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•~r` ~ , . - DATE (MMlDDlYYYYI <br />ALi~RQ~, CERTIFICATE ~F LIABILITY IN~SUcRAINI`-'ED AS A MATTER OF INFDRMAnaN <br />530 868-2777 TiiiS <br />zo ucERLicense # OB5050i t ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT <br />rmstrong 8~ Associates insurance Services HOLDER, THIS CERTIFICATE DOES NOT AMEND, ExTEND OR <br />icense # OB5(?501 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1 <br />,O. Box 1270 'INSURERS AFFORDING COVERAGE ~ NA1C 8 <br />loodtand, CA 95776-1270 <br />iSURE6 Nlidori Gardens INSURERA; Beri(ley Insurance Group <br />3231 South Main Street INSURER B: Delos Insurance Company <br />Santa Ana, CA 92707- INSURER C:Libert Mutual Insurance Co. ~___~_-. <br />INSURER O i <br />_-_ _ _~_ ...,.,.,~r~~Tetinu.~r. <br />;AVERAGES <br />THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />ANY REOU)REMENT, TERM NCE AFFOR ED BY THE POLITC~IES DESCRIBED HERE NES SUBIJEGT 0 ALL THOE TTERMS EXCLUSIONS AND CONDITIONS OF05UCH <br />MAY PERTAIN, THE INSURA __~-.-- <br />pOLICIES_AGGREGATELIMITS SHOWN MAY HAVE BEEN REDUCED BY PA1 POLICY EFFECTIVE POLICY PJIPIRATION I LIHpTS <br />JSR 14R~'L o~ ne iucuRaNCE P01.ICY NLNiABER EACH OCCURRENCE S 1'~~~'I <br />~GENERALLWBIUTY <br />PSP000621700 ~'~J2g~9 PREMI$E$ ERaEO~au~ence ~IS <br />6l1~2008 <br />X ~ X COMMERCIAL GENERAL LU161LITY <br />A MED EXP (~-nY aye Peen) I " <br />I <br />CLAIMS t.L40E a OCCUR <br />i 1 <br />I PERSONAL b ADV INJURY 5 <br />1 GENERAL AGGREGATE s <br /> PRODi1GTS - COMPlOP AGG S <br />GENL AGGREGATE LIMIT APPLIES PER- <br />PRO- ~ LOG ' <br />POLICY ~ <br />COMBINED SINGLE LIMIT <br />S <br />auroMOeILE LIABILITY DPA5502317 fi11l2008 8f1l2009 (Ea sccldent) i <br />f3 X A4Y AUTO ~ BODILY INJURY <br />s <br />I <br />ALL OWNED AUTOS ~ (P~ Pertor:} <br />X SCHEDULED AUTOS <br />BODILY INJURY g <br />~ HIREDAUCOS (ParecrideM) <br />~ NON•01yNEDAUTOS ~ <br />PROPERTY DAMAGE s <br /> (Per accident) <br /> AUTO ONLY • EA ACCIDENT i <br />` ~ GARAGE LIABILITY En ACC S <br />OTHER THAN -~--•--~ <br />ANY AUTO AUTO ONLY: AGG ~ S <br />I <br />EACH OCCURRENCE t <br />ExCESSlUMBRELLA LIABILITY LQ1671207715018 <br />IMS MADE <br />~ <br />~ 8!112008 6!112009 AGGREGATE : <br />CLA <br />, OCCUR <br />{ i <br />I <br /> i s <br />i i~ DEDUCTI3LE ` l ~s <br />WORK>rR5 COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />OFfICERIMEMBER EXCLUDED? ECUTIVE <br />E.L. EACH ACCIDENT <br />E L. DISEASE - EA EM <br />E.L. DISEASE - POLIC <br /> <br />50 <br />1, <br />S <br />s <br />D7HER ~ II <br />, <br />DESCRIPTION DF OPERATIONS !LOCATIONS 1 VEH{GLES !EXCLUSIONS AAmED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br />the City of SantaeAards tto the genaraPliab~lity p ~i~y 'volunteers, and representatives are listed as additional insured per the attached <br />endorsement in r g <br />ZE: All California Operations 10 day notice of cancellation will <br />apply for non-payment of premium <br />City of Santa Ana <br />Attn: Jerry Jeffries <br />20 Civic Center Plaza -Ross Annex {M-21} <br />Santa Ana, CA 9270'1- "'•' ?~i; ~' <br />... _. <br />ACORD 25 (2001!08) - - - ~ - ~ - ~ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATl01 <br />DATETHEREOF, THE ISSLRNG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, lT5 AGENTS OR <br />AUTHORIZED REPRESENTATIVE - a ~,~ <br />- G-~ ~T~,©y'A•`CORU CORPORATION 1988 <br />