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<br /> CERTIFICATE OF INSURANCE <br />acU;?o® 2?s?2olo <br />PR.TI'L c GF: ]'HIS CERTIFICATE. I5 ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> <br />N'\• el is Fargo Insurance SerVlCes LISA, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'J-His CERTIFICATE <br />DOES NOT AMEND. EXTEND OR ALTER OTHER COVERAGE AFFORDED BY THE <br /> POLICIES BELOW. <br />j S S Fremont Street, Suite 800 <br /> COMPANIES AFFORDING COVERAGE <br />j 6tu1 Francisco CA 94105 COMPANY <br /> <br />CA D <br />T LETTER A Great Northern Insurance Company <br />O <br />License #0008408 COMPAN <br />Y <br /> Federal Insurance Com <br />an <br />-- COPIER B p <br />y <br />1 `JSUL'.I[D' COMPANY <br />EiondLo <br />istix <br />LLC LETTERC <br />g <br />, <br />j -, i SOUth Figueroa Street, Ste. 3200 CON PANY <br />LGrrER D <br />Lcs Angeles, CA 90017 COMPANY <br /> LETTER F. <br />-- <br />COVERAGES AND LIMITS <br />1111K IS 1o ci'RrIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />F.-O'11V I 1 161,\ V DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTR ACT OR OTHER DOCU MEN 'r W TTH RESPFC-1' TO IYHrCH THIS CVR71FIr ATR 41AY RF, I.-Fn r1 I M- <br />PERTAIN. 'I'I -IEIN5URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I5 SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />LIMITS SHOWN <br />MAl" 11 \\--L nEEN REDUCED BY PAID CLAIMS. , <br />. <br />C t). 'TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. DESCRIPFION LIMITS <br /> DATE DATE <br /> -:NF:IbV_ LI.ABILIIY GENERAL AGGREGATE <br />$ 2,000,000 <br /> ? <br />COXI K I. GENERAL LIAR. 35582_11-51 02/01/10 02/01/11 PROD-COMP/OPAGG. $ Subject to the <br /> General <br /> _ Aggregate <br /> (l_A 1\15 MADE PF.RS& ADV. INJURY $ 1,0oO,000 <br /> i 1 IICURRENCF <br />? EACH OCCURRENCE $ 1,000,000 <br /> i\i\ <br />'N F.It'S e4 CONTRACT'S PROT FIRE DAMAGE (One Fire) 5 1,OIw,000 <br /> ?_ ] - - - ------- MEDICAL EXPENSE (One Per) $ 10,000 <br /> AtH ON1OBILE LIABILITY <br /> C? ANYAU'rO 7499-6569 02/01/10 02/01/11 COMBINEDSINGