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ACORD� CERTIFICATE OF LIABILITY INSURANCE <br />°"�'MW°°""YY <br />M <br />ADDI <br />vaooucER <br />RFP INSURANCE AGENCY <br />5601 WEST SLAUSON AVE., SUITE 250 <br />CULVER CITY, CA 90230 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone (310) 642.1933 Fax (310) 646,3150 <br />UNITS <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED CIVIC COLLECTION CORPORATION <br />INSURERA: BURLINGTON INSURANCE COMPANY <br />EACH OCCURRENCE <br />33875 OLD TRAIL DRIVE <br />INSURER B: <br />ATTN: DOUGLAS SHAW <br />YUCAIPA, CA 92399 <br />INSURER C: <br />6/912006 <br />INSURER D: <br />PREMISES Ea =u.a <br />INSURER E: <br />MED EXP (Any one person) <br />f 5 000 <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 />ADDI <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />UNITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1 ' 000000 <br />X COMMERCIAL GENERAL LABILITY <br />1508007502 <br />6/912006 <br />6/9/2009 <br />PREMISES Ea =u.a <br />f 100 000 <br />MED EXP (Any one person) <br />f 5 000 <br />A <br />CLAIMS MADE FXI OCCUR <br />PERSONAL BADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />f 1,000,000 <br />GEN.L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />f INCLUDED <br />POLICY 7 <br />PRO. LOG <br />ECT F-1 <br />AUTOMOBILE <br />LABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMB <br />(Ea amdeM) <br />S <br />BODILY INJURY <br />(Per person) <br />f <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per e CG dMI) <br />f <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per amdeM) <br />$ <br />GARAGE LABILITY <br />AUTO ONLY - EA ACCIDENT <br />f <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />f <br />AUTO ONLY'. AGO <br />EXCESSAIMBRELLA LABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />OCCUR F7 CLAIMS WOE <br />f <br />f <br />DEDUCTIBLE <br />Is <br />RETENTION S <br />WORKERS COMPENSATION AND <br />WC STATU- OTH- <br />EMPLOYERS'LABIUTY <br />E.L. EACH ACCIDENT <br />S <br />ANY PROPRIETORIPARTNERr ECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />OFFICERIMEMBER EXCLUDED? <br />If yes, dasviE under <br />SPECIAL PROVISIONS Wm <br />E.L. DISEASE - POLICY LIMIT <br />S <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />CITY OF SANTA ANA <br />ATTN: SGT. MARTY SHIREY <br />90 CIVIC CENTER PLAZA, RM 97 <br />P.O. BOX 1981 <br />SANTA ANA, CA 92702. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SMALL <br />IMPOSE NO OBLIGATION OR UA &UTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ACORD 25 (2001108) CIVIC Cert# 1 Holder# 1 0 AC RD CORPORATI 1088 <br />