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ACQRD,A CERTIFICATE OF LIABILITY INSURANCE <br />GATOINLVOOY08 <br />05 -13 -2005 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HANSOL FINANCIAL & MARKETING INSURANCE <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />3325 Nilnhire Blvd <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CCP 515126 <br />ALTER THE COVERAGE; AFFORDED BY THE POLICIES BELOW. <br />1310 A- 2008 -093 <br />EACH OCCURRENOA <br />l 000,000 <br />LOS ANGELES CA 90010 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />CEAN IEEE YANG <br />INAURERA CENTURY 80AETY CO (A AN BEST AATLN0) <br />_..... <br />DB A: BELL BUILDING MAINTENANCE, CO. <br />MBURER B: pROGRBS &IVS IlPSURANCE QQMPANY _ <br />-- -- <br />- - - -- <br />5170 S2UPLVEDA BLVD, STE. 150 <br />INSURERC: <br />SHE:RMAN OAKS CA 93.403 <br />INSURER O: <br />__ _. <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REOUIREMBNT, 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 />_ <br />.. _. -. ......_. __.__. __._. .__ ..... <br />OR AM <br />_ TYPE a MBURANC POLICY HUNGER COIICYERECWVE POLTF.IMMI RATION LMTI9 <br />GENERALLIAMIL." <br />CCP 515126 <br />01-10 -08 <br />01 -10 -09 <br />EACH OCCURRENOA <br />l 000,000 <br />✓ COMMERCIAL GENERAL LMILITV <br />_S_ <br />15AIHR6ETGirw2) <br />PREMIRaFR (En OEEMP� <br />S IUD, 000 <br />j <br />CLAIMS MADE ✓OCCUR <br />__ _. <br />MEDEXP(Any one verseP) <br />9 S, OOO <br />A <br />A <br />PPRRONN-&AWINIURY <br />5 1 000,000 <br />-- - _ .. _..— ...._.. <br />GENERAL AGGREGATE <br />E 2,000,000 <br />!GENT, AGGREGATE LIMB APPLIES PER: <br />_._ __. <br />PRODUCTS- COMP)OPA00 <br />F 1,000,000 <br />r P <br />...__.......__.... <br />_...— ____... - <br />POLICI'I-_- <br />LCC <br />__ . <br />oALOeneunnnJTY <br />09317391 -8 <br />04-14 -08 <br />09 -19 -09 <br />COMBINED SINGLE LIMIT <br />ANV AUTO <br />IEe neddonN <br />!I; 1, D00, ODD <br />'..._.__._ <br />ALL OWNED At ITO9 <br />._. _ --------- <br />..... <br />H <br />D <br />SCHEOULFO At ITQS <br />f�OPnnn1URY <br />T <br />✓ <br />HIRED At <br />✓ <br />BODILY <br />$ <br />NON -OWNGD AUTOu^ <br />(Per netlrkndr,m) p <br />...._ .. .... _....._... _.. <br />PROPP.RTYDAMAGE <br />fver AmINPnU <br />GARAGE LIABILITY <br />ALTO ONLYEA ACCIDENT <br />S <br />ANY AUTO <br />..._..___. _. <br />OTHER THAN EA ACC <br />_...._.._.. .. _ <br />S <br />AUTO ONLY, AGG <br />_ <br />5 <br />EXCES &UMORELLA _LIABILITY <br />-_ ... <br />EACH OCCURRENCE <br />..___.. P'R <br />S <br />OCCUR I CIAIMSMADE <br />_..__ -__ <br />AGGREGATE <br />_... .... <br />S <br />- DEOUCTIRLE <br />S <br />RETENTION ; <br />R <br />WORI(ER9COMPENEATIONAND <br />OTH. <br />ELIPLOYERS'LIARILNY <br />_WC9TATU- <br />__.DORY LIMIT$.. ER <br />.. ._... _.. .. _.._ <br />hNY PROPRIFTORIPARTNENIEXF.DUTIVF. <br />EA.. EACH ACCIOP,NT <br />S <br />OFFICERAIEMBER FXr,LUDCO? <br />E.L. OISEARE__EA EMPLOYEE <br />$ <br />SPECIAL PROVIPIONS below <br />E4 DISEASE - POLICY LIMIT <br />.q, <br />'OTHER <br />OTHER <br />LEXUS CX 470 <br />VIN: JTJBT20X840050897 <br />IDED: <br />$1,DO0 <br />H <br />DESCRIPTION OP OPERATIONS I LOCATION91 VEHIOLFS I EXCLUSN)NB ADDED BY ENOORSEMONT I9PECIAL PROVI91ONB <br />TBE CITY OF BANTA ANA REOUIRE$ AN ADDITIONAL INSURED ENDORSEMENT BE ATTACHES THAT NAMES <br />THE CITY, ITS AIRNTS, EMPLOYEES, VOLUNTEERS AND REPRESENTATIVE AS ADDITIONAL INSUREDS. <br />CITY OF SANTA ANA <br />PARKS, RECREATION & COMMUNITY SERVICES AGENCY <br />P.O. BOX 1988 <br />SANTA ANA, <br />CA 92702 <br />�.:E�a�{q?d City Attorney <br />Fax from <br />SHOULD ANY OF THE A90VE DESCRIBED POLICKa BE CANCELLED BEFORE THE BXPIRATION <br />DATE THERDDF, THE ISSUMO INSURER WILL ENDEAVOR TO WIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 BO SHALL <br />IMPOSE NO OBLIOATRDN Get LIABILITY OF ANY KIM UPON THE INSURER, 179 AGENTS OR <br />05 /13 /00 11:50 Pg: 3 <br />