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<br />Apr 17 07 08:~la <br /> <br />J.l.la~l <br /> <br />,- <br /> <br />. <br /> <br />AC~~~:~_ ~;~. <br /> <br />PROOUC~. REVISED F.', . _ ,... . ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />rl t, . ~JOl'fLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />FEDERATED MUTUAL INSURANCE Cd'MPANY" I>flj/:oER. 1 HIS CERTIFCCA TE DOES NOT AMEND. EXTEND OR <br />5701 W. Talavi Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Glendale, AZ 85306 COMPANIES AFFORDING COVERAGE <br />Phone: 1-888-333-4949 ~~PANY ffi)ERATED MUTUAL INSURANCE COMPANY on <br />Home Office: Owatonna, MN 55060 I A FEDERATED SERVICE INSURANCE COMPANY <br /> <br />""", r~~~hl~NE~:~ONSINC~---'15-'i:~~~;:tnlt - ------=_ <br /> <br /> <br /> <br />COMPANY <br />o <br /> <br /> <br /> <br /> <br /> <br />THIS IS TO CERTIFY THAT THE POllCIl;S OF INSURANCE LISTED BELOW HAVE BEEN ISSVElJ TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PQUCIIOS DESCRIBED HEREIN IS SUBJECT TO ALL THE rERMS, <br />EXCLUSIONS ANO CONOITIONS OF SUCH POLICIES. LIMITS SHOW,\! MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />;r-fY-~E OF INSuRANCE ('-----:LI:=B~- -~~~~ 'I~OLlCy- EXPIRATION I - --- .--:MIT~ ~ <br />LTR . DATE (MM/OOIYV/ , DATE (MM/DOIVVJ I <br /> <br />I I <br />GB.;mr.lAGGREGAT( .. ~2.000~ <br /> <br />I ~OUCTS,coMP/Cr~GZ i' 2,000,006 = <br />OS/20/08 ~CRSONAl "_~Ju~ ' ;-1.9ilih.QOQ... <br />I f-:AC"OCC~N~_ -I, 1,QQ9,OOQ__ <br />, I r-I~[ OAIVA(;€ (A-"Y c',. I.,,; I.~ .~O,OOO _ _ <br />I i M~n EXI=' (Any one pc~!<ocn; \ S <br />, , <br />I CO,"ll'NW SINGLE """ l' <br /> <br />: O~lRAt. L1ABIUTY <br /> <br />'.-'-'~ COMMERCIAL GENERA~l.r.A8ILITY I' <br />A ,-,' l CLM'S MADE L~ OCCUR <br />.~ FNEA'S ~ CONTRAC-OA'S PROT I <br />X 9USINESSOWNEK.S PQUCY <br />.- 1------1 <br /> <br />9801504 <br /> <br />05120/07 <br /> <br />AUTOMOQlLE llA9lUTY <br />I ANV AUTO <br /> <br />f- .~ All O\NNbO AUTOS <br />SCHEO~LED AUTOS <br />. J hIRe.O AVl OS <br />J NON-OWNE.D AUTo5" <br /> <br />, EXC[$S llABlUTY <br />r---. <br />I t,.'MBRH LA FO RM <br />I -1 <br />OTHER THA,~ UMBIlHLA FORM <br />. WORKERS COMPENSATION A!\IO <br />: FMPLOVERS' lIABIUTY <br /> <br />-I <br />I <br />I <br /> <br /> <br />( <br />1- <br />r...',-" <br />: <br /> <br />I <br />r <br />I <br />., _rl~::":V\. <br /> <br />i.'.j . , <br />I <br /> <br />. 600ll Y l.'-':JURY I., <br />~'~~~_ _ -L-. ___ _.. <br />I" SODlt Y ,INJURY I ~ <br />(Pet ~C(,,<:I'fltJ <br />I--'---i-- <br />\ PROPER,y ;:'~MAGt ;t <br /> <br />1'- - <br /> <br />i~A~AGE LlAB1UTY <br /> <br />I ANy ACTO <br />I~ <br /> <br />--- <br /> <br />~_~l~( ~\~. ~ _ <br />Gi:~~'AN AUIO g~ __ _' _~_.~_ <br />~ _.E:ACHACC:.~~~_ <br />I AGGRE:JAl t S <br />lEACH O~CUnA(NC[ _ I ~ ~~. <br />~G~~rr-_ n_I:__ <br /> <br />l_.j~~~~[!~.~Ns~~~Y~ . _______ <br />I El. EACH ACCtDtNT + <br />~SEASr ~PO:JCY-..::1M:~ J~ ~ _-==-_ <br />i tL OISfA':5E. l:A EMPlOYE~_ L2 <br /> <br />. 1 HE PAOF'RIETOf'V <br />PA\.!TNERSIfXECUnVF <br />. OF=~'CU.'lS ARt <br /> <br />ql'lCL <br />I I (XCl <br /> <br />J"'i <br />~\\ct .~r. <br />, <br />, <br /> <br />I OTHlR <br /> <br />OESCIllPTlON OF OP~llATlONS'LOC"'TIONSIVEHICLESISPECIAlITEMS <br /> <br />SEE ATTACH~D PAGE <br /> <br />CITY OF SANTA ANA <br />ATTN PURCHASING DEPT <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701-4010 <br /> <br /> <br />EXPIRATION OAT~ THEREOF. ntE ISSVING COMPANY WILL )l)(~nxMAll <br />--3{L OAVS WRIHEN NOnC~ TO THE CERTlFICAH HOWER NAMED TO THC LEn, <br />~~~XH~14XXX <br />~J4II.llU(X)(J('lO~ X~ _E!!XJEll:~XX <br /> <br /> <br /> <br />;oo'd <br /> <br />