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<br />' RIO CERTIFICATE OF LIABILITY INSURANCE 8/21/2009
<br />pnoau"R (949) 851-88434 FAX: (949)1951-8802 THIS CERTIRCATE 19 ISSUED AS A MATTER OF INFORMATION
<br />Gam zzz urancea Sarvic�ee ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />L.ic. #OD15612 ALTER THE COVERAGE AFFORDED BY THE POILICIES BELOW,-
<br />30 Corporate Park #307
<br />O r'vi.sla CA 92606 INSURERS AFFORDING COVERAGE NAIL
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<br />IresUPPr, 1h50rYil ANaUt-ilea Inn Co _.._
<br />Curtsid , Inc. jrWj gs.Great Divi de Ins Co
<br />500 S. Jefferson INS mac.
<br />Flacon a CR 92870 IH�U RE
<br />COVERAGES
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<br />Tk''E POLICIES OF 12dS;SRRW�E UaTE[3 QELCiV HAVE BEEN ISSUED TO SHE LwSUREQ PIAMED ABOVE FOR THE POLICY PERIOD kNt7lCATE4, hp TI,NITiro'STANUlNO
<br />p A KV REOUIKEMEW, TFRM OR CONL3MON OF ANY C&h TJRAEF oR 6THER 00CMENT' WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />141AV PERTAIN, TFE iN$LL [I AFFORDED BY THE POLICIES DF SCRIBED HEREIN 16 SU9JECT TO ALL THE TERMS, EXCLUSIONS „CJD CONDITIONS OF SUCH
<br />A(kIRF.GATE LIMITS SftC7wN )AAY HAVE BEEN REDUCED BY PAID MAIMS,
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<br />Thra gorvoral liability policy includas the City of Santm Arca, itn off.ioere, Gr"10'yee3, 8c0nta,v0lUfLteer8 and
<br />rcaeree#ssrxlivme oft Act?" tional insured with: regard tt1 xeric parfoxibod by or on balmlf o:eth4 Na=od Sn!jur d zrt€orn raqulrai
<br />by wr,Ltton contraot. *Sxcep w 10 days for ncnpaymor.t of grenium.
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<br />CERTIFICATE. HOLDER CANCELLATION
<br />I str,�I�cUa�av O�z�#�AtsotrEaebcsua�n t�.ICIt;9 d�enNeP�t.ea n�i:attelr� �Iw�.trcx,
<br />City of Santa Ana DATE Tl+Et ERY, r)iEtseui:NClNewRER IAILL*X06)0"a4arAIL i0 _ aAY13 WRMEN
<br />DopartnQnt of Public Works N4YIceTotrlELEa'1 ATEHOLZIERNAMEOTO7WLEFT,) ()WiX Q)4Xx94x
<br />Attn: Chrim- y Xendig
<br />20 Civic Center Plaza, M-21
<br />Santa Ana, CA 92702
<br />AL}rAiasitu F&pRL'Ser4tAnVE
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<br />ACORD 25 (2009141) Q 1996.2002 ACORD CORPORATION. All rights reservad.
<br />INS025 gomq The lACURD name and logo are registered marks of ACORD
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