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. _.1N- II'7- CIIt:y, i _ _ 1 I I Rr r 1117u1 of'lC u4 c ILy <br />ACORDCERTIFICATE OF LIABILITY INSURANCE DATE(MMroonrrY) <br />PRODUCER _ 6!9/ 009 <br />RFP INSURANCE AGENCY TH13 aRTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />5601 WEST SLAUSON AVE,, SUITE 25C HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />CULVER CITY, CA 90230 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Phone (310) 8A24M Fax (310) 645 -3150 <br />a+I:LIREU INSURERS AFFORDING COVERAGE NAIC 9 <br />CIVIC COLLECTION CORPORATION IN URER 1: BURLINGTON INSURANCE COMPANY <br />33875 OLD TRAIL DRIVE INSURER B: <br />AM: DOUGLAS SHAW INSURER c: <br />YUCAIPA, CA 92399 <br />INSURER D: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 211E 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 />POLMAY PERTAIN, THE INSURANCE AfFORDEO BY THE POLICES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />ICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I VCNCLES ( EXCLUSIONS ADDED evENDORSEMENT/ On ., FRONSIONE <br />CITY OF SANTA ANA <br />ATTN: SGT. MARTY SHIREY <br />60 CIVIC CENTER PLAZA, RU 97 <br />P.O. BOX 1981 <br />SANTA ANA, CA 92702- <br />25 <br />SHOULD ANY OF THE AWa DESMMM POLICIES SE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE =RUING INWRER WILL ENDEAVOR TO MAX- 30 DAYS WRITTEN <br />NOTICE TO THE CE nrAlTE HOLDER "MID TO THE LEFT, BUT FAILURE TO DO SD SHALL <br />IMPOSE NO OBLJOATIDN ON LI"t" OF ANY KSID UPON THE INSURER, ITS AGENTS OR <br />REFRBSSNTARVEi. <br />w1►T1gRQEp REFRESENTATRN 1 _ <br />40 ACORD CORD j6 N 1960 <br />GENERALL1AMuTY <br />���� ; , <br />�r <br />/ � <br />AC,GREGATC ,••- •••,•� � <br />"'" •• <br />DEDUCTIRLE <br />X <br />COMMERCIAL GENERAL LIADMITY <br />1508008424 <br />8/9/2009 <br />EACH OCCURRENCE 7 <br />A <br />City <br />torney <br />CtAIM+3 MADE l X 1 OCCUR <br />WORKER! COMFT:NSATK7N AJJO <br />810/2010 S <br />s <br />EMPLOYERS' UmuTY <br />MED EXP (An - ) 1 S <br />ANY 'ROPRIETORII�ARYNF,R)P, %K<,VTN► <br />OFFICER I VXKR D CLUDED7 <br />PERSONAL i AM INJURY ' 2 <br />11�yes. d"0i1is �M <br />til'FCIAL PROVISION.^, below <br />GENL AGGREGATE LIMB APPLIES PER: <br />E.L. DISEASE - EA FMPLOYF.E S <br />0:NFRAL AGGREGATE f <br />DRO- <br />POLICY LOC <br />PRODUm- COMMIpf4AC,(: S <br />AIITOMOlILE <br />UA91Lrrf <br />AIJY AVID <br />COMDINCD SINGLC LIMIT <br />(E- xadnr) S <br />..� <br />ALL O <br />OWNED AUT03 <br />SG'IEDULEDAUTOS <br />BODILY INJRNiY <br />tper TOIq i <br />CEO AUTOS <br />NON-pWNEO AIJIOS <br />DOOILY INJURY <br />(PM vo"wl = <br />PROPERTY DAMAGC <br />. (PLY awdW) f <br />GAAAW <br />LIMN ITY <br />ANY AUTQ <br />AUTO OMLY - EA ACCIDENT S <br />'T' <br />FORM <br />OTHER THAN EA ACC S <br />AUTO <br />FSCAff�u�uc� <br />r . ur.0 <br />A <br />ONLY Ate, E <br />_. <br />I VCNCLES ( EXCLUSIONS ADDED evENDORSEMENT/ On ., FRONSIONE <br />CITY OF SANTA ANA <br />ATTN: SGT. MARTY SHIREY <br />60 CIVIC CENTER PLAZA, RU 97 <br />P.O. BOX 1981 <br />SANTA ANA, CA 92702- <br />25 <br />SHOULD ANY OF THE AWa DESMMM POLICIES SE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE =RUING INWRER WILL ENDEAVOR TO MAX- 30 DAYS WRITTEN <br />NOTICE TO THE CE nrAlTE HOLDER "MID TO THE LEFT, BUT FAILURE TO DO SD SHALL <br />IMPOSE NO OBLJOATIDN ON LI"t" OF ANY KSID UPON THE INSURER, ITS AGENTS OR <br />REFRBSSNTARVEi. <br />w1►T1gRQEp REFRESENTATRN 1 _ <br />40 ACORD CORD j6 N 1960 <br />_J OCCUR u CLAIMS MADE. <br />���� ; , <br />�r <br />/ � <br />AC,GREGATC ,••- •••,•� � <br />L <br />DEDUCTIRLE <br />Laura Stitt h <br />edy <br />s <br />NFYF,NTION S <br />City <br />torney <br />= <br />WORKER! COMFT:NSATK7N AJJO <br />s <br />EMPLOYERS' UmuTY <br />WC TATI+ 11 <br />ANY 'ROPRIETORII�ARYNF,R)P, %K<,VTN► <br />OFFICER I VXKR D CLUDED7 <br />E. EACH ACCIDD -!T s <br />11�yes. d"0i1is �M <br />til'FCIAL PROVISION.^, below <br />E.L. DISEASE - EA FMPLOYF.E S <br />OTHER <br />ELDIDEA5E- POLICYLIMIT t <br />I VCNCLES ( EXCLUSIONS ADDED evENDORSEMENT/ On ., FRONSIONE <br />CITY OF SANTA ANA <br />ATTN: SGT. MARTY SHIREY <br />60 CIVIC CENTER PLAZA, RU 97 <br />P.O. BOX 1981 <br />SANTA ANA, CA 92702- <br />25 <br />SHOULD ANY OF THE AWa DESMMM POLICIES SE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE =RUING INWRER WILL ENDEAVOR TO MAX- 30 DAYS WRITTEN <br />NOTICE TO THE CE nrAlTE HOLDER "MID TO THE LEFT, BUT FAILURE TO DO SD SHALL <br />IMPOSE NO OBLJOATIDN ON LI"t" OF ANY KSID UPON THE INSURER, ITS AGENTS OR <br />REFRBSSNTARVEi. <br />w1►T1gRQEp REFRESENTATRN 1 _ <br />40 ACORD CORD j6 N 1960 <br />