<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
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<br />INSURER A. TraVeler8 InaIIraRCe CO.
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<br />~p Group Consul tents /1~
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<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
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<br />B LS
<br />°N AND STATU-
<br />OTH-
<br /> EMPL
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<br />S
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<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
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<br />as a
<br />ditional insured, primary, non-contributory with a waiver oP rights regarding the applications of the
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<br />d
<br />name
<br />nsured. 1Ta endorsement has bean requested and will follow shortly, 10 Daya Notice of Cancellation for Non-Pa
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<br />ymen
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<br />rem
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<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
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