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tk-2oo�r- oto3 <br />OF LIABILITY INSURANCis6EuED <br />A ORD_ CERTIFICATE <br />ASAI <br />UP <br />Pe ICaS AOCNHMIr <br />ONLY AN0 CONFERS NO RIGHTS <br />NaaouGER <br />Valley Insurance Service, Inc. <br />HOLDER.TH{S CERTIFICATE DOES� <br />THE COVERAGE AFFORDED <br />Licenser 0566246 <br />Suite 200 <br />ALTER <br />Soo S. Barranca Ave, <br />CA 91723 <br />�INSURERSAFFOROINGCOVERAGE- <br />Covina, <br />Phone: 626-966-3664 Fax: 626-966-3895 __—INsu+rlln <br />x,Y EPAn,.,LLV 1=•„•.A.�I 1:0. <br />Naupee—TH- <br />MONTH u Prefezrod �Gy <br />Ennctecentric DBA: noeksido Pool <br />HsmNxc— <br />II 2?59VSanta,NaWr9ita2692 Pkwy 194 <br />IlNsulM xn <br />NissOR Viejo CA 9 <br />S. <br />Ysuxrlu <br />DATE INMIDWYY'MI <br />NA1C N <br />OVERAGES <br />IIIc 1'01ICws q YY3111MNCJ'1 ISMIMIIOW MN WIN IORIG II1r INSlx l"111111-W11AHOYFInt IIN yp ICY IKNN]O�]IANUIICONINIMMOF SUCH <br />nxr lu:000NMrxI Ir,welt CONONIONIO„ AIIYyCro IUt S11N'SL:NIY {)1 NIS SUIIL CI IOMCI Ink Oki"rACVUSloAn; rMAY HF b3Ur001� <br />MAY IK,AW, INr INSUNANCI <br />p1115 SHOWNMIY HAN NHNIU'UUpo,OCY MONACOAKS <br />N <br />UMTS <br />Pe ICaS AOCNHMIr <br />POLE%Y NUYt1EN-SAMw <br />�i M� <br />[ACII WX:IINRCNCC <br />51,000,000 <br />pig-� NCE <br />INSpa TYPE pFI1nURA <br />OAMA,CTORENTCO <br />51001000 <br />.TR <br />GENERAL LMRIM <br />00200 0 6 <br />09/01/09, 09101/Ds <br />NLEMYiCS IC.•�•+'ioil <br />is DD0 <br />, <br />A X X,c,,,WRCu GLNCwu LMGN1lY <br />X0 12 <br />MED LAP 6brN^•P°x°"I <br />i <br />61,000, 000 <br />�ISAKSMAOC X OCCUR'. <br />f{RSONMSAOV MNMY <br />AGOREMIE <br />s2,000,000 <br />(rNCRM <br />moDlA:ls-coww AGD <br />s2, 000, DOD <br />(YNl AUl3MCATE LMYT APPLIES MNO <br />. <br />POLICY I rf t I Lam' <br />— -�—I <br />—� <br />CQNRVJ1 D SWAC LNII <br />S <br />AUTONOBEE LMSYIYY <br />IC.a OOc+l <br />ANY MITO <br />'DOI]NY INJURY <br />5 <br />KLoNNKCIMIIM' <br />II,C PNW) _- <br />-- SCIIFINIIrOAMOS <br />MNIUAUIM <br />/ <br />HODIIYINJURY <br />-IPY,.4AAl <br />3 <br />NDNOWNHIAVIOS <br />�+ (/ <br />I PI101Nilly IMNMN' <br />5 <br />PP.PAM) <br />wWO0N1Y.rAACCIIWN1 <br />S <br />OMAGE LAWLITY <br />alllru uMN TAMC 3 <br />— <br />AUIOOIUY ACC S <br />MIY AUI O <br />rAG10{:CUHIr NCE <br />S <br />ESCESSAINBRELu LMRBRY <br />ACfiM— <br />OCCUII GAIMSMMII <br />I <br />j 3 <br />I <br />RC1TN1mN f .__ -- X 1(JRYLVATS L <br />wONA[NS LOtlYTNLi10M ANO 02/19/08 02/19/09 . EL TM'JIACCIDENT s 1000000 <br />' <br />EM.LOYERS'LIAR-ITY mQ7130497-3 CI INSCAS[ CAEMPLOYCC 61000000 <br />F7 : nNY PN(TPoCIIXUTARINI'WIAC CIIIM. <br />tN Fx:fNAKMd PfrtLlNx'M CI OISEMSC POI ICY LYAI <br />nyyec <br />LCA..aeeugl.+ _�----'- <br />5PI <br />�- O*xFN <br />D[SCID%10MGF OPT WRM)MfILJI 1iLIgNBI VT,YCL[SILEOWSICMSe, and el�lyOea Ga,a added as <br />Cdty of Santa Ana, its officers, agents, notieo in the <br />additional insureds per the attached CGGf200 33 07 04. 10 day <br />event of cancellation for non payment <br />SAMTJtoI SNWLD ANY Of THE ABOVE OESCRISEa POLICIES BE OANCELLEDaEFdIE THE EETu)wlw, <br />pAIE T,,,".)HEISSONGIHSURER'M,ftMAVORTOMAIL 30t OAYSWWTYEN <br />NOTICE 10 THE CERTIFICATE HOLDER MIMED TO THE LEFT. BUT FAAURE TO DD SO SHALL <br />IMPOSE NO OUICATIGN OR UANLITY OF ANY ENO UPON 'HE INSURER ITS AGENTSM <br />City of Santa Ana <br />20 Civic Canter Plaza <br />Santa Ana CA 92105 <br />