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ACORDIV CERTIFICATE OF LIABILITY INSURANCE ° <br />T <br />E <br /> <br />I <br />I <br />19 2009 <br />1 18 2009 <br />PRODUCER (949) 218-0840 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Global Program Managers 6 Ins. Srvcs <br />Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />., <br />. <br />Post Office Box 7119 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />Capistrano Beach CA 92624-7119 INSURERS AFFORDING COVERAGE NAIC0 <br />INSURED RISURERA PHILADELPHIA INDEMNITY 18058 <br />Orange County Youth Commission INSURER B: TWIN CITY FIRE (HARTFORD) 29459 <br />Post Office Box 1593 <br /> INSURERC <br /> NSURER D: <br />Newport Beach CA 92659- <br />nnveewn?e INSURER E' <br />THE P <br />OLICIES OF N. VI NL.t LIJ I tU BELUW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING ANY <br />. <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCL <br />S <br />. <br />U <br />IONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR <br />L ADO'L <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MffifD Y POLICY EXPIRATION <br />DATE MNUCC 'Y <br />LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE <br />- B <br /> COMMERCIAL GENERAL LIABILITY RENTED <br />A DAMAGE T. <br /> PR <br /> CLAIMS MADE ?OCCUR MED EXP An we sm 9 <br /> P <br /> ERSONAL S ADV INJURY 8 <br /> G <br /> ENERALAGGREGATE 9 <br /> GEHL AGGREGATE LIMIT APPLIES PER <br /> <br />O. <br />PR <br />- PRODUCTS - COMPIOP AGO 8 <br /> <br />POLICY <br />I F <br />CT LOG <br />1 <br />A AU TOMOBILE LIABILITY <br /> <br />ANY A COMBINED SINGLE LIMIT <br />E <br />9 1 <br />000 <br />000 <br /> UTO a ardent) <br />( , <br />, <br /> ALL OWNED AUTOS PHPK 476 363 10/20/2009 10/20/2010 <br /> <br />X <br />SCHEDULEDAUTOS <br />,,; N? BODILY INJURY <br />(Per Person) <br />8 <br /> <br /> X HIRED AUTOS V / <br /> S BODILY INJURY <br /> X NON-OWNED AUTOS <br /> <br />A5 <br />(Pe, xziE nq <br />9 <br /> VE? / / <br /> gp PROPERTY DAMAGE <br />IPer a¢iaenp <br />s <br /> GARAGE LIABILITY <br />( <br />? <br />e <br /> ( 5 ?? Tn AUTO ONLY - EA ACCIDENT 9 <br /> ANY AUTO G <br />\\Sa <br />0IN <br />OTHERTHAN <br />EA ACC <br />e <br /> ?? AU <br />TO ONLY: <br />AUTO ONLY: <br /> AGG B <br /> EXCESSNMBRELLA LIABILITY <br /> EACH OCCURRENCE 9 <br /> OCCUR CLAIMS MADE f AGGREGATE 9 <br /> ( 9 <br /> DEDUCTIBLE <br /> <br /> RETENTION $ <br /> e <br />B WORKERS COMPENSATION AND 72WECLS8953 10/20/2009 10/20/2010 X <br />R <br />M <br />ER <br /> EMPLOYERS' LIABILITY T <br />IT <br />Y LI <br /> ANY PROPRIETORIPARTNERIEXEC UTIVE <br />OFFICERRAEMBER EXCLUDEDT EL EACH ACCIDENT 9 1,000,000 <br /> <br /> R ym, 4ssGlba un4ar E. L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> SPECIAL PROVISIONS belay E. L. DISEASE - POLICY LIMIT S 1,000,000 <br /> OTHER <br /> <br />DESCRIPTION OF OPERAT)NSILOCATONSNEHICLEVE%CLUSIONB ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />IN THE EVENT OF NON-PAYMENT OF PRENION, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN. <br />CERTIFICATE HOLDER <br /> nvn <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />( ) ( ) EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TD NAIL <br /> 030 DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, BUT <br />CITY OF SANTA ANA <br /> FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON ME <br />CDA - M76 <br /> INSURER ITS AGENTS OR REPRESENTATIVES. <br />1000 E. SANTA ANA BLVD., #200 AUTH EPREBENTATVE <br />SANTA ANA CA 92701- (rte I&A14C #OC6 r0$ <br />ACORD 25 (2001108) <br />0 ACORD CORPORATION 1988 <br />?+v INS025 (oiw) ol ELECTRONIC LASER FORMS, INC. -1800)93]-0Sa5 Pp 1 d2