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ACORD� CERTIFICATE OF LIABILITY INSURANCE <br />DnrE 6121 <br />6/2/22008 008 ) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RFP INSURANCE AGENCY <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5601 WEST SLAUSON AVE., SUITE 260 <br />CULVER CITY, CA 90230 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />15508007502 <br />1619/2008 <br />Phone (310) 642.1933 F"(310)645-3150 <br />EACH OCCURRENCE E 1 DDD OLIO <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED CIVIC COLLECTION CORPORATION <br />INSURER A. BURLINGTON INSURANCE COMPANY <br />$ 1.000,000 <br />INSURER B. <br />$ INCLUDED <br />33875 OLD TRAIL DRIVE <br />INSURER C <br />ATTN: DOUGLAS SHAW <br />YUCAIPA, CA 92399 <br />INRER D <br />- {, - <br />/ <br />- <br />INSSUURER E'. <br />COMBINED SINGLE LIMIT <br />(Ea soddenly <br />E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. 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 />INSR <br />LTR <br />DD'L <br />INSRO TYPE OF INSURANCE <br />POI-ICY NUMBER <br />POLICY EFFECTIVE <br />DATE fNIM1DO1YYI <br />POLICY EXPIRATION <br />DATE MMIDDIYY1 <br />LIMITS <br />GENERAL LIABILITY <br />X I COMMERCIAL GENERAL LIABILITY <br />A I CLAIMS MADE [k] OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />POLICY PRO LOC <br />15508007502 <br />1619/2008 <br />6/9/2009 <br />EACH OCCURRENCE E 1 DDD OLIO <br />PREMISES Ea='w unIoe $ 100 000 <br />MED EXP (Any one person) . $ 5,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE <br />$ 1.000,000 <br />PRODUCTS - COMPIOP AGG <br />$ INCLUDED <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />^ ,,. _ <br />� <br />- �/ <br />- {, - <br />/ <br />- <br />COMBINED SINGLE LIMIT <br />(Ea soddenly <br />E <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Perawdent) $ <br />PROPERTY DAMAGE III$ <br />(Per a W dent) <br />GARAGE LIABILITY <br />ANY AUTO <br />' <br />!AUTO ONLY - EA ACCIDENT '$ <br />OTHER THAN EA ACC $ <br />AUTO ONLY AGO '$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE 8 <br />AGGREGATE $ <br />$ <br />4 <br />$ <br />_ <br />WIBIWORKERS COMPENSATION AND <br />EMPLOYERS' LITV <br />. ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERMEMBER EXCLUDED? <br />11 yes deso'be under <br />SPECIAL PROVISIONS below <br />__DTI <br />WO OTRH- <br />E.L. EACH ACCIDENT <br />ACCIDENT <br />E <br />E. L. DISEASE - EA EMPLOYEE <br />$ <br />E . DISEASE - POLICY LIMIT $ <br />OTHER <br />i <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROWSIONS <br />CERTIFICATE HOLDER Additional Insured CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />ATTN: SGT. MARTY SHIREY <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />60 CIVIC CENTER PLAZA, RIM 97 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />P.O. BOX 1981 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER ITS AGENTS OR <br />SANTA ANA, CA 92702- <br />REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />�j <br />ACORD 25 (2001108) CIVIC Celt# 1 Holder# 1 0 AC RD CORPORATI 1988 <br />