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ACCORD CERTIFICATE OF INSURANCE <br />ISSUE DATE: 07122@9 # 0030893 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Services Central, Inc. <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />6300 Norman Center Drive, Suite 1000 <br />Minneapolis, MN 55437 <br />COMPANIES AFFORDING COVERAGE <br />°�R" ASt. Paul Fire & Marine Insurance Company <br />INSURED <br />COMPANY B <br />LETTER <br />AMERICAN CAPITAL ENTERPRISES, INC. <br />COMPANY C <br />LETTER <br />AMERICAN CAPITAL ENTERPRISES, INC. DSA HEALTHCARE BILLING <br />COMPANY <br />LETTER D <br />42145 LYNDIE LN #212 <br />TEMECULA.CA92591 <br />COMPANY <br />LETTER E <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />Policy Errecave <br />Policy Eaplretion <br />LIMITS <br />LTR <br />D4te(MMIDONY) <br />Dele(MM/DDIYY) <br />GENERAL LIABILITY <br />GENERALAGGREGATE <br />E <br />❑ COMMERCIAL GENERAL UABILITY <br />PRODUCTS-COMPIOP AGG. <br />S <br />❑ CLAIMS MADE ❑ OCCUR. <br />PERSONAL&ADV. INJURY <br />E <br />OWNER'S 8 CONTRACTOR'S PROT. <br />EACH OCCURRENCE <br />$ <br />❑ <br />FIRE DAMAGE (Any one Ive) <br />E <br />MEO. EXPENSE (Any one Penwn) <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br />LIMIT <br />E <br />❑ ANY AUTO <br />❑ ALL OWNEDAUTOS <br />BODILY INJURY <br />IP— Pensanl <br />E <br />❑ SCHEDULEDAUTOS <br />❑HIRED <br />BODILY INJURY <br />AUTOS <br />(PeraaJaent) <br />E <br />❑ NONIOMEDAUTOS <br />❑ GARAGE LIABILITY <br />A <br />D [� <br />( A <br />�') y`l <br />PROPERTY DAMAGE <br />E <br />EXCESS LIABILITY <br />INW <br />_ <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />E <br />❑ <br />UMBRELLA FORM <br />❑ OTHER THAN UMBRELLA FORM <br />jLi SI' V` pV <br />WORKER'S COMPENSATION <br />AND <br />L <br />tiylStO� <br />lly / <br />STATUTORY LIMITS <br />EACH ACCIDENT <br />E <br />DISEASE — POLICY LIMIT <br />E <br />EMPLOYERS' LIABILITY <br />DISEASE —EACHEMPLOYEE <br />E <br />OTHER <br />$1,000,000 <br />ERRORS & OMISSIONS LIABILITY <br />Per Claim & Aggregate Per Year <br />INCLUDING PERSONAL INJURY <br />506JB6037 <br />2/1/2009 <br />2/1/2010 <br />Includes: <br />FAC, CIB <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESI SPECIAL TERMS <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />PQ BOX 1988, M -17 MAIL JQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />SANTA ANA, CA 92702 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORMED REPRESENTATIVE <br />ACORD 26 -S (7190) ® ACORD CORPORATION 1990 <br />