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<br />DatI! : 2/1412007 11:45 AM Page: 2 of;;
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<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE IU~
<br />f'RODUCI:R A-.;;l.OO~ -.;AD! THIS CERTIFICATE IS ISSUED AS A MAT
<br /> ONlY AND CONFERS No RIGHTa UPorl
<br />Van Waqner Group Div. SterHng A- ;)[Ja.::l. ~ HOLDER. THIS CERTIFICATE DOES NO
<br />21 ""ple Ave, -~O ~O;;l.. ALTER THE COVERAGE AFFORDED BY
<br />BAYS bore NY ~1706 A--)..ro5-4/A-
<br />~hone:631-66G~1S88 INSURERS AFFORDING COVERAGE
<br />INSUReD INSUR~R A; Ace American Ins.
<br /> l""'-"ERe
<br /> Reach ~10Kee Assistaneel Ine IN$l./RERC:
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<br /> 101 East Li co1n Ave., Ste 230 INSI.RER D:
<br /> Anaheim: CA. 92805-
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<br />"14-1 02/14/07
<br />"ER OF INFO""'ATION
<br />THE CERTIFleATE
<br />AMEND, EXTEND OR
<br />"HE PoUCIES BELOW,
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<br />COVERAGES
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<br />'rHE POLICIES or- lN$l.IAANcE USTm BeLOW J;.Il..VE BEeJ lSSLEo TO TI-E 1N31...1R'eo NAMED ;.eOVE FOR: THE POLICY peRIOD INDICATED. NOTWllHSTANOI
<br />ANY t=lf20UIREMENT. TERM OR CONJITIO\! OF .ANY OONTRACT OR ~"'HF.;Iil DOClJIAENT WITH REWECTTO WHlOi THIS CERTJFICA1E MAY ae IS8<JE;D OR
<br />MAy PERTAIN. THE INSURANCE AFFORDED By Tl-€ Pa".t;re:e; DE~:CRIE4E:D H5<RE:IN IS SllSJECT To A.l.l Tl-ElERMS, e;XCLlISJONSMID CONDITIONS or- SI.ICI
<br />POLICIES. .AG~G.ATE UMITS SHoWN MAY HAV5 aeEf\I REDUCED BY PAID GlAIMS.
<br />'''' NSR TIPS OF INSlAANcE I~OLlcY NUMB~ OA,.gj~J bATE fMMlD
<br /> GE~L LlAeLllY EACH OCCURI
<br />A ~ COMMERCtAL G!:;1'ERAl. LIABilITY TBD 02/17/07 02/17/08 PREMISES r~l
<br /> J CLAIMS MADE ~ OCo.lR MSO EX? (Ar,;
<br /> f- ~.,
<br /> C= - - ~RAL Mil
<br /> n'L AGGREGATE LIMIT APPn PER. F'RODLt:TS.(
<br /> P<<.JCY n ~& J.OC
<br /> ~OMOElll~ L1ABll.llY (:0M3INED Sl~
<br /> ~ /l#YAlJTO (!:Il11cxldomtl
<br /> ALl. O~D AlJTOS BOOIL Y IN..uR'(
<br /> = SCHEDULED I..urOS [Ptorpur-..on)
<br /> _ l-IIR5DAU'ro.'S 80DIL v I~..~'
<br /> NCN-OWNED I..!..rros [P.;rlkl;:idQrij
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<br /> - PROPERTv OA;
<br /> fP9rl!l(;~idot1l;J
<br /> R""UABII.f1Y AlfI'OONLV-E
<br /> ,"",Y',Qi.lTo OTt-ER THAN
<br /> ALITOONLV
<br /> ElCaE:SSN~lA. LIA,BIUTY ~H OCClJRR
<br /> :j -OCCUH 0 Cl...PJMS MAJ.)Ef AGGREGA1'e
<br /> ~ IDEDUCTIBLE
<br /> RElENTlON .
<br /> WORKER$; eOMPENSATION AN> hORVLIMn
<br /> EMPLOYERS' LIABILITY E;,l. EACHACC
<br /> AN.... F'ROPRlc"TORIPARThEFu.QQ;:cun\tE
<br /> OFflCERlMe.E!E~ ExCIJ.DED? E.l. DISEAsE_
<br /> 1I\fQli.dAsct1b"UfId",r ~.l. DISEASE.
<br /> SN:CIAl. PY<OVISIONS bEllow
<br /> OTHER
<br />A profes.sional Lial:> TBP 02/17/07 02/10/09 Ea.~l:
<br /> A9'g.
<br />OeSCRPTlON OF OPE:R4T10NS J LOCATIONS' VEHICLES! EXCLlJ61e'Nlil AOI:lISC ev E:NDORBE'Ml;NT I SP€CiAt. PROvr.;;tONS 1-\> ,
<br />All. C1ieut Compan1.Q$ are ineJ.uded as adl;titi.ona1 in,sured~ but oD1y ali
<br />respects 1:0 the operations pereO':lIled by I:h.. 11_ in.su~ecl. ,
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<br /> NO. $1...000,000
<br />Em II; 100,000
<br />,c~urencIitJ
<br />'cnop.:,r;;,.,n) . 5,000
<br /> 'Vlf'UE.:y 51,000,.000
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<br />4t:'GATE $ 3, C?,oo I 000
<br />:(MP/OP AGG t 1,000,000
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<br />~ :JI.JCY LIMIT .
<br />I Clee. 1,000,000
<br />'<:gate 3,000,000
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<br />CERTIACATE HOLDER
<br />
<br />City of Sauta Ana
<br />e-ezsonne1 Dpt.
<br />20 C~V10 Center P~aza
<br />M-34
<br />Santa Ana CA 92702
<br />
<br />CANCELLATION
<br />tiHoUl..o ANY OF THe; ABOVE DE!:iCAIBEc POLfCl:S Ell; c; :y.jCEl..LeD ee>ORETHE EXPIR.ll.TlON
<br />OA'rE~fI",TI-EIBSUINC;;N!oUfU:RWII.,I,EiNt>!A.VORTOMAJL. 30 DAnWFo:tY'TEN
<br />NOTICE TO THl: C"ERnFJCATE HOLDER NAMED TO 'Il-1E LI fT, BUT FALURe TO DO 1/.0 SHAf.l.
<br />IMPOSE NO oeUGAllON OR U&auTy OF .ANY KIND UPOt I THI::: INSIJRE;"R, rr:; AtiE'NTS DR
<br />f1:~E~ATIV~a.
<br />A T
<br />
<br />ACORD 25 (2D01/0B)
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<br />" ACORD CORPOAAnoN 1988
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