INSURER E: <br />A'SURERC: <br />INSURER D', <br />INSURERS <br />THE POLOIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T07HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NQIVNIHSTANDING ANY <br />R69WREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANOE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />I MAY H R D ID LAIM . <br />IER <br />AppL <br />TYPE OFINSURANCE <br />POOCY NUMBER <br />POLICY EFFECTIVE <br />GATE MMI <br />POLICY EXPIRATION <br />PATE MMIODMI <br />LMrt3 <br />( <br />Y <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CuIM$MAD: ❑OCCUR <br />EAON BENCE <br />S <br />DAMAGE TO RENTED <br />S <br />MEO EXF <br />S <br />PER Rv <br />S <br />ORAL A(.f.REGAYE <br />S <br />G A! L AGGREGATE LIMIT APPLIES PER <br />P LICY PRO 1 <br />AUTOMOBILELIABILJTY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCPEDULEDAUTOS <br />HIREDAUTVS <br />NON-OWNED AUTOS <br />com.mEDSINGLELIMF <br />(Ea ameenq <br />S <br />BODILY INJURY <br />(Pe Dasun�. <br />= <br />BOOILY INJURY <br />B <br />PROPERTY DAMAGE <br />Pp eMtl6NQ <br />S <br />GARAGE LUMMUTY <br />ANY AUTO <br />AUTO ONLY- EP ACCIDENT <br />S <br />OTHEATHAN FA AM <br />AUTO ONLY: AGG <br />S <br />S <br />EWESSNMBRELLA LIABILITY <br />OCCUR �CLAIMS MADE <br />DEDUCTIBLE <br />I TI N <br />E <br />AGGREGATE <br />S <br />S <br />S <br />- <br />A <br />MRIKERBCOMPENOATONAND <br />R-EMPLOYERS' LIABILITY <br />ANY PROPRIETGRPARTNEWEX9CUTIVE <br />�OFPICEWMEMEEREXCLUDEO? <br />B M, eesc:bP Purer <br />PECW. PRO N baler. <br />WXN11]683 -4 <br />9/172006 <br />9/1/2007 <br />X RT — <br />EL. EACHACCIDEW <br />S 11 000, OQO <br />=L DISEASE - EA EMPLOYEE <br />S 1,000,000 <br />E EASE POLICY LIMIT <br />9 1,000 000 <br />OTNER <br />u <br />emus enneo uv cunne¢cmcuY,CPFf.I <br />11 PROVL¢IOHS <br />�� <br />-0. <br />10 any ..-.. y nott <br />ice of eAacellatiOD 80D11ee tar nenpByaent of preniTm,. <br />City Of Santa Ana <br />Attn: Roaa Flores <br />P.O BOX 1988 <br />Santa ADa, CA 92701 <br />Ros4iCFaxNote °Ale _,q_o6 wolf <br />YY�� pages � <br />/F:,aIJ�LXP.SA From r <br />CP /OAPL �. Cc <br />Phone R� <br />PNanep � I c� -g36 9`!4� <br />Faxn -� I y -6�i 7,47877 931a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLIeleR BE CANCELLEO BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN HCTOE TO THE CERDFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO GO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY RIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />A�2RU <br />Iherr12ED REPRESENTATIVE C ` Lj <br />Ch2rryl Young /£Mx[.r Y\W��- <br />® ACORD CORPORATION 1888 <br />WnPI FlOBPCIPI $C�elree Pape 1 W 2 <br />C A <br />