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/~- za~Fs ~v~C~~c~/ <br />~~ CERTIFICATE OF LIABILITY INSURANCE 9ii~/"` ooe" <br />PRODUCER (818)244-1144 FAX: (818}242-5288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />S NO RIGHTS UPON THE CERTIFICATE <br />O <br />ONLY AND C <br />NFER <br />GLENDALE INSURANCE AGENCY, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />750 FAIRNONT AVENUE, SUITE 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. e0X 831 <br />GLENDALE CA 91x09-0831 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED (714] 460-7200 INSURER A:ADIar7.Can Erione InB. Co. 19690 <br />PHOENIX GROUP INFORMATION SY3TEM3, INC. INSURER B:AANr1CaII States Ins. Co. 19704 <br />2670 N MAIN ST 3TE 200 INSURER C:National UnioDL Eire <br /> <br /> wsuRER o: <br /> <br />SANTA ANA CA 92705 WSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. <br />R <br />INSR A00'L TYPE OF INSURANCE POLICY NUMBER P A01 EY EFFCCTIVE OACreY E%PIRATKIN LIMR'S <br /> GENERAL LIIIBILRY a, 000, 000 <br /> X COMMERCIALOENERAL LIABWTY DAMAGE TO RENTED S 2,000,000 <br />A CLAMS MADE QX DCCVR 028P50901630 10/1/2008 10/1/2009 MED E 10,000 <br /> a a,ooo,ooD <br /> ENERA = 4,000,000 <br /> GENL AGGREGATE LIMR APPIR:S PER: 4, 000, 000 <br /> X P <br /> AUT OMOBILE LIABILITY COMBINED SINGLE DMIT S 2,000,000 <br /> ANY AUTO (Ea efdeeM) <br /> <br />A ALL OYMED AUTOS 02BPSD901630 30/1/x008 10/1/2009 BODILY INJURY <br /> (Pa Pareon) S <br /> SCHEDULED AUTOS <br /> <br /> X HIRED AUTOS BODILY INJURY S <br /> <br />X <br />NON•OWNED AUTOS (Per aaitlenU <br /> <br /> ' 1ZM PROPERTY DAMAGE S <br /> 9 ~ 1 0'e ecadenq <br /> :\ <br /> GARAGE LIABILITY - ~ V•EA ACCIDENT S <br /> <br /> ANY AUTO OTHEP THAN <br /> AUTOOTLV: <br /> E%CCS6AIMBRELLA LIABILITY ;i{lUC'.C <br /> <br /> OCCUR ~ CLAIMS MADE R T <br /> <br /> OEOUCTIBLE <br /> <br />$ W011KER8 COMPENSATKIN AND W T <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETORNARTNER/EXECUTIVE <br />E.L 1, 000, 000 <br /> OFFICER7MEMBERExCLUOEDx OiwC10610030 10/1/2008 30/1/2009 <br />E.L. DISEASE - EA EMPLOYEE 1,000,000 <br /> Il yae, aescroa Bader ooo <br />o00 <br />1 <br /> IA I I DI I T , <br />, <br />C OTHER COmmaraial Crime 2039511 11/16/2007 11/16/ZD08 q7, 000,000 Dar <br /> POlicy oewrrenoa <br /> 075 000 Dadm:tibla <br />OESCRIMION OF OPERATIONS7LOCATION9NENICLE&E%CLUSIONS AODEO BY ENDOiieEMENTISPICIAL PROYISION9 <br />It ie agreed that the City of gaata Ana, it^ oilicara, employees, agents, wlvatears and repreeentativse ere aevBed <br />Additional Inavreda. It i^ aieo agreed that thi^ inavraaoe Sa Drimary and eon-oontribntory. <br />CERTIFICATE Mffl flFA CANCELLdTlON <br /> SHWLD ANY OF THE ABOVE DESCRIBED POLICIES B! CANCELLED BEFORE THE <br />City of 3aata Ana E%PIMTION GATE THEREOF, THE NiBUING INSURER WILL EN~AVOR TO MAR <br />Attention T Yolanda Bautista 3O DAYS WRITTEN NOTICE TO THE CERTIflCATE HOLDER NAMED TO THE LEFT. BUT <br />60 Civic Ceatar P1aLa FARURE 70 DO SO SHALL IMPOSE ND OBLroAT10N OR LIABILITY OF ANY KIND UPON THE <br />Saata Ana, CA 92702 <br /> INSURER RS AGENTS OR REPRESENTATNES. <br /> AUTMORIZgD REPRESENTATNE <br />~/ / / <br /> ~ <br />Cleve TrauglTber/LAMA 1!/S~eLt(y/~+~-~~ <br />ACORD 25 (2001!08) O ACOND GOHPUHa I Ivrc T veo <br />IN3026 (oios).aea PaOe s a 2 <br />