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<br />i _~: '30/2007 <br />ITER OF INFO' ~MAIION <br />N THE CER'OFi :ATE <br />.. AMEND eXl ::ND OR <br />THE POllCIE .?_11'~. <br /> <br />AF-i"-30-200~tdkill"'I\';A II:. u.... LIABILITY INSURANCE: <br /> <br />,-' ""' V" I...{M . <br />PROOUCER (714)979-6543 FAX (714)549-2943 THIS CERTIFICATE IS Issueo AS A. MA <br />Wigmore Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS lI!=>O <br />HOLDER. THIS CERTlFICA l'E DOES NO <br />2970 Harbor Blvd. #215 A-2007 -105-028 ALTER THE COVERAGE ~FFORDEf).!!:! <br />license 10811959 <br />Co~t:a Mesa, CA 92626 INSURERS AFFORDING COV1::RAGE <br />INStJ~El) Orange County Sar Foundation INSURCR A; Philadelphi~_!!.demr1itcY . <br />PO BOX 986 INSURCR 8: <br />Santa Ana, CA 92702-0986 "._- -.-". .--- <br />INSlJ,QER C <br /> ---- '--'- <br /> INSURER D: <br /> -'-.-- <br /> JNSURIiR E: <br /> , ~---- <br /> <br />..1 Ci. <br /> <br />D/. I~' ..~..(J[. "'r"!'Y,' <br /> <br />" \I~ # <br />j~s... c~ .-J. <br /> <br />-- +- -. -.- --_.~ <br />I <br />- ===~f ===-=.~ <br /> <br />....J <br /> <br />COVERAGES___ _ . _ <br />'HE POLICies OF INSURANCE LISTED SelOW HAVE BEEN ISSUEC To THE INSURED NAMED ABOVE FOR TI'IE POI ley PERICD I~'DICATED'~OT\. THS)',(\NDrNC I <br />ANY REQUIREMENT, TERM ~ CONDITION OF ANY CONTRAcT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER r1FI':::ATi: MAY 3E IS :':ED OR <br />MAY PE"lTAlN, THE INSURANCE AFFORDED BY THE POLICIES OESCRlBED HEREIN IS SUBJECT TO ALL THE TERM:), EXCLUS.ON.; AND CON!) :-,( :S 0" ;:UCH <br />POLICIE~. AGCREGATE lIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS, <br />INSR DO 'l"VPEOF INSURANOe POUCV"'\lMIIBl POUCYEFI'I;(:TIVE POUC;YEXPIRATIONr- .- --;:1~;~5.. __ ~I <br /> <br />OENfRALLIAfilILlTY PHfI'KZ20313 03/15/2007 03/15/Z008 h~~H OCCJ::(RF"~--L';= ]....!_Q.90, .00.0 <br />COIlMERClAL GENI:RAL LIAIlILITY , DM1A<>l: rQ ~eN ,~o , 100 000 <br />CLAIMS MADE 0 OCCUR ~;~~~~~:~;::~::~;:Jt- ~:Q9ci <br /> <br />f'~~~._ON"L: AO\ -.~:r:. _ 1,000_. .0.0 <br /><)ENERAL (\,G~t )AT: . ., 2. .0.00.000 <br />. !~ODUCT$ -,~O'\~;OF ^GC ! C _ 2.000: 000 <br /> <br />S1ioULD />NY OF TN.. ABOVE DESCRI9'~O POLICIES BC 'ANCr;LLEO BEFO~ rH~ <br />EXPIRATION DATe 'l'Iie~F, THE ISSU'NG INSURER WII L fNOEAVOR TO fII Ie <br />-19-... CAYS WIUT'rEN NOTICE TO THI; CERTI~ICl\ TE ,"OLOeR NAMED TO ~I: '-EFT, <br />lIur FAlLUR!; TO MAA. SUCH NOTICE SliALL IMPOSE NC OBLIGATION OR l 61L1TY <br />/>NY IQHO UI'ON THI< IN$UREI\ I-:-:'} ~.GENTS O~ ~EP"ESE~~_ <br />RlUD REPRESENTATIVE <br /> <br />A <br /> <br /> <br />03/15/2008 <br /> <br />Loe <br /> <br />PHPK220313 03/15/2007 <br /> <br />- -::-1-- ..