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V - V <br />AC RD. CERTIFICATE 4F LIABILITY INSURANCE HEALT06 OP ID U8 DATE (MNVDD/YYYY) <br />02/14/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Affinity Solutions HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1133 20th St. N.W. , Suite 450 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Washington DC 20036 <br />Phone: 202-263-4000 Fax:202-263-4001 INSURERS AFFORDING COVERAGE MAIC # <br />INSURED ��y�y/q�� /���/p� INSURER A: Lloyds of London <br />N_ R\.JLJ`J �./V� INSURER 0: <br />AlxamayC . Drozd 00 INSURER C: <br />20892 Salimaker Circle ` INSURER D. <br />Huntington Beach CA 92648 <br />INSURER E: <br />COVERAGES <br />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 ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />NSRC <br />TYPE OFINSURANCE <br />POLICY NUMBERDATE <br />MWDD/YY <br />DATE MWO <br />LIMITS <br />REPRESENTATIVES. <br />A RIZED REPRES N <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ Z 000 000 <br />PREMISES F� IZN xDenae 350,000 <br />COMMERCIAL GENERAL LIABILITY <br />X CLAIMS MADE 7 OCCUR <br />MED EXP (Any one Perron) s2,000 <br />PERSONAL BADV INJURY $1 000,000 <br />A <br />X General Liability <br />0802MFA002056 <br />02/07/06 <br />02/07/09 <br />GENERAL AGGREGATE S1,000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OPAGG $1,000,000 <br />X I POLICY 7 JPERCOT- D LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMB $ <br />(Ea aaoidenl) <br />BODILY INJURY $ <br />(Per =.) <br />ALLOWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(PeraWdenq $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per w6dent) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EAACC S <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCE33NMBREI IA LIABILITY <br />EACH OCCURRENCE S <br />OCCUR EICLAIMS MADE <br />AGGREGATE $ <br />S <br />S <br />DEDUCTIBLE <br />S <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />TORY LIMIT AH <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTLVE <br />E.L.EACH ACCIDENT S <br />E.L. DISEASE - FA EMIRLOYEE 5 <br />OFFICER/MEMBER EXCLUDED? <br />H deauibe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />OTHER <br />A <br />ESO Liability I <br />0802MFA002056 <br />02/07/08 <br />F <br />02/07/09 <br />Per Claim $1,000,000 <br />I <br />Aggregate $1000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The City of Santa Ana is hereby listed as an additional insured with <br />respects to General Liability. <br />1%CrMC1rATC YM T1CR CANCELLAT IUN / <br />C20SANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />Parks, Recreation Sr Community <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Canter Plaza <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITSAGENTS OR <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />REPRESENTATIVES. <br />A RIZED REPRES N <br />AGORD 25 (2007106) wMa wr%w vwmrwt uv+. .... <br />