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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (LM.VDO/YYYY) <br />ALLCI-1 04 03 07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ISII Curry Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lid #0588757 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />489 S. Colorado ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91101 <br />Phone: 626-449-3870 Fax: 626-449-5268 INSURERS AFFORDING COVERAGE NAICN <br />INSIIREO INSURER A: Admiral Insurance C an <br />INSURER B: RSIII Indemnit Co an <br />All City Management, Inc. INSURER C: <br />1749 South La Cienega Blvd. INSURER D: <br />Los Angeles CA 90035 ,.,~~,o~o ~. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI IHSIANDING <br />ANV REOUIREMEM, TERM OR CONDITION OF ANKCONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, IXCLUSIONS AND CANDITIONS OF SUCH <br />wv ,rice erracreTF I IMRS SHOWN MAV HAVE BEEN REDUCED 8V PAID CUIMS. <br />LTR !SR TYPE OF NSVRANCE POLICY NUMBER DATE DATE MMID ATE <br /> GENERAL LIAe1lITY EACH OCCURRENCE $,1,000,000 <br />A $ $ COMMERCIAL GENERAL LIABILITY CA00000365307 04/01/07 04/01/08 PREMISES Eaoa:ircence) E 50,000 <br /> CLAIMS MADE OCCUR MED EXP (Anyone person) $eXClIIded <br /> DSDIICTIBLE ~`S, OOO PERSONALA ADV INJURY $1,000,000 <br /> PHR CLAIM GENERAL AGGREGATE E2, OOO, OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 <br /> <br /> POLICY JET LOC <br /> <br /> AUT OM081LE LIABILITY COMBINED SINGLE LIMIT E <br /> ANY AUTO (Ea accidenQ <br /> <br />i <br />- - <br /> ALL OWNED AUTOS BODILY INJURY E <br /> leer person) <br /> SCHEDULED AUTOS <br /> <br /> ! HIRED AUTOS BODILY INJURY E <br /> (Per accitlenH <br /> NON-OWNED AUTOS - <br /> <br /> PROPERTYDAMAGE $ <br /> -' - (Per accidenQ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG '. $ <br /> EXCESSAIMBRELlALV1BILTTY EACH OCCURRENCE E4,000,OOO <br />B X OCCUR CLAIMS MADE NHA218686 04/01/07 04/01/08 AGGREGATE E4, OOO, 000 <br /> <br /> <br /> DEDUCTIBLE $ <br /> _. <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER __ <br /> EMPLOYERS' LIABILRY , - - - ~ E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOfLPARTNEHIE%ECUTIVE ' - <br /> OFFICERMIEMBEREXCLUDED? , E.L. DISEASE-EA EMPLOYE b <br /> If yes, tlescdbe under DISEASE-POLICY LIMIT <br />EL $ <br /> SPECIAL PROVISIONS below . <br /> <br />OTNER - <br /> ~rvrue, r nrArnuc r vcHrc l Fs r FYCI uSKINS ADDED eV ENDORS EMENT I SPECIAL PRO VISONS <br />* 10 Days notice of cancellation in the event of non-payment of. premium. <br />The City of Santa Ana, its Officers, Employees, Ageata,and Volunteers ar <br />e additional insureds as respects operations o£ the named insured per forms <br />CG2010 (07/04) and AD0657 (12/03) attached. <br />CERTIFICATE HOLDER CANCELLATION <br />SNTAANA SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUMlG M15URER WILL ENDEAVOR TO MAIL *3O DAYS WRR'TEN <br />r ~ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUi FAILURE TO DD 50 SHALL <br />L~ss~ I ` <br />The City Of Santa Ana Ul)4tU i IMPOSE NO OBLIGATION OR LIABILfTY OF ANY KIND UPON THE WSURER, RS AGENTS OR <br />60 Civic Center Drive ` ~ REPRESENT Es. <br />Santa Ana CA 92702 ~ I ("~ (., au E RES ATIVE ` <br />D.cha r P <br />ACORD 25 (2001Po8) ®ACORD CORPORATION 1988 <br />