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r- <br />ACORD„ CERTIFICATE OF LIABILITY INSURAII~CE DATE IMMIDOIYY) <br />01/31/2001 <br />PRODUCER 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 POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TypE OF INSURANCE POLICY NUMBER PODCY EFFECTNE POLICY EXPIRATION LIMITS <br /> GENERAL UAaILrrY X111111111 01/01/2001 01/01)2002 EACH OCCURRENCE 5 1.000.000 <br /> x COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (M one fire) S 50.000 <br /> CWMS MADE aOCCUR MED EXP (Myone person) S 5,000 <br /> PERSONAL BADV IWURY f 1,000.000 <br /> GENERAL AGGREGATE S 2.000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 2,000,000 <br /> POLICY PRP LOC <br /> <br /> AVr oMOBILE LUeILm X222222222 01/01/2001 01/01/2002 COMBINED SINGLE LIMB s 1,000,000 <br /> X ANV AUTO (Ea actltlanQ <br /> <br /> ALL OWNED AUr05 BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Par parson) <br /> <br /> HIRED AUTOS BODILY IW URY <br />S <br /> NON-0WNED AUTOS (Per ecatlent) <br /> <br /> PROPERTY DAMAGE <br /> <br />ITIONAL <br />(Per aa9tlenU S <br /> SEE ATTACHED ADD <br /> GARAGE LU1BRrtY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUrO INSURED ENDORSEMENT GTHER THAN EA ACC : <br /> AUTO ONLY: AGG S <br /> E%CESS LU.BIUT' EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE COVERAGES DEPEND ON TYPE AGGREGATE : <br /> <br /> <br /> OF AGREEMENT/CONTRACT <br /> DEDUCTIBLE <br /> <br /> RETENTION S S <br /> X We srATU orH- <br /> WORKERS COMPENSATION AND XXX333333333 01/01/2001 01/01/2002 <br /> EMPLOYERS' LU181LRY <br />- <br />E.L. EACH ACCIDENT <br />5 1,000,000 <br /> !~ E.L. DISEASE-EA EMPLOYE S 1,000,000 <br /> E.L. DISEASE-POLICY LIMIT S 1.000.000 <br /> OTHER pL444444 01/01/2001 01/01/2002 Each Occurrence 1.000,000 <br /> Professional Liability <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlE%CLUSIONS ADDED BV ENDORSEMENTISPECIALPRDVISIONS <br />Certificate Holder is additional insured per attached. <br />Project No. _______ <br />rcoTlarATC unI nco . CANCFI 1 ATInN <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL-MAIL 30 DAYS WRITTEN <br />20 Civic Center Plaza -Ross Annex (M- ~ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,- <br />Santa Ana, CA 92701 <br /> AUTHOR12E0 REPRESENTATIVE <br />L <br />AGORD 25.5 17/97) <br />tv Taa.vrcv ~.vnrvrw nvrv raw <br />