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ABLISs <br />CERTIFICATE OF INSURANCE °"'~°~"°~"' <br /> 1375179 6/22/07 <br />PRODUCER THIS CERTIFICATE ~ iSSVEO AS A MATTER OF INFORMATION ONLY <br />R & R Insurance GrOUp, IriC. ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />1712 Magnavox Way CERTIFICATE GOES NOT AMEND, EXTEND OR ALTER THE <br />P.O. BOX 2338 COVERAGE AFFORDED BY THE POLICIES BELOW. <br />I <br />6801 <br />W <br />Fort <br />ayne, <br />n 4 COMPANIES AFFORDING COVERAGE <br />INSURED COMPANY ~ <br /> NATIONWZAE LIFE INSURANCE COMP <br />ETTER <br />THE BASS FEDERATION, INC _ <br />D/BJA TBF, INC. COMPANY B GREAT AMERICAN ASSURANCE COMPA <br />AND ITS M$PIDER STATE FEDERATIONS (ETTER _, _,,,,__,,,,,.,_„ <br />„_ <br />230D COLEMAN RORD __ <br />COMPANY ~ <br />PONCA CITY, OK 74604 ETTER <br />COVERAGES <br />THlS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LLS7E0 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY <br />PERIOD INDICATED, NOIWITHSTANOING ANY REQUIREMENT, TERM OR CONDITNNI OF ANV CONTRACT OR OTHER pOCUMEN7 WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIk. THE INSURANCE AFFORDED BY THE POLICIES ASCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />CO EFFECTIVE ~~~~ <br />. TYPE OF INSURANCE POLICY NUNBER ATE DATE R.iAVDD'Yh LIMITS (af thousands) <br />LTR <br /> Gehetal LiabiptY 12:01AM 12:O1AM Geser~Po~~ g NONE <br />B (]Cannlercial General Liabiity PAC059293250i 1/27/09 1J29J08 PraaclaCamp'OpsAgglspate S 1000 <br /> [~Clallhs Made®Oafix. Personals Adrwtiehg lejery s 1000 <br /> [] Cwner's & emtraciora Pros. Exh Oocu:mK,s S 1000 <br /> ^ Fre C&mape(Myone fire) 3 300 <br /> Ms1acY Expense {Aey one peneon) 4 <br /> PmddPaM Lehi LiaNaFy S <br /> Autarrlo6Ne Lia6iGtY Combkled <br />Sinab <br /> ^ama~a Llma s <br /> AW avned solos eaaM <br /> B SdKduled autos kaory g <br /> O Hhetl autos ~y <br /> O Non•omied I'C'Y f <br /> ©Gange LiatslKY Damage <br /> ^ S <br /> ^ E:c.ss ua4Sity ~„ Agnne~e <br /> Ottwr than UmWalla (arm g g <br /> Workrrs' CahpsnseNon Statutory <br /> anq § EachAxW~l <br /> Elrq~loyas~liabdty S DlseasaPdicytimil <br /> $ DlsaaetrEach Em <br /> 12:OlAM 12:OlAM ADSD S NONE <br />A PaRk~ent SPX0002S32$00 1/27/07 1/29/08 Prima Medal $ NONE <br /> A~ <br />ydgat E>xses Medical S 25 <br /> , w s x xD <br />bESCRIPTION OF OPERATKKJSfl.OCA7tQN5tVEH~LES/ftESTRICTIONS/SPECLY ITBAS <br /> <br />HW <br />EVT <br />PAT <br />trsREACx/~ <br />BR tH <br />~ _ _ <br />SPfi <br />A <br />S <br />@ <br />~ <br />L <br />E, <br />J <br />/07 <br />OLDER <br />C <br />1E% 3J CTS <br />ED <br />AS RE <br />ADD <br />INSU <br />IS NAMED <br />THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. <br />CERTIF~ATE RIDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br /> CANCELLED BEFORE THE EXPIRATtON DATE THEREOF, THE <br /> ISSUING COMPANY WILL ENDEAVOR TO MAIL ~Q_ DAYS <br /> ~+(JRPCTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />P ~ ~ i 1i~ /~„ri F n r : ~I~FiE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE <br />CITY OF SANTA ANA NO OBLEGATION OR LIABILITY OF ANY I(IN UPON THE <br />ITS AGENTS OR REP TAT( <br />COMPANY <br />20 CIVIC CENTER PLAZA <br />/1 , <br />( <br />SANTA ANA, CA 92701 ..(.1 . ¢Sp REPRESENTATIVE <br />'a.u L.;ly Atio.'.c•, <br />._ <br />SLR <br />