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<br />E\'\NST()I\ lNStlRANCE COMPANY <br />nH.Tl FlC <I.'rE '\0.: 2607-08 <br /> <br />CERTIFlCATR m'lNsuRANCE <br />n':l'LtD.:S ('OVERAGlO: FOR M}\1JNEE E;VE~'J'S. SEE SEPARATE Al'l"LlCATIONS FOR KOMINEE EVE:'IIT~:' <br />Sl'U'IAL EVENT LIABILITY PROGRAM <br /> <br />!\-"lUIOl\{'cR <br />II <br /> <br />PUllUC ENTITY (ADDITIONAL INSl:'RED) <br />l~ity "rSanta An~ <br /> <br />~'. '\llliHH ll\~uH.In1..'-: S.ervl\.:t::~, In;:, In COlljWlC(iotl wlth <br />:.l'\\'L'X tnsunlllJ;;~ Sr:I\.i..;~:, <br />1 I' '.l Bu.\ M51l /11- :lCXJ l../ -I J3 _O:}, <br />~ ~i;\\PUlt BeJL.I1, C ~ Q2658 <br />i I"~\I, ('iJD.81(),l <br />1 L,c<n<< ~o Ot 36H61 <br />~ ~A~iED f.\ISUREO I EVENT HOLDER): <br />i l.eliciaQulr~z ~-2.0cH-13~ <br />~ ~ll W. First Street, l-103 N_?Olll..\-13.3-01 <br />, S.Ul. "na. ( A 92701 \' ~ .0'L <br />N-2.00Ll- " <br /> <br />20 Civic Center Piau, M-28 <br />Santa Ana, l'A 92701 <br /> <br />EVEYf INFORMATION: <br />TYPE: SeU-ImDrovement <br />DATE(S): 0(10111)7 -tU31107 <br />LOCATION: Sallla AD" Jail <br />nr .\Oll~r Lcobll1tv .Ii:e, 2;;"1 \l <br /> <br />:: '1 hi, I; \(I C"TL:'y that Ibe policie, of Insur.nce bsted below hove been i........,d to Ihe llI>ured named above fot!he policYlleriod <br />I, ."d.,.Md. 'llllw:th.tanding any requimnenls, tCTD15 01 condi[;on, orany contract or other dncurotnt with resp<c: 10 which Ibis <br />Ii ""nili<'.t, may he l<Slt<li or may pertain, tho:: ,liSuranc. aIT",'d.d by lb. policie, desctibed hetein is subject to .11 the tenllS, <br />~ <\C',"'''"I1' and (ondmon, 01 sueb. pull<,es. L,nelS .hown may ha,e lIl:en reduced by paid claims. <br />" r'\Sl1RANClC t'ARllU:a, EV.l1.lOn Insulance Cumpany <br /> <br />\IASTf.R pour', NlIMBER: 04SEl'tOOOOOl <br /> <br />I \lASTf.R l'OUl'V UA'l'1eS: l!:Ht:CflVE: JA.'lUARY 1,2007 EXPIRATION: JANUARY 1,2008 <br /> <br /> <br />i . ~1"lMI t{C1 \1 \i1<1:~ I.[AlJ.J1 rn \\ OC{~UR1~EN{,E.FORM OEDt;CnnLf::: NnNt: <br />~ "~J\..;('..l \~gr~.al~ i.lIniL $ 2.00'.1.000 <br />, l'mou...'L~ &~ 'lmplc::\~ lJpcr;JlllIll~ l.OllO,OUl) <br />J l'o.'r':.(JIlUl & '\J'lIl.atl~ 11~ 11I~ljry 1..0mlJ'tlO \ <br />~ IJ~''l)...':II1I~I",,,l:1111 1.04'1\),000 <br />II He L'r.llltol~~ U\ll~ 01'1: ~ 1~1 ~OOO <br />~;,,:ul.:3~h...t1kll1, ~,AJ1~()Uc:r~r'ltnl -"WO <br /> <br /> <br />f,:. ".m'" "..",.ran" .pply ,cp"""ly '" ",h event 'lI1ur.u hy tn"I"''''' ~"r. """"". ""1.,,., ""'""""'~... been ,>>uoG to< thin ""ent <br />.., hll'~ ~U~I~' l.~ il1l11t;1Ided ID II'C:uOe...s;.n In!lIrcd,lhc pcr..cn oTorCillUZ::l.lIon sllown In \tus schtdu.1e. bu:or\ly With re~~t to 11001111)' arllll1ntOU~ [}t the <br />.\1 ~ 1~111\~ It\l.jTI!..na,lll,:l: I.r U!oJ,; l\fl,hr; prcl1Ut>(:~ u~ed r,y tnc- n;:lnw:~ ~jli.lrtl.d (c"'an.t to.older). flus mSUl2l"~ d\l~5 rwt apply \0: Any "ocCW"tcncc'. wtm:b W<C:.'i <br /> p10.:c <br />Ii !~}''':~lllll'-kll..t::JM'~H,ll1 a c:tmrl1l'l tl1:.Jlptl!n 1!l.I:'!o <br />OTHER ADDITIONAL INSUREDS <br /> <br /> <br />\- - - -;/'/5 <br /> <br />i--- ." . <br />., . <br /> <br />, "0.1.1..n- " ,I"",,' "~ .,h",,""''''..,) ,ol~1 OJ "",-ell,," ""'<>Celt" "?'"uo" d..."h<....r. \1<< i..uing oomponywm....i1 '"dol" ""i","" "otk, t. &,' <br />~ ...:~~l1.\l.~t~ b.;'Kk:, ...:,"1 Ol.l&ll1..mal U1.\ll'c:d~ h:!o'i...:d - - . <br /> <br />.---- <br /> <br />\l ,THORIZFI} REPRESE~T ATIVE. <br /> <br />~//,~ <br /> <br />i)ATlIg:;UED ...E.nHID 01.]007 <br /> <br />r rl'iIL'I'lIft"~ bl' R1S/;. MUJWKC'l'WnJ DJVI:uun b'Y' <br /> <br />~~ '/'1?t>,o./(~ <br /> <br />..-'-- --- <br />