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�ACORv- CERTIFICATE -OF LIABILITY INSURANCE QQ °A `"M°° <br />fiEALT06 02/13/07 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />POI.ICES. AGGREGATE LRRT8 SHOWN MAYHAVE BEEN REDUCED SYPAIO CLAtlM <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Affinity Solutions <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, Onao OR <br />1250 24th St NN Suite 725 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Washington DC 20037 <br />Lam <br />Phone:202-263-4000 rax:202-263-4001 <br />INSURERS AFFORDING COVERAGE NAIL# <br />INSURED N'o200S-OS'� - o]/ <br />INSLOM A: Ll of London <br />Healthy U /Y -OZ OOS-00O0y- OK <br />INSURER W. <br />NSURERG <br />Alicia C. Drozd <br />27lunttii.nggtonn Beach CCA 92648 <br />INSURER D; <br />INSURER E <br />0702MM002056 <br />lee <br />THE POLICIES OF YISIPANCELISTEDSELOW NAVE SEEN ISSUEOTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTIMANCNG <br />ANY REQUIREMENT, TWIN OR CONDMON OF ANYCONTRACT OR OTHERDOCUMENT WITH RESPECT TOM" THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN- THE INSURANCE AFFORDED SYTHE POLICES DESCRIBED HEREIN ISSUILECT MALL THE TERMS. ENCLUSIONSAND CONOITKNS OF SUCH <br />POI.ICES. AGGREGATE LRRT8 SHOWN MAYHAVE BEEN REDUCED SYPAIO CLAtlM <br />LTR <br />NOTICE TO TRE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />T-JR11MEM"WTEM2w <br />IMPOSE NO OSUGAMN OR LMSILNY OF ANY CND UPON THE INSURER, ITS AGENTS OR <br />Lam <br />REPRESENTATIVES. <br />GENERAL UABLTTY <br />EACH OCCURRENCE $1,000,000 <br />A <br />X <br />X commERmLGI Iry <br />CLAIMS MADE FXJ OCCUR <br />0702MM002056 <br />02/07/07 <br />02/07/08 <br />PREMISES Ocal w *50 000 <br />M®EIP(AnyanapaaonI s2,000 <br />PERSONALRADVNAAN $1,000,000 <br />GENERAL AGGREGATE $1,000,000 <br />GEML AGGREGATE LSM APPLIES PER <br />PRODUCTS-COMPAPAGO $1 000,000 <br />POLICY 7 DCCT 7 LOC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTD <br />COM481N®3NGLELMR <br />(F9 aCddeRR) j <br />ALL OWNED AUTOS <br />S7f®IX®AUTOS <br />BOCLYNJURY <br />(PffP�) s <br />IIBiEO AUTOS <br />MON-OWNED AUTOS <br />BOOILYf1RNY <br />(FWO=MNQMON-OWNEDI <br />PROPERTY DAMAGE S <br />(Ps aCdd M) <br />GARAGEUNIMIM <br />AUTO ONLY -EA A CIDBU S <br />OTHER THAN EA ACC f <br />AUTO ONLY. AM S <br />ANYAUTO <br />EXCESSANANtEUA UABLFTY <br />OCCUR F� CLAIMS MADE <br />EACH OCCURRENCE S <br />AGGREGATE j <br />S <br />j <br />DE.DUOTISE <br />IF <br />RETENTION $ <br />-' <br />WORKERS COEPEIISATWN AND <br />EMPLOYERS' UAB LRY <br />L <br />TORYIMRS ER <br />E.L EACH ACCIDENT S <br />ANY PROPRETORIPARTNER/EXECUTNE <br />OF 10ERLEMSER EXCLUDED? <br />Iyn, dm w w <br />9PCCIALPROV6gNS below <br />EL DISEASE -EA EMPLOYE j <br />ELDISEASE-POLIOYLBAT j <br />OTHER <br />A <br />Err Liability <br />0702Ml1+'A002056 <br />02/07/07 <br />02/07/08 <br />Per Claim $1,000,000 <br />to $1,000,000 <br />DESCRIPTIONOFOPERATIONSI LOCATIONS/VEHMMIEI(CLUMMADDEDBYBDOFtS AENTISPEMX PROVISIONS <br />"City of Santa Ana, its officers, agents, employees, representatives, and <br />volunteers" is listed as Additional Insureds. <br />CERTIFICATE HOLDER CANCELLATION <br />CITY -02 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana <br />bATE THEREOF, THE ISSUING INSURat WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />20 Civic Plaza <br />NOTICE TO TRE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Attn: Clark for City Council <br />PO Box 1988 <br />IMPOSE NO OSUGAMN OR LMSILNY OF ANY CND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA 92702-1988 <br />REPRESENTATIVES. <br />ACORD 25 (2091108) ®ACORD CORPORATION 1938 <br />