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<br />ACORD CERTIFICATE OF LIABILIT Y INSURANCE °A'~'ML"°°^'~n <br /> <br />PRODUCER (775) 531-1422 FAX: (775) 831-7873 5/10/2007 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Cal-Nevada Insurance Agent-y ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />92fi Incline Way, Suite 100 ALO7ER THE (OVERAGE AF ORDED BY ~HE POL C~ES B LOW. OR <br />PO Box 5419 <br />Incline Villa ® NV 69450 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED ~n <br />Q~~ _ <br />A <br />b <br />^ <br />/~/ <br />INSURER A. TraVeler8 InaIIraRCe CO. <br />b <br />OG <br />~p Group Consul tents /1~ <br /> <br />923 INSURERB. <br />Tahoe Blvd, Sta. 212 <br /> INSURER C: <br /> INSURER D: <br />IRCllne Vil18g@ NV 59451 <br /> INSURER E. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU EO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />REQUIREME <br />. <br />ANY <br />NT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTI <br />C <br />FI <br />ATE MAY eE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS <br />, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />I <br />INSR AOD'L <br />TYPE OF INSURANCE <br />POUCY NUMBER POLICY EFfECTIVE <br />GATE MMmpIYY POUCY E%PIIGTION <br />DATE MMRI <br />UMITS <br /> GENERAL LIABILITY <br /> cH• 0.R N E s 1,000,000 <br /> X COMMERCIAL GENEMLLIABIUTY DAMAGE TO RENTED <br />30 <br /> <br />A <br />X PR I 0,000 <br />t <br /> CuIMS MADE ^X D[:CUR TT09402129 3/20/2007 3/20/2008 MED ExP Mare ersm a 5,000 <br /> <br /> P R A a v RY a 1,000,000 <br /> <br /> AT a 2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER <br /> <br />~ p p } IRC1Uded <br /> X ucY <br />O O <br /> AU TOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE LIMIT <br />(Ea ecdtlenU 6 1, 000, 000 <br /> <br />A ALL ONNEO AUTO$ TT09402129 3/20/2007 3/20/2008 <br /> <br />SCHEpULED AUTOS BODILY INJURY <br />(Pw penan) <br />6 <br /> <br /> X HIRED AUTOS <br /> <br />X BODILY INJURY <br /> NOKONMED AUTOS (Pw ertitlentl s <br /> <br /> PROPERTY DAMAGE <br /> (Pw aaitlenU <br /> GARAGE UABILITY <br /> AUTO ONLY-EA ACCIDENT B <br /> ANYAUTO <br /> OTHER THAN <br /> AUTO ONLY: A <br /> EXCESSNMBIIFllA LIABILITY <br /> gE s 2,000,000 <br /> X OCCUR ~ IXAIMS MADE A RE AT 9 2, 000, 000 <br />A X <br /> DEDUCTIBLE Tmos402129 3/20/2007 3/20/2008 <br /> a <br /> RETENT N <br />A R O <br />~' <br />R <br />° <br />M <br />B LS <br />°N AND STATU- <br />OTH- <br /> EMPL <br />I <br />E <br />S <br />I <br />JA <br />TY X <br />X <br /> ANVPROPRIETOR,PARTNERIEXECUTNE <br />OFFICERMEMBEP EXCLUDED( EL EACH ACCIDENT 9 1,000,000 <br /> <br />Ilyes, mFmoe wtlw gN-Dg.1763L43-7 3/20/2007 3/20/2008 <br />E.L. DISEASE-EA EMPLOYEE <br />5 1,000,000 <br /> PE M PR VII N a <br /> <br />orHER Professional Liab. E.L. DISEASE-POLICY LIMIT S 1,000,000 <br /> <br />A <br />Errors G Omissions <br />Tm09402129 <br />03/20/2007 <br />03/20/2008 Par Occurrence 1,000,000 <br /> General Aggregate 1,000,000 <br />DESCRURION OF OPERATR)NSA.OCAT1pNSNEHICLE5IEXCLUSIONS ADDED BY ENDOR6EMENTl6PECIAL PROYISIONS <br />City of Banta Ma G Sants Ana Police Department, its oftiaera, employees, aganis, volunteers and repreaen tativaa <br />n <br />m <br />d <br />d <br />era <br />a <br />e <br />as a <br />ditional insured, primary, non-contributory with a waiver oP rights regarding the applications of the <br />i <br />d <br />name <br />nsured. 1Ta endorsement has bean requested and will follow shortly, 10 Daya Notice of Cancellation for Non-Pa <br />f P <br />t <br />i <br />ymen <br />o <br />rem <br />um. <br />remr.e.r arc un~ ..~.. <br />City of Banta Ana <br />Santa Ana Poliee Department <br />Bob Faster <br />60 Civic Center Plaza <br />PO Box 1981 <br />Santa Ana, CA 92701 <br />acoRDZS~xgolroB) Qfl~?!t,7ZIZTL0~6Tf~,~~ <br />IM¢roa,..,w. ,,e eu¢ <br />SHWLD ANY OF THE gBOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E~UTATION DATE THEREOF, THE ISSUING WSUREe WILL ENDEAVOR i0 MAIL <br />3O DAYS WRITTEN NOTICE TO TXE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPO6E NO OBUGATON OR LIABILITY OF ANY RIND UPON THE <br />INSURER ITS AGENTS OR REPRE6ENTATNES. <br />AUTHORRED REPRESENTATIVE U -6 v - <br />Tezry Jarcik/DD <br />_ ®ACORD CORPORATION 1988 <br />,., ry ~w,ian ve.~... r...,,.:.. ~.,,,:.a. <br />