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<br />ACORD CERTIFICATE OF LIABILITY INSURANCE HERCI-2
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<br />05/09/08
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<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Chapman c A...ciate.
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EMEND OR
<br />License 90522029
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P. 0. Box 5455
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<br />Pasadena CA 91117-0455
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<br />NAICd
<br />Phone: 626-405-8031 Fax: 626-405-0585
<br />INSURERS AFFORDING COVERAGE
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<br />resa Everest National
<br />P.D. Box 1988
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<br />1,000,000
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<br />Mercy House
<br />P.O. Dox 1905
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<br />Santa Ana CA 92702
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<br />Rede CDBG and grants. CityofSanta Asa' its officers, employes-, agents,
<br />volunteers and representatives are named additional insured. with respect
<br />to the operations of the named insured 6 this policy is primary per the
<br />attached endorsement. workes compensation coverage excluded, evidence only.
<br />to days notice of cancellation for non-payment of premium.
<br />ULKIINI AlnnULUcn
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<br />City of Santa Me
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<br />Frank Hernandez^
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<br />20 Civic Center Plaza
<br />P.D. Box 1988
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<br />Banta Ma CA 92702 O
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<br />ACORD 25 (2001/08) "'
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