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<br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID,~ DATE IMMl'DDm"'r'Yi
<br /> ORANS-7 06/25/0"1
<br />PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Chapman & A~aoeiatel A-2007-103 I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Licen~e #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />p, O. 50x 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />paaadena CA 91117-0455 ,
<br />Phone: 626-405-6031 Fa>l:626-405-0585 I INSURERS AFFORDING COVERAGE NAtC.
<br />INSURED ' INSURER A: 'I'uclcn:: Inlluranc. Comp.l.ul:' <<3199Z
<br /> A-2007 -103-01 ! INSUR~R 8 Great aner~Dan r~5 co .26932 16691
<br /> oran~ood Children'a I iNSURER C !'ir!el1tY-Cepolit Co lID i39306
<br /> FeUD tJ.on
<br /> 1.5'5 E. l7tb street INSURER ~ EnDue.nCI Worx.~~ camp ~lO641
<br /> Santa Ana CA 92705
<br /> i INSUR"'~: E
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC THE INSURED NAMED ABOVE FOR THE POL-ICY PERIOD INDICATED. NOTINITHSTANOING
<br />ANY REQUiREMENT, TERM OR CONDITION OF AN':' CONTRACT OR eTHER DOCUMENTWIT~ RESPECT TO WHICH THiS CERTIFICATE NAY BE ISSUED DR
<br />MAY PERTAIN, HI::: INSURANCE AFFORDED BY THE PO:"ICIES DESGR1RED HEREIN IS SUBJECT TO ALL THE: TERMS, EXCWSIONS AND C:JNDITIONS OF SUCH
<br />PQ!JCIES. .....aGREGATE LIMITS SH:JWt\' MA.YHAVE BEEN REDUCED BY PAID CLAIMS
<br />
<br />LrRmRD ,..".E Ol'tNSUAANCE f"Ol.ICYNUMSER ~6i~r:Mi6'6~,l: 11"~~~r~lNDcm\"
<br />
<br />~R.AL UABIU1Y I
<br />
<br />A I X IX ICO~""RO''''OENERA:."'ABllT' PliL739636 I 02/01/07
<br />
<br />I 'X 'C"-""IMS M>>.D::: n OCCLl~ '
<br />
<br />~ professional
<br />
<br />~!!>l Abuse/Molest
<br />
<br />~'LAGGREGATE Lltvl. A"'PLIES PER
<br />
<br />I i POLlC\. i j~2~ r-, LOC
<br />
<br />X 1TC>,i'L:MI~S I I' ""
<br />03/01/08 E~ EACHACCIDE~ ~ 1000000
<br />;__ DISEASE_EAE~PLOYEE ~ 1000000
<br />EL DISEA5'"-PC}ICY'_IMIT ~ ~OOOOOO
<br />
<br /> CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.~ED BEFORE lHE EXPIRATION
<br /> PATE THEREOF, THE ISStJf,lG NSURER WLL ~L 30 DA V'S WRrrrEN
<br /> NOTICE TO THE CERnFICAlE HOLDER NAMEO TO THE LEFT, BLIT ~ALL
<br /> " , , " ",,,L,,
<br />city of Santa Ana ~
<br />20 Civic center Plaza
<br />santa Ana CA 92701 AUT~ REP ~
<br /> IYl'rk/::/ .,.
<br />
<br />"
<br />
<br />COVERAGES
<br />
<br />02/01/06
<br />
<br />EPCrl OCCURRB>JCE
<br />~(E~=occuren:::e)
<br />rv.ED EXP IAAy one p..""OI".1
<br />PERSOOA.. 6 AD\' II\JJRY
<br />
<br />GEI'ERoIl.J... AGGREGATE
<br />
<br />OROCX.Jc:T5 - COMPK)P AGG
<br />riiDC !len.
<br />
<br />51
<br />
<br />~OB(L.~l.IABILni'
<br />I I AN, AJTO
<br />
<br />CQ,l,ABINES SINGLE L1",i';T
<br />lE:l!Il!Ico'dlliltl
<br />
<br />02/01./06
<br />
<br />PAC7575346
<br />
<br />02/01/071
<br />
<br />BODILY IN..uR'"
<br />(Pe'pe""oil
<br />
<br />ALL OV\lNEU AUTOS
<br />rl S:::'H=:DL-L:;L ACTO~
<br />iX1 HIRES AUTOS
<br />~ NOI.....OWNEC Alrros
<br />
<br />I~o yO~ I
<br /><<.~ ~Si ", -\ ~
<br />~1~~?:;/I 1m /~ I
<br />AJ jl~ I>~~o~"~ I
<br />if \Jl" \~\'J 1
<br />, \I>~
<br />~~~\~ I I
<br />1
<br />03/01/071
<br />
<br />I
<br />I
<br />I
<br />
<br />80Dll~' 1"lJ.JR'"
<br />(Pllrecoid9nt',
<br />
<br />, PROPERTY DAM.e..GE
<br />:Pe-eOO,dlilr,11
<br />
<br />[h
<br />
<br />I l_GARAGE LIABILITY
<br />A'>:.\ AUTC,
<br />[-I
<br />
<br />I EXCESSIUM8RELl.A L.lABILIT\. i
<br />~ CCCJ~' L' CLA,MS MAD~
<br />
<br />L
<br />, I DEDLiC-:-IBLE
<br />II ~El:-:NTIO!~
<br />
<br />,<oJJTO ONLY - Et... A'~CID':'NT Il
<br />EAAC':I S
<br />AGG I,
<br />
<br />,OTl-ERTHNI!
<br />1,A.lJTOONLY
<br />
<br />E.l0-i X::::UR~8\lCE
<br />1 AGGR::GAlE
<br />I
<br />I
<br />
<br />I WORKERS COMPENSATION AND I I
<br />EMPLOYERS. L1ABILlll'
<br />P 1 A'f1 PRa:'RI=.' QRIPART/oJ:;R/SXECUTIVi: . WEN~002 84 00 1
<br />,OFFIC=:RIMENBER EXCLUD:'.D'I
<br />1;1','\I,,0O5CfiDi<Urld&f . I
<br />I SP<=CIAL ::OROVISlor~s bslOl'
<br />!~~ I I
<br />B Property section . PAC7575346 02/01/07 i. 02/01/08
<br />C 1 CriJDe : CCP0061907 I 02/01/07 02/01./06 :
<br />DESCRIPTION OF Qf"ERATlONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEr.EJIlT I SPECIAL PROVISIONS
<br />XXX The city of santa Ana, it'S officers, employees, agents, vo~unteers and
<br />representatives are named as an Additional Insured as respects ~iability
<br />arising from the operations of the Named Insured, See attached
<br />end.orsement.
<br />
<br />EE Dishon
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLA nON
<br />
<br />1.IMIT5
<br />
<br />" J.OOOOOO
<br />'50000
<br />, 1000
<br />'1000000
<br />, 3000000
<br />, 1000000
<br />100/300
<br />
<br />, 1.000000
<br />
<br />I'
<br />
<br />,
<br />,
<br />,
<br />,
<br />,
<br />
<br />500,000
<br />
<br />~~
<br />
<br />ACORD 25 (2001/06)
<br />
<br />@ACORD CORPORA nON 1986
<br />
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