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<br />, <br /> <br />.~ ACORD CERTIFICATE OF LIABILITY INSURANCE , DATE {MMlDDIYYYY) <br />'" 12/08/2006 <br />P~ODUCER (714)505-5550 FAX (714)505-5562 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Driscoll Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17782 E. 17th St., Suite #105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. Box 1085 <br />,tin, CA 92780 INSURERS AFFORDING COVERAGE NAIC# <br />1o~...."'RED Hofmann Fi nn Development Company, Inc. INSURER A: Landmark American Ins., c/o W. B own <br />3188-A Airway Avenue INSURER B: <br />Costa Mesa, CA 92626 INSURER c: <br /> INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <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 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POUCY NUMBER DATE (MMlDO/"fYf DATE MMlDDIYY LIMITS <br /> GENERAL LIABILITY LHA130779 11/19/2006 11/19/2007 EACH OCCURRENCE . 1,000,00II <br /> X COMMERCIAL GENERAL LIABILITY PREMISES tE~~~ncel . 50,00II <br /> J CLAIMS MADE, 0 OCCUR g i f-::;' [ 7 MED EXP (Anyone person) . 5,00II <br />A '0 U=:.../ PERSONAl & ADV INJURY . 1,000,0001 <br /> GENERAL AGGREGATE . 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG . 2,000,000 <br /> I POLICY [Xl j~ n LOG <br /> AUTOMOBILE UABlLlTY COMBINED SINGLE LIMIT <br /> t- (Ea aCCident) . <br /> ANY AUTO <br /> r- ALL OWNED AUTOS <br /> BODILY INJURY <br /> r- (Per person) . <br /> SCHEDULED AUTOS <br /> I- HIRED AUTOS ~O~ <br /> BODILY INJURY <br /> r- (Per accident) . <br /> NON-OWNED AUTOS 'to _, <br /> r- _..rt.~ ~ -- <br /> - J!Y fo/./ PROPERTY DAMAGE . <br /> (Per accldent) <br /> GARAGE LIABILITY !3~ ~~~, AUTO ONI.. Y - EA ACCIDENT $ <br /> :=LANY AUTO OTHER THAN EA ACC . <br /> l~_. C.\~~r_V' AUTO ONLY: AGG . <br /> EXCESSIUMBRELLA UABILITY ~ ~S"'( lL{ / EACH OCCURRENCE . <br /> P OCCUR o CLAIMS MADE AGGREGATE . <br /> . <br /> R DEDUCTIBLE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND iTORYLlMITSI IVE,l" <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORIPARTNERlEXECUTIVE E.L EACH ACCIDENT . <br /> OFFICERlMEMBER EXClUDED? E.L. DISEASE - EA EMPLOYEE . <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT . <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />ob: Our Lady of the Pillar Catholic Church-Parking Lot Expansion, 1609 W. Fifth St., Santa Ana, CA <br />2703-2903, Certificate Holder is named as additional insured as per attached form dated: 12/8/06 <br />uties: Renovation/Tenant Improvements. <br />ancellation Clause: Unless cancellation is for non payment of premium in which case 10 <br />~ays notice may be given. Modified Cancellation Clause applies to General Liabil ity <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~JWtWJQ MAtL <br /> ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />City of Santa Ana, M-93 ~~KKIIOOr,3f')"I)(lOO@{n~JII(~XX <br />20 Civic Center Plaza JII(~~JOOOIlOO{JIJOlNl(l,'(~XXXXXXXX <br />Santa Ana, CA 92702 AUT~EPRESENTAnvE <br /> Thomas Cotter <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />