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r <br />n/27/2009 08:40 9494979830 <br />JOHNLCAMPBELLINSURAN <br />A -CORD CERTIFICAT 'OF LIABILITY INSURAN <br />PRODUCERTHIS CERTIFICATE IS ISSUED AS <br />ONLY AND CONFERS NO RIGHTS <br />John L. Campbell Ins- Agency HOLDER. THIS CERTIFICATE DOE. <br />PO Sox 4497 ALTER THE COVERAGE AFFORDS <br />Laguna Beach CA 92652 <br />Phone_949-494-1008 Fax:949-497_9830 INSURERS AFFORDING COVERAGE <br />B: <br />Community Courts Foundation <br />Ni Star E t <br />Laguna Beach CA 92651 <br />PAGE 01/02 <br />OP ID DATEIMM Cft"" <br />COII I 06/26/08 <br />MATTER OF INFORMATION <br />PON THE CERTIFICATE <br />NOT AMEND, EXTEND OR <br />BY THE POLICIES BELOW. <br />NAIL II <br />trance Cc _�— <br />V <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVATHSTANOINp <br />ANY REOUNEMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT SWTH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE NNSURANCE AFFORDED BY THE POLICIES OMF IBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES AGGREGATE UMITS SHOWN MAY HAVE BEEN PiIXJCEO BY PAID CLAIMS, <br />LTR <br />--------- POLICY NUMBER <br />NSR TYPE OF INSURANCE <br />PATE TE UMTA <br />20 CIVIC CENTER PLAZA 6TH FL <br />GENERAL LIABILITY <br />SANTA ANA CA 92701 <br />EACH OCCURRBNOE IS1000000 <br />A <br />X X GOMMERGIALGENERALLIABILT' <br />PHkR310637 <br />05/06/08 05/06/09 PRIiMiESIEA«wlEnce 5100000 <br />CLAIMS MADE 1KOCCUR <br />MECEP(AMM,I,M ) IS5000 <br />PERSONAINJURY 31000000 <br />CR;N=_RRL AGGftG AGcaEDATE--{'-5-2000000 _ <br />G6NL 4GGREGATE LIMIT APPLIES PER: <br />PRODUCTS • COMPIDP RGG i [ pD D DDU <br />POLICY LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT S1000000 <br />ANV AUTOALL <br />IPJ aetldaml <br />AUTOS <br />BODILY INJURY <br />SCHEDULF <br />SCHEDULED AUTOS <br />pHPE310637 <br />05/06/08 <br />05/06/09 <br />A <br />X <br />HIREDAUTCS <br />BODILYNJURY 3 <br />tFMe Ade ) <br />X <br />NCN•OWNED AUTOS._..— <br />INLOPERTYDIWMOE S <br />— <br />- <br />(PerAmeenq <br />ALTO ONLY -EA ACCIDENT S <br />GARAGE LM8ILM <br />OTHE0. THAN EA ACL S <br />ANY AUTO <br />-. <br />v <br />.' <br />AUTG ONLY; AOG 3 <br />IID(CESSJUMSRELLALIA31JUrY <br />� <br />EACH OCCURRENCE S <br />AGGREGATE .__T._... <br />OCCUR CUIMS NAGE <br />y _^ <br />�- <br />IDUCTIIILE <br />RETENTION <br />WORKERS OMFENBAYION AND <br />TORY LMRS R .... <br />_. <br />S.L. EACH ACCIDENT S <br />EMKOYERV LIABILITY <br />OFFICERIMFAMBER EXCLUDED ANY ECUTIVE <br />F.L. DISEASE - E/. EMPLOYE ! <br />E.L DISEASE •POLICY LIMIT S <br />If qi dPFalee YIId1Y <br />s . AL PROVISIONS bFbw <br />OTNER <br />I <br />DESCRIPTION OF OPERATIONSfWCATM]RS IVENICLES/EXCLUSE]NS ADDED BY IIIDORSEMENTI SPECIK FROVBION6 <br />CERTIFICATE HOLDER IS NAND AS ADDITIONAL INSURED PER THE ENDORSEHMNT <br />ATTACHED <br />CERTIFICATE HOLDER <br />BHOULO ANY OF THE AMC"DMNE,,, POUMES BE CANCELLED BEFORE THE EXPIRATION <br />CITY of <br />DATETHBIEOF,TNE E;LNG NSURERWILL ENDEAVOR TO MAIL 30 DAYS WRTTEN <br />NOTICE TOTHE 1'FRTI I HOLDER NAHEDTD THE LEFT, BUT FAILURE TO O SO SHALL <br />CITY of SANTA APIA <br />RA►OBE NO OBUGI OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR <br />20 CIVIC CENTER PLAZA 6TH FL <br />REPr4MNTA7NEB <br />SANTA ANA CA 92701 <br />A PAT An <br />3 <br />®ACCORD CORPORATION 198E <br />ACORD 25 (2UU11OBJ <br />