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ACORV. INSURANCE BINDER <br />'DATE <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br />PRODUCER IPHORE <br />1 WING E,11' _ _ <br />COMPANY <br />- <br />BINDER f <br />American Special Risk Insurance <br />AUTHORIZEDR <br />ATTN: Souri Amirani <br />6400 Canoga Ave #265 Licease #0 <br />DATE EFPE <br />TIVE <br />EXRRATIDr <br />DATT <br />GENERAL <br />Woodland R111s, CA 91367 <br />RETRO DATE FOR CLAIMS MADE: <br />AM <br />b <br />12.01 AN, <br />8 <br />a <br />I HM <br />PERSONAL & ADV INJURY <br />$ <br />NooN <br />GENERAL AGGREGATE <br />THIS BINDER IS ISSUED TO WEND COVERAGE IN THE ABOVE NAIA CD COMPANY <br />CODE'. _ SUB CODE: <br />b <br />PER IXPIPoNG POLICY P: <br />AGENCY <br />DESCRIPTION OF OPERATIONSIVEHICIESIPROPERTY (trlduan8 Loralim) <br />INSURED California Property 3 pacialiet, T n c. <br />'ght of Way Coasultaat/ Property Mgt. <br />600 W. Santa Aza B2vd., Ste 115 <br />gves fora Fee <br />Santa Ana, CA 92701 <br />I <br />rnveenr_a:e <br />TYPEOFWSURAKCE COVIERAGEIFORMS <br />DEDUCTISLE <br />LIIVII <br />COIN$% <br />15 <br />AMOl1N- <br />PROPERTY <br />CAUSES OF LOSS <br />. BASIC F71 BROAD 171 SPEC <br />AUTHORIZEDR <br />ATTN: Souri Amirani <br />ACORD75- S111981 NnTF• IAADnOTAKIT erA I—.....�., <br />GENERAL <br />LUIBILTTY <br />COMMERCIAL GENERAL JASILITY <br />CLAIMSMA.DC O OCCUR <br />RETRO DATE FOR CLAIMS MADE: <br />EACH OCCURRENCE <br />b <br />FIRE DAMAGE IAnV O afirci <br />8 <br />a <br />MED c'XF {Any or.e person! <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />b <br />PRODUCTS COMPIOPAGG <br />b <br />AUTOMOBILE <br />UABIIRY <br />t NY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNHT AUTOS <br />�" - -< ._' <br />�l <br />- <br />COMBINED SINGLE LIMIT <br />S <br />COUILY INJURY !Pe: peraoN <br />$ <br />EODILY INJURY{ Per scomen[� <br />E <br />PROPERTY CANAGE <br />E <br />MEDICAL PAYMENTS <br />i <br />e <br />PERSONAL INJURY PROT <br />UNINSURED MOTORIST <br />b <br />i <br />AUTO PHYSICAL DAMAGE DEDUCTIBLE <br />- OLLISION: <br />OTHER THAN CO-: <br />ALL VEHICLES SCHEDULED VEHICLES <br />ACTUALCASHVALU; <br />I <br />STATEDAVOUNT <br />OTHER <br />GARAGE LIABILITY <br />ANY AJTO <br />AUTO ONLY- EAACCIDEN7 -1 <br />OTHER. THAN AUTO ONLY. <br />EACHACC:0ENT <br />_ <br />; ;1 S <br />- <br />AGGREGATE <br />S <br />EXCESS <br />LIABILITY <br />UMBRELLA FORM <br />OTHER THAN LIVERELLA FORM <br />RETRO DATE FC R CLAIMS MADE: <br />EACH OCCURRENCE <br />S <br />A3GREGATE <br />S <br />SELF- INSUFED RETENTION <br />S <br />WORKFWS COMPENSATION <br />AND <br />EMPLOYER'S LIABIUTY <br />WC STATLTORYLIM TS <br />E.L. EACH ACCIDENT <br />E.L. DIS:ASE - EA EMPLOYE 111 <br />F.L. DISEASE - POLICY LIMIT I <br />I <br />S ECI TL0111s1 Miscellaneous Professional Liability Limi t.- $1, 000,000 <br />COVERAGES Retro Date: January 4, 2006 <br />NAME s ennwcce <br />PEES <br />F <br />I <br />TAXES <br />ESTIMATEUTDTALPHEMIUM <br />S <br />City of Santa Ana <br />MORTGAGEE <br />LOSS PAYEE <br />ADDITIONAL INSURED <br />I <br />20 Civic Center Plaza, M -36 <br />LOAN 0 <br />Santa Ana, CA 92701 <br />AUTHORIZEDR <br />ATTN: Souri Amirani <br />ACORD75- S111981 NnTF• IAADnOTAKIT erA I—.....�., <br />�RLVKU LUKPDKATION 1893 <br />