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<br />. <br /> <br />STEVENS STATE FARM AGENCY <br />N-":i-C02-055 <br /> <br />9495523599 <br /> <br />p.2 <br /> <br />ACORD.. CERTIFICATE OF LIABILITY INSURANCE <br /> <br />1 [lATE iUMlcDIYT"iY'I <br />05/19/2.008 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlON <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY TIlE POLICIES BELOW. <br /> <br />I INSURERS AFFORDING COVERAGE .._ MAIC # _.~ <br />~l,.RER A: .... hnn Ge.... 1......C11 CoI'Apllny 2515'1 25118 <br /> <br />lRODUCER <br /> <br />RICHARD STEVENS INSURANCE, INC. <br />4482 BARRANCA PARKWAY, SUITE 228 <br />IRVINE, CA. 92604 <br /> <br />~ ----_.--_.~._. <br />IIISUREC <br />PHILLIP PARSONS <br />2370 ORANGE AVENUE <br />COSTA MESA, CA. 92627 <br /> <br />INsuRER B: <br />INSURER Co: <br />INSURER D: <br />~RERE: <br /> <br />coVERAGES <br /> <br />THE POliCIES OF INSURANCE LISTED BELOW ~VE BEEN ISSUED TO THE INSURED NAMED ABOIIE FOR THE POliCY PERIOD ItlOlCATEO. NOTWITHST/\NDING <br />/\NY REQUIREMENT, TERM OR CONOIllON OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W...CH TMIS CERTlFlCATE MAY BE ISSUEO OR <br />MAY PERTAIN. THE 'NSURANcEAFFOROEO BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCM <br />POUCIES. AGGREGATE UMlTS SKJIII'N MAY HAVE BEEN REDUCeo BY PAID Q..AIMS. <br /> <br />INSR Pout"r' NUMBER pouCY EfFWCnw. PoUC'V EX,I :nON <br /> <br />....IT. <br /> <br />x <br /> <br />x <br /> <br />QENERALUASlUn' <br />COII.4IrAERCIAL GENERAl UABILrTV <br />J cLJ,.IMS MADE 0 OCCJR <br /> <br />92.BF.Q711-1 <br /> <br />05119/2008 \ 05/1912009 . 1 000 000.00 <br /> M' . <br /> MED EXP An one ~nl . 5,000.00 <br /> , piiRSQNAL" AIlV IN.l.lRY . <br /> \ GENERAL AGGREGA.TE. . 1,000,000.00 <br /> PRODUCTS. COM"",OP AGG . <br /> COMBI!:iEC 5LNGLE UMIT . 1,000,000.00 <br /> , (Eaaa::iDentl <br /> BOO1L....INJURV . 1,000,000.00 <br /> {Per penson) <br /> eODllY lNJUR"f . 1,000,000.00 <br /> (Peracciderlll <br /> I PROPERn' DAMAGE . 1,000,000.00 <br /> (P8raa:kl~) <br /> <br /> <br /> <br /> <br />Lac <br /> <br />\ <br /> <br />. AlJTOr.10B,LE LIA..m <br />X NlYAl.J1O <br />lli oWl"tED JWT05 <br />SCHEDUL.EOAL T06 <br />~eo AUTOS <br />NCl'i.OWNEO AUTOS <br /> <br />MRAGE LtABlUTY <br />.:J ."., ""TO <br /> <br />~ONLY.~ACClCENT _,.!-._"_,___ <br />EA A:CC So <br />AGO . <br />I. <br /> <br />OTHER ThlAN <br />AUTO ON'- Y: <br /> <br />EXCES$tu_RliiLJ..,ll.LLAB1LJ1Y \ <br />OCCUR 0 C\..HMS".,.,oe <br /> <br />h CEOUCT18LE <br />RETErtllON. S <br />~JlSCQlAl'eHSA11DN AND <br />ElllPLO'tERS" UABLrTV <br />AN'" PROPRltroM'ARTN~EXECUTIVE <br />OFFICEM.c.;..:::EREXC.UOEI>? <br />11....-..- <br />SPECIAl PR.OVISION below <br />ant" <br /> <br />, EACHOCCURREItCE <br />.*IGGREGATE <br /> <br />. <br />I <br />. <br />. <br /> <br />OESCRIP1tON c:w CPjRAnONS I LOCA'rlC*8J 'VSUC1-ESI EXCUJ'IlOftS ADDeD BY ENUORBENE.M'f I SPECIAl. pltOVlSlONS <br />COMPUT~ CONSULTANT <br /> <br /> <br />we STA1\J- ofl-l. <br /> <br />E.l.EACHACCIDENT I I- <br />E.L. DISEASE. EA EM.PlOYE $ <br />EJ... olSEMiE. poucY U~.T S <br /> <br />, <br />'"l <br /> <br />Tn FORM <br /> <br />ceRTIFICATE HOLDER <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER DRIVE pLAZA (M-301 <br />PO BOX 1988 <br />SAmA AliA, CA.. 92702-1988 <br />ATTN: CLERK OF THE CITY COUNCIL <br /> <br /> <br />CANCELLATION <br />ySllOULDANY OF THE! A80IIE DESC.mJ POUCIES BE CAHCI!LL..EO eEfORE l}(E'i EX"IIA"l1ON <br />DAn. nlEREOI'. THE ISSUING It<15URIR W1U- EKDEAVOR TO III<ll. -L DA:Y5 MI:ITT!N <br />N011li::! TO Tit! CEII11F1CATE MCLOiR NANI!O TO TltE LEFT, BUT FAlUJRE TO DO $0 SHALL <br />IIIPOSI! NO O&L1GAlIDN OR UABlun" OJ" AMY 1<lND uPON THE INSURER, LTS A.GENTS OR <br />REPRE1I1i!WfA'l\ViS. <br />" REP E <br /> <br /> <br />e ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001108) <br />