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06/2i/:29t77 1E:37 8188659204
<br />THE COMDYN GROUP
<br />c9 (ii: 52
<br />AeV90. CERTIFICATE OF LIABILITY INSURANCE ceOPi° 1 DAwr1E e2DD7r
<br />r_
<br />ANY RE L RENISN', TERM OR CONDIT. dl OF ANY COMRACT OR OTHER DOCUMENT Vv1!li RESPECT TO WHICH THIS CERTIFICATE MAY RE 155JED CW
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMA T''1• "N
<br />A 200 _ Li
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA" E
<br />OgLIVY -mill Insurance
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, E rIV)nit
<br />P. O. ZoX 929
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Santa Barbara CA 93102
<br />_
<br />CENFRAL LMBIIJTY
<br />Phone:8G5-966 -4101 Tax:S05 -966 -7810
<br />INSURERS AFFORDING COVERAGE 'r:A:c0
<br />.TIEUREO
<br />I Federal Insurance Cdnga,U
<br />The,Cc Fe t r3ohn, Inc.
<br />Chraa Pe ty'ohn, Eontxoller
<br />5143 cor'aa �,ve. Ste. 209
<br />Weatlake Pillage CA 91362
<br />INSURER B'. ARAM ANri°eT me�n_� c", ---
<br />_
<br />NS -
<br />INSLRERC
<br />mIS1RDR D'.
<br />e1,000,1700
<br />-
<br />COVERAGES
<br />THE PCLICI;7$JF INSLRN CE U$MDBELCW HAVE MEN ISSUED TO THE INaJRED NAMED ABOVE FOR TIE POLICY PERIOD INDICATED. W'M1VIT9S'MDIVG __
<br />ANY RE L RENISN', TERM OR CONDIT. dl OF ANY COMRACT OR OTHER DOCUMENT Vv1!li RESPECT TO WHICH THIS CERTIFICATE MAY RE 155JED CW
<br />NA' PI:'S't:.ly F"F INSLEV NCS AFFOGDED BY TILE POI; C cS DESCRIBED HEREIN IS RVEJECT M ALL THE TEAMS, ExGLU510N6 AND CONDITIONS OF'eN_n
<br />POLIC'e:9, ASFREGATE LIMITS &HOM: MAY HAVE 4EF_N RF,DUCED BY PAID CWbY,
<br />LTm
<br />Ri TYPE L F INSURANOL
<br />POLICY NMI
<br />DATE lMW00
<br />00. RUADOIYI7
<br />RUTS _
<br />_
<br />CENFRAL LMBIIJTY
<br />EACH OCCURRENCE
<br />$1,000,000
<br />f COMMERCIAL GEWJIALLIABILITY
<br />35289409RAL
<br />07/21/06
<br />07/21/07
<br />-DANAF
<br />PREM1s� =slEa occurennt
<br />e1,000,1700
<br />^7 cLr naa MADE ��OCCUR
<br />_
<br />3
<br />51.000,000
<br />NED EY.P(APY we PaW)
<br />PERSCNN. A ADV IN"Y
<br />A r_oasa7.tants AGO -S
<br />�- —_
<br />GENERA_ AGGREGATE
<br />s2,D x0,0:70
<br />0
<br />PRODUCTS. COMPIOP A3G
<br />1 U'11' A&W11AE LIMRAWI-Ep PER'.
<br />L____.L"a1cY k ILOC
<br />'.$2 0 C lIIJO
<br />Ben.
<br />1,000,000
<br />r,UTOMOBSF
<br />_
<br />A __.1
<br />LN BUTT
<br />4Y mm=
<br />73512037RAL
<br />07/21/06
<br />07/21/07
<br />COMBINED SINGLE LIMIT
<br />•$1,0'10 ,I7 iID
<br />MLLE OWtiEC Au105
<br />FtEpJ_EL lSJTOS
<br />I Po LA RO nY
<br />Worm',")
<br />1
<br />L
<br />f�
<br />! 7%
<br />11
<br />TARED ALTCS
<br />NONO+ED gDSPer
<br />R
<br />ORM
<br />i
<br />BODILY :VJWY
<br />eccldert)
<br />PROPER' -r DAMAfiE
<br />i
<br />V
<br />(per eccldelll)
<br />) ^I CARAM
<br />I
<br />LMLrY
<br />I IMAM O
<br />senior Assistant
<br />ity Attorney
<br />AUO ON'.Y -II DIDENT
<br />s
<br />ACC OTHER TIAN
<br />ALTO Ch AW
<br />I
<br />IA
<br />Er CESSAASREL LA LIABILRY
<br />X.�I+cCUA 7CI1MINS MADE
<br />79791513
<br />07/21/06
<br />07/21/07
<br />EACH O,CLINRENCE
<br />AccRED_�*E
<br />_ _
<br />$ 3,0'. %17, D0'0
<br />'S3,11c ^0,000
<br />DELXII Le
<br />I
<br />1—
<br />B
<br />NTFIEF3 COMPENSATpN AND
<br />EMI' ..T RVILa91Ll"Y
<br />ANY - ER=EMWj O°ARLJCr'- E%ECUi TAE
<br />OFF'I - ERdJE!AFA ETCLUDE07
<br />MC5479468 -04
<br />07/01/07
<br />07/01/08
<br />%C TOIi`_.IMRB ER
<br />- ^
<br />$ It OL'30C
<br />E,L.FACHACCIOENT
<br />..
<br />E.L. DISEASE, -PA EMPLOYEE
<br />—_. __
<br />_
<br />S10u00Oo
<br />PY ( d['FtlJe under
<br />SPEC A. �R ^.piIOFE lobes _
<br />EL DISEASE - Pd.ICYI,MIT
<br />--
<br />$ 1D G_YYIt D_
<br />_
<br />DE:CDRIPTir!+j .'F OPE4A1ri"'m:;ILOCAMNrir 131ICLFSIEMCLVBgNS A[IDEOg DR6BAENTr 9PECMIL PRONBIONB — • —�— _. -_.,.
<br />City q1 Santa :Ana, its Officers, employees, agents, volunteers and
<br />repreae,ttative:s are Additional Insured as respects General Liability per
<br />attac),ec7 80 -02 -2367 (Rev.9 -04) Additional Insured Rndorselaeat. *10 day
<br />noti.C'r, ..>£ cancollation for non- payment of premium.
<br />'JERTIFIL. ATr
<br />CIT1968 III AH10P THE ABOVE DESCRIBED POLIV ESOCCANDCU®eEFERr- .4rVIR:i,ION
<br />DATE THEREOF, THE ISSUMIZ INBVRER TVTLL EMIEAVORTO MAIL *30 DA W.. TVRT:T]I
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TIC THE LEFT, BIIT PAILVRD TO DL' 5'0 9110.,E
<br />0 C o£ 9aat.'L Ana IMPOSE NO OBKIA170I1 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS I;k IS 01'1
<br />2G Civic Center plaza
<br />Santa Aim, CA 92702 REPRESENTATIVES
<br />
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