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From: Cert Request At. G.S. Levine Ins. Svcs. Inc. FaxID. G S Levine Insurance To: Atin Tonia Date. 10/182007 09:02 AM Page: 2 ot6
<br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP1Dpl "~"~a°°'~"r'
<br />FA2EK-1 10/18/07
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />c~Po9F Levine Insurance ON LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />10505 Sorrento Valley 1>d. #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Diegc G 92121
<br />phone: 858-Eel-8692 Fax: 858-081-7953 INSURERS AFFORDING COVERAGE NAIC #.
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<br />LzE: All Operations of
<br />City of Santa Ana, ats offacere, employees, volunteers, representatives and (7/
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<br />agents are named as certaficate holders and additional insured per the -'"~` -/_,:
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<br />attached endorsement. Insurance as Pumary
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<br />x10 day notice of cancellation applies for non-payment of premium. XPRX A,Sa15C211 Pity tl(oY
<br />CITSAR- weo urv of ixF.m..oFaexleru.a H.iFn ne enewlm..FwE mFFw X.,iw.
<br />Ci[y of Santa Ana .ieixmEOF, xF ~,;s,IXa ~nsu„F„WIU.~~F 30• rsnxmF.
<br />Attn: Tonia Zerba once io ixE.zmnuie xoYOe, x.meo-oixFl.FFr,-
<br />2o Civic Center Plaza (H20)
<br />P.O. Boz 1988
<br />
<br />Santa Ana CA 92702
<br /> .> ..-e...F. e.,.mmm~rlnu neao
<br />ACORD 25 (2007/08)
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