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Apr.. 27 09 03:49p T ag 1 <br />Date: 418!09 03:27 PM Page; 1 of 1 <br />From: Irene Garda At: TIB Transportation Insurance>,roxers FaxID: TIS Insurance Broker To: City of Santa Ana <br />OP ID I D <br />DA1(hfi51DDA11 -n <br />QCoRD_ C <br />THIS CERTtFICATEIS ISSUE4 A$ �A MAT'(ER OF INFORMATdON- <br />PRODUCER T <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOEG NOT AMEND. EXTEND OR <br />TI$ TYatISpoY tatit�tt Ins Srok�YS H <br />ALTE.R•THE.COVERAGEAF FORD ED. &Y THEPOLICIEB-BELO.W, <br />suite o <br />I <br />Glendale CA 91204 N <br />INSURERS AFFORDING COVERAGE _- <br />NAIC 9 <br />Phone:018-246-2800 F <br />TR NSRO TYPE OF INSURANCE 1 EACH tv-0, RE7+CC i I , QOO <br />Ge.41M LIABILMY I $50,000 <br />j Q1 /15/09 Q1 /15/10 P�T,E �SEacce) <br />p I x CNINFRCl�_ ^:F.htiPK Lt71 i1'r ' I,ei$0011643 l pLOFxP (My Qnepe:S'n) t 5,000 <br />CI ill&, mkcc � OCVLi? _ <br />PERSfWALBAJt'iu.LRY 51,000, 000 <br />�_�_, �— O nRALnGGRFnATE S 1,000,004 <br />PR—I-N 1S -CC'I PAGG f <br />OU4 AGGRFCATE LMT A°PLICG Pr R <br />LCf <br />PCAICY ,SECT <br />'. AUTOMOBILE I" rTY Ca4,,ddED SI. \t>LELI,•,4T Z5,000,000 <br />01/15/091 01 /15/10 tEa accidM) <br />A I AF1Y -`1i1Q LFBOO1321 S <br />! I - ' <br />Ld } BOWLY 11111 aY $ <br />1 ALL OYJM-O mITOS i I • ;Per Person} <br />X V.4- MLCDAMS <br />-- "YlN.rtFIY F <br />HIPZOA'1TOS (Per atcroetd} <br />PrCPL }t� t.j�.OK•hcO AUIrjS <br />- -1j I(PoR1YDA.4AG <br />(Pert' C <br />5 <br />Hrclderd) <br />' AJTO ONLY- EA ACCIDENT 5 _ <br />1 CARAGR LIABILITY <br />OTHER TITAN EA N7, S <br />r <br />hAY Ail i fii10 OU.Y: ACA S <br />A iJ FQ. Z EA_FiOCI'1hiREtYt -- <br />E %CESS1Ubt8R0.LALJABIUTY AGG><EeATr u F <br />-� t' CUR Cl h(a uADS , S <br />Li11118 SUL( i140CI' <br />ssistant City ttonlCy TORY LjhtlT ER <br />tiYORI(ERSCOWER$AT1ONAND E.L. to CCICI NT F <br />} E63PL0YERS' LIABILITY __�.. —___.. ... _ _ <br />A :eYFRCPR ;E"ORiPARTtiFF/EYUt1',Yt I EL.QISEA3E•EAEWV)'iEE S --- . _ <br />E M <br />r`FPICES'.•1'1CA1f�R CCLUDE { _ <br />!I �cc ms.nbt Later 11 I ____ ,E.L DISEASE -POf iCS't1\JT 3 <br />DESCtaPnoN of oPERAnoas r LDCATIV. +. r err���� � ^��•• °. °. -_ • - - -- - <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED BUT ONLY TO <br />THE EXTENT' THAT THE CERT-IFTCATE HOLDER IS HELD, i,iABEL FOW THE CONDUCT'"Or <br />THE NA14ED INSURED, <br />CANCELLATION <br />CERTIFICATE*HO±'OER Rp ANY OF THE ABOVE DEsc RISE POLICIES BE C/JICGLLED BEFORE THE EXPrRAY10N <br />0000000 61HOt —30. DAY8fitiv <br />DnT.THEREOF.IHEISsu*,y, "o M <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH@ LEFT, BUT FAILURE TO DO SO SHALL <br />:.E <br />The City Of Santa Ana RFPREISENTAnVES. <br />20 Civic Center Plaza AVTHO ESEHtTATN£ <br />Santa. Ana CA_ 92 -701 <br />25 <br />p.2 <br />DESCtaPnoN of oPERAnoas r LDCATIV. +. r err���� � ^��•• °. °. -_ • - - -- - <br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED BUT ONLY TO <br />THE EXTENT' THAT THE CERT-IFTCATE HOLDER IS HELD, i,iABEL FOW THE CONDUCT'"Or <br />THE NA14ED INSURED, <br />CANCELLATION <br />CERTIFICATE*HO±'OER Rp ANY OF THE ABOVE DEsc RISE POLICIES BE C/JICGLLED BEFORE THE EXPrRAY10N <br />0000000 61HOt —30. DAY8fitiv <br />DnT.THEREOF.IHEISsu*,y, "o M <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH@ LEFT, BUT FAILURE TO DO SO SHALL <br />:.E <br />The City Of Santa Ana RFPREISENTAnVES. <br />20 Civic Center Plaza AVTHO ESEHtTATN£ <br />Santa. Ana CA_ 92 -701 <br />25 <br />p.2 <br />