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ACORD,M ,!. <br />PflODUCEfl <br />INSURED <br />DRIVER ALLIANT INSURANCE <br />1620 FIFTH AVENUE <br />SAN DIEGO, CA 92101 <br />PRODUCER: CARMEN SCOPPETTUOLO <br />The Omega Group Inc <br />5160 Carrol Canyon Road, 1st FI. <br />San Diego CA 9 21 21-1 775 <br />{~~~~~~+w DATE IMMIDD/YY) <br />1~ ~+ 8/30/05 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO' <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVI <br />coMPANV FEDERAL INSURANCE COMPANY <br />A <br />COMPANY <br />B <br />COMPANY <br />C <br />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I POLICY EXPIRATION LIMITS <br />STp <br />~ DATE (MMIDD/VVI GATE IMM/DD/VV) <br />(~ GENERAl l1ABRITY 35797495 $/27/05 $/Z7/O6 GENERAL AGGREGATE 3 2000000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 2000000 <br /> 1 <br />D <br />I~ <br />R JURY <br />O <br /> 6 PRO <br />OWNER5 <br />& CONT <br />RA <br />T EACH <br />OCCUR ENCE S 1000000 <br />' FIRE DAMAGE IAny ono fire) 3 1000000 _ <br /> ~ MED E%P IAny one person) 5 10000 <br />A AUTOMOBILE LIABILITY 74991759 B/27/Q5 $/27/06 <br /> COMBINED SINGLE LIMIT 3 <br /> ANV AUTO HIRED CAR PHYS. _ <br />1000000 <br /> <br /> ALL OWNED AUTOS DAMAGE[ BODILY INJURY <br />I SCHEDULED Auros 5500 COMP & COLL IPer person) 5 <br /> r---~~~ DEDUCTIBLES <br /> HIRED Auros BODILY INJURY S <br /> IPer accitlanD <br /> X NON-OWNED AUTOS <br /> <br /> - PROPERTY DAMAGE 5 <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 3 <br />ANV AUTO OTHER THAN AUTO ONLY: <br />r-1 <br />~ EACH ACCIDENT 3 <br />A ~ EXCESS LIABILITY <br />X UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />WOflXEHS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />THE PROPRIETOR/ ~ INCI <br />PARTNERSIEXECUTIVE <br />OFFICERS ARE: EXCL <br />79822226 8/27/05 $/27/06 EACH OCCURRENCE 3 <br />AGGREGATE 5 <br />3 <br />A I orHER ' 35797495 <br />PROFESSIONAL <br />LIABILITY E & 0 * 10-DAY NOTICE <br />FOR NONPAYMENT <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />ADDITIONAL INSURED ENDORSEMENT ATTACHED <br />* 10-DAY CANCELLATION NOTICE FOR NONPAYMENT OF PREMIUM. <br />CITY OF SANTA ANA, ITS <br />OFFICERS, AGENTS, VOLUNTEERS & <br />EMPLOYEES, P 0 BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />$/ <br />~t {~F~ <br />3EGATE <br />r~ <br />BEFOflE THE <br />VOR TO MAIL <br />i TO THE LEFT, <br />V OR LIABILITY <br />REBENTATIVEB. <br />