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it 9/27/2007 12:36 PM PAGE 2/004 Fax Server <br />/Vs 7 a /s= -of <br />r Ir' ^o CERTIFICATE OF LIABILITY INSURANCE <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />T N TYPE OFINSU RANCE <br />0°9T27J07°avvvrl <br />- RODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />GL/CL Countrywide Ins Svcs Inc <br />Division <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EX'END OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- <br />_ B vd., Ste. 320 <br />09/01/07 <br />09/01/08 <br />Glendale, CA 91203 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA Phi lade! hla Insurance Company <br />Rehabilitation institute of So. CA <br />INS UP F.R R <br />CLA -.MS MADE Q OOCUR <br />1800 E. La Veia Avenue <br />INSURER c <br />Orange, CA 92866 <br />wsuRFR D <br />PERSONAL &ADVINJURY <br />INSURER E <br />GCVERAGES <br />TH= POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD W DILATED. NOTWI HSTANDING <br />'p P,—N1 _ TFRIJ OR CON DI [ON OE ANY CON IRAE I OR (illlf -R IX)CIIMI -N I WI I N HHLZNE(.I If) Wulnu 1 un: cl-u I ILICA 1 L kA AV uc Icu cII If <br />MAY PERTAIN, THE INSURANCE AFFORDED BY TI I POLICIES DESCRIBED I IEREIN IS SUQIECT TO ALL TI IC TERMS, EXCLUSIONS AND CONDITIOf s OF SUCI I <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />T N TYPE OFINSU RANCE <br />POLICY NUMBER <br />POLICVEFFECTIVE <br />/ /Yr <br />POLICY EXPIRATION <br />AT <br />LIMITS <br />aPnL unelLIT" <br />PHPK258028 <br />09/01/07 <br />09/01/08 <br />EACH cccUHRENCE <br />1,000,000 <br />VE=C'AL 3ENERALLIABILI7V <br />DAMAGE TO RENTED <br />100,000 <br />CLA -.MS MADE Q OOCUR <br />MEC EXP (Any one pereonl <br />15,000 <br />PERSONAL &ADVINJURY <br />'1000000 <br />GENERAL AGGREGATE <br />'.2,000,000 <br />PRODLICfS - COMP�OP AGG <br />' 1 OOO OOO <br />f ( I- -3IF-C LAGGREGATE LIMIT APPLIES PER <br />FI =O _!CY F PRO LOC <br />?OY ^EILEUABILITY <br />ANIA'-:J <br />PHPK258028 <br />09/01/07 <br />09/01/08 <br />ccuaweD SINGLE urnl- <br />(Ea -adem) <br />1,000,000 <br />BODILY INJUrlY <br />ALL OWNED AUTOS <br />-_ED A -70S <br />X H�°.EDAUTOS <br />'M <br />(Per person) <br />13 DILY INJURY <br />NON OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per a.ccideni) <br />GARAGE LIABILITY <br />AJI V ONLY EA ACCIDENT <br />�_THERTHAN EA A.UU <br />�INYALQI <br />AJTC•ONLY AC <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR ❑CLAIMS MADE <br />AGGREGATL <br />RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOVER LIABILITY <br />B' <br />WC STATU- OTH- <br />MITR. RE <br />E L. EACH AGGICENT <br />ANY "110- RIETOR/PAR ENER /EXECU IVE <br />E L DISEASE EA EMPLOYEE <br />' <br />C °CE °MEMBER EXCLUDED <br />^ ^�T antler <br />EL. DSEASE - POLICY LIMIT <br />PHPK258028 <br />09/01/07 <br />09/01/08 <br />$1,000,000 <br />$2,000,000 <br />$1 000,000 Occ /A rII <br />^ =' Proi. Liab. <br />Aggregate <br />'Sexual Abuse <br />- .•..=OPERATIONS / LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />City of Santa Ana,lts officers,agents,employees, representatives and volunteers are named <br />^^ kdd'Vonal Insureds for General Liability per Endorsement Form #CG20260704 attached as <br />.0 th9 operations of the named lnsured.SUch Insurance shall be primary and not <br />This car`:Ifleate supereodes cart. Issued on 06/31/07. <br />(Sev Attached Descriptions) <br />City of Santa Ana <br />Perks, Recreation & Community <br />Services Agency <br />Attn:Carla Mack Thompkins <br />P.O. Box 1988 M -23 <br />ACORD 25 (2001/08) 1 of 3 #S2575/M2488 <br />LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE !ORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL JpRX2 MAIL '�j(L DAYS WRITTEN <br />;ETD THE CERTIFICATE HOLDER NAMEDTOTHE LEFT, XXXMIC q0M0Q00Q0=X <br />IRNR=N]IRXMOMX*JOKNXXR*XXXKWX MNXKRMOMXKXXN)OMMMXX <br />OR12ED REPRESENTATIVE <br />01 _ 16 1 _ <br />STG w ACORD C 3RPORATION 1988 <br />- <br />