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<br />r' ACORD,M--CERTIFICATE -O-F-L-IABILITY I-NS-URANCE <br /> <br />TRUEX INS AGCY A CALIF <br />129006 P: (866) 467-8730 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br /> <br />CORP/PHS <br />F: (877) 905-0457 <br /> <br />ATHi DATE <br />R022i 01-15-2008 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED ~ INSURER A: Hartford Casualt <br />SANTA ANA HISTORICAL PRESERVATION ~B: <br />SOCIETY A - ~OO 1f-{06 -05"r;'~-Y~EB_~~__ <br />120 W CIVIC CENTER DR. A -~008- oJO ~I_N_~LJRERD:__ <br />SANTA ANA CA 92LOl : INSURERE: <br />COVERAGES <br />. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />If!;: TYPE OF INSURANCE POLICY NUMBER ~~LI;~::EgTN.f DA TE MM D Y LiMITS <br />GENERAL LIABILITY EACH OCCURRENCE I $1, 0 0 0 , 0 0 0 <br />COMMERCIAL GENERAL LIABILITY 57 SBA AW4 648 07/30/07 07/30/08 , FIRE DAMAGE (Anyone fi,e) $300, 000 <br />\--.--,.-- r--l I j-.-----~.-.-....._--__"'______._.._____,.______..___:_ <br />I CLAIMS MADE illlOCCUR MED EXP IAny one person) ,$10, 00.0 <br />X General Liab PERSONAL & ADV INJURY : $1, 000 000 <br />GENERAL AGGREGATE : $2 , 000 , 000 <br />;;ODU~~~~-;:;-;;~-;'~;G- 1-$2 ~-O-O 0-- 000 <br />---or --. <br /> <br />Ins Co <br /> <br />A <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />-I . -- II PRO- '-X I <br />_~~~_c___LOC <br />AUTOMOBILE LiABiLiTY <br /> <br />A <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />57 SBA AW4648 <br /> <br />07/30/07 07/30/08 <br /> <br />-----,---.-.------------. -t'------- --------- <br /> <br />COMBI,NED SINGLE LIMIT Ii. $1 000 0 o~ <br />(Ea aCCident) " <br />-._____,______..1_______ <br />I <br />BODILY INJURY 1 $ , <br />{Per t)Nsonl <br /> <br />.s('HEDt~LEO /\I;:r}(- <br /> <br />J'l HIRED AUTOS BODILY INJURY I $ <br />X NON-QWNED AUTOS (Per accident) <br />- PROPERTY DAMAGE I <br /> (Per accidentl i $ <br /> GARA GE LIABILITY AUTO ONLY - EA ACCIDENT '$ <br />~ ANY AUTO OTHER THAN EA ACC I $ <br /> AUTO ONLY: <br /> ..--.1. .________...___ . ...- _..__.__._----_.~-- --...- --- ----~- - - u_ _ _ - - '- --- __________ ,_ ~(3_.. $ -- - ---,-- --- <br />EXCESS LIABILITY ~~::~~RRENCE _~-~~-~~~~~=~-~~._=__-~j <br /> ~ OCCUR o CLAIMS MADE <br /> $ I <br />R DEDUCTIBLE ------....--.-.-.-t--- ---- -.-.--.---.--- <br /> ! $ <br /> --- .-r-----..----- <br /> RETENTION $ i $ <br /> WORKERS COMPENSATION AND WC STATU- I IOJ~-i <br />EMPLOYERS' LIABILITY 1$ <br /> E,L. EACH ACCIDENT <br /> E.L. DISEASE - EA EMPLOYEE i $ <br /> E,L. DISEASE - POLICY LIMIT i $ <br />OTHER <br />DESCRIPTION OF OPERA TIONSlLOCA TIONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/sPECIAL PROVISIONS <br />Those usual to the Insured's Operations. See cover page for additional <br />wording. "THE HARTFORD WILL NOT AMEND THE CANCELLATION WORDING II <br />CERTIFICATE HOLDER Ix ADDITIONAL INSURED: INSURER LETTER: A CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br />The City Of Santa Ana HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> !OBLlGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza REPRESENT A TIVES, <br />Santa Ana, CA, 92701 ~O d< <br /> AUTHORIZED REPRESENTATIVE <br /> ./\....X7 ~~~--- ---------- --.- .. --- <br /> ,r ,..-.. -- <br /> - <br /> <br />ACORD 25 S (7/97) <br /> <br />~ ACORD CORPORATION 1988 <br /> <br />