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<br />. .. <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID D41 DATE (MMlDDNYYYI <br />NATI012 06/11/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />InterWeJt Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hollister Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />500 Park Center Drive, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Hollister CA 95023 <br />Phone: 83l-636-4919 Fax:831-636-4948 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED (;:s-: c\" ,.t..L_'~('<:'..~ r',. INSURER A: Zurich North America 16535 <br /> k)'.'-<L!:- INSURER B: <br /> CDP fpo Academy of Int'l INSURER C: <br /> Dance <br /> 220 E. 4th Streeti Suite 202 INSURER D: <br /> Santa Ana CA 9170 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />1l-IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1l-IE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWI1l-ISTANDING <br />APi'( REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 01l-lER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEiMM/D~~t; DATE MM/DDIVY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> I-- ~=~~S rEa occurence\ <br />A ~ OMMERCIAL GENERAL LIABILITY 043547323 07/21/07 07/21/08 $ 1000000 <br /> I-- CLAIMS MADE [!J OCCUR MED EXP (Anyone person) $ 10000 <br /> PERSONAL & ADV INJURY $ 1000000 <br /> I-- <br /> f-- GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000 <br /> Ii nPRO- n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> f-- $ <br /> ANY AUTO (Ea accident) <br /> I-- <br /> f-- ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> f-- <br /> HIRED AUTOS BODILY INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ <br /> =1 ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> =:J OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> 't"~ ' - , <br /> =1 DEDUCTIBLE " ,.' $ <br /> .-,d <.J~ .- ,. <br /> .. .. , "," . ';;...J .. <br /> RETENTION $ .~ .. .~.,. .' .'.-J $ <br /> .. .. . <br /> WORKERS COMPENSATION AND -~ ~/I I~ I T~~v" LI~M's T IU~~' <br /> EMPLOYERS' LIABILITY I~.- <br /> ANY PROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? ,. . .. E.L. DISEASE. EA EMPLOYEE $ <br /> If yes, describe under . J;. ... f":- < . <br /> SPECIAl PROVISIONS below ,'1" ..-: ....l~y [1.~~""'~ ......- E.L. DISEASE - POLICY LIMIT $ <br /> {;.. SJ...'..J,............l- <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana, its officers, Agnets Employees and Volunteers are named <br />as addiitonal insured ad respects their interes in connection with the named <br />insured. <br /> <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br /> <br />CANCELLATION <br />SHOULD APi'( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LlABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUT SE <br /> <br />CERTIFICATE HOLDER <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION 1988 <br />"\ <br /> <br />,~ <br /> <br />-,-J <br />