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11/07/2002 TRU 14;47 FAX 785 5463 POOLE PROFESSIONAL, LTD. X002 /002 <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE A" -W-1 <br />DATUOUN'LYYYrn <br />11/07/02 <br />PRODUCER <br />Poole Professional Ltd. <br />401 Edgewater Place, Suite 180 <br />THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHT8 UPON THE CERTIFICATE <br />HOLDER. THIS IS CERTIFICATE <br />ALTER THE ERAGE AFFOR EDNOT AMEND, E EXTEND OR <br />POUCY NUMBER <br />DATE MMTON <br />Wakefield EID 01880 <br />Phone: 781 -245 -5400 Pax :781 - 245 -5463 <br />INSURERS AFFORDING COVERAGE <br />NAIC0 <br />INSURED <br />INSURER A: American MOtori Sts Ins CO <br />AUTNORIZED REPRESENTATIVE If /J <br />INSURER S <br />ENCE <br />E <br />INSURER C: <br />ACVntacb, Inc. <br />INSUAEAO: <br />COMMERCLV. GENERAL LW IUTY <br />33 Moulton Street <br />Cambridge MA 02138 <br />CHSURER E: <br />VV'/C� <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLE:Y PERIOD INDICATED, NOIWTTHSTANOING <br />ANY REQUIREMENT, TERM OR CONOITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 09MIFICATE MAY BE ISSUED OR <br />WY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBI TO ALL THE TEAMS, EXCLUSIONS MID CONDITIONS OF SUPT <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLNMS- <br />LTR <br />NSM <br />TYPEOFINSURANCE <br />POUCY NUMBER <br />DATE MMTON <br />DATE eWOD/YY <br />UNITS <br />20 Civic Center Plaza <br />GMERALLIABILJTY <br />REPRESENTATIVES. <br />AUTNORIZED REPRESENTATIVE If /J <br />ENCE <br />E <br />E <br />DXAYBICA) <br />COMMERCLV. GENERAL LW IUTY <br />DIE NWI <br />$ <br />GLANS MAD E ❑ OCCUR <br />ADY INJURY <br />MGENEFIALAOORWATE <br />I <br />REGATE <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />OMPNP N30 <br />E <br />roUOY J�a LOc <br />AUTOMOSIte <br />usBlLm <br />ANY AVTO <br />COMBINED SINGLE LM <br />(EA 8.1NAPG <br />S <br />BODILY INJURY <br />(PArP ) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />SCOLYIN'.IURY <br />!, (Per wce6 D <br />S <br />HIVED AUTOS <br />NOM40MCO AUTOS <br />PROPERTY DAMAGE <br />"rA MIM <br />S <br />., <br />1GARAGELIABIL17Y <br />iAUTO ONLY -CA ACCIDENT <br />S <br />OTHER THAN 6A ACC <br />AUTO ONLY: AGO <br />S <br />HMIYAUTO <br />I <br />S <br />i EYCECULAIRAELLALUtWLMY <br />EACH OCCIIRRGNCE <br />S <br />AGGREGATE <br />S <br />OCCUR F1 CLAIMS MADE <br />S <br />E <br />OBDUCTICLE <br />_ <br />S <br />R67EWICN S <br />wORKEM3 COMPENSATION AND <br />X Top YIon ER <br />E.LEACHACCIOENT <br />E1, 000 0" <br />A <br />EMPLOYERS' LIABILITY <br />MY PROPRIE AATNCIVETECVTIVE <br />CFFICERVNIMMISIEXCLUOM? <br />7CW30440307 <br />09/01/02 <br />09101103 <br />E.L.DISEASE- EAEMPLDr <br />s1,000,000. <br />E.L.DISFASE•POLIC/LINT <br />S1 000,000. <br />Dyee toww UN !, <br />SPECIAL PROVISIONS Cdw <br />OTHER <br />� <br />F7 <br />DESCRIPTION OF OPERATIONS/ LOCAMMR1_'TEj(CI.EBfE1f L OL 4kb�4S �D,Y NEAT /9PFaAL PROVLSiOH9 <br />T7 `T � r. = '. <br />aura Sheedy <br />-..I Citv ttorney <br />nOETmIn ATV Ht% ROD - CANCELLATION <br />SANTA -3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE E)(FIRAA0 <br />DATE THEREOF,TME UISUINO INSURERWILL CNOEAVORTOMML 30 DAYS WRITTEN <br />City Of Santa Ana <br />NOTICE TO THE CER Mfl W HOLDER NAMED TO THE LEFT, BUT FAILUAE TO 50 CO SMALL <br />Attn: Nasser Ri:h <br />WpOSE NO OBLICATM OR LIABILITY OF ANY IONO UPON THE INBUAFA, ITS AGFNTB OR <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />REPRESENTATIVES. <br />AUTNORIZED REPRESENTATIVE If /J <br />Christopher A. Pools I,- <br />ACORD 25 (2001108) w nwnAr w„F UF;A T;UN <br />