-- <br /> <br />I (.O~1tlINED ;:.V>i L1~IIT I, <br />L ( :fl Qce.d",lI. I <br /> <br />~~;~ _.~._.- <br />(I:l(fr Oer'3onj . :. <br />_____ __ i ___, <br />i 00011. Y INJUr.y --r <br />.'Por QOOldMl) . ,~ <br />'--..-- --+- <br />~~~~~kJZvi)AMA ;( I : <br /> <br />I '\~:-::^"~;CID~NT 1\. <br />~;;;;::;- -~~.--- <br />I AJTOONLY ~. -- <br />L::~CHOCCI,JRR"" .~_~~- <br />i~~__. - --R - <br /> <br />/\NY AUTO <br /> <br />A <br /> <br />AU. OWNliO AUTOS <br /> <br />SCtlEDULED AUTOS <br />X HIRED AurOS <br />X <br /> <br />NON-<lWNED AUTOO <br /> <br />(\Jl,AAGE UABIU'I'Y <br />ANY AUTO <br /> <br />EXCESSlUM8fl~l.W\ UADIUTY <br />OCCUR 0 CLAIMS MADC <br /> <br />DEOUCTlDU; <br />RETCNTION S <br />WORKEIl$ COMPENSATION ANI;) <br />liMPlOYERS'LNILITY <br />ANY I"~OPRIETORlPARTNeRlEXECUTlvr:: <br />. Ot'FICCRlMeMBER ExCLUDCD? <br />~rcM.t'P':OVI~8~s bel9\o <br />O'l'H~ <br />US.INESS PERSONAL <br />\ ROPERTY <br /> <br />---..- <br /> <br />03/15/2008 <br /> <br />; ~wc STPLJ. :o"'~.f <br />r:- 01:t'U.JM.IS.j --l;,.'-j- <br />E._ CACf.tACc.IDE;., ~ <br /> <br />E~ - r-A t -"~OYEC. S <br />r-----. . - __.~ "._ ._, <br />c,~.::.~~IIMnl~ <br />$SO,OOO <br /> <br />PHPK220313 03/15/2007 <br /> <br />QlCltlPTION Of' OPIiRAYI(lNSI LOCATIONS I ~ICLES I EXCLUSlON$ A,I;IPI:D BY ENDOIl$~ I SPECIAL ~VISIONS <br />:RTIFICATE HOLDER IS NAMED AS ADOITIONAl INSURED AS PER ADDITIONAL INSURED R)RM CG20100704. <br />>CATION: 313 N. BIRCH STREET FL 2 SANTA ANA. CA 92701-5263 <br />:RECTORS & OFFICERS lIMIT $1,000,000 WITH TRAVELERS INSURANCE COMPANY POUCY #1049116/6 04/01/Z 07 <br />lIS CERTIFICATE REPLACES THE CERTIFICATE ISSUED ON 04/05/2007. <br />~NCElLAnON NOTICE IS 10 DAYS l:N THE EVENT OF NON PAYMENT OF PREMIUM. <br /> <br />H <br /> <br />TI <br /> <br />CITY OF SANTA ANA <br />PO BOX 1988 <br />SANTA ANA, CA 92702-1988 <br /> <br />:;ORO 2S (2001/08) <br /> <br /> <br />.x.~ .-9" ',,:;:;.,._ <br /> <br />'~ACORD CORPO'" \TION 1988 <br /> <br />AS::;iSi.:.l:E <br /> <br /> <br />-=J <br /> <br />1,OOO,OQ.9 <br /> <br />i <br />j <br /> <br />---."1 <br /> <br />-! <br /> <br />, <br /> <br />I ' <br /> <br />-.J <br />--- ..-l <br />---I <br />! <br /> <br />~ <br /> <br />I <br />---j <br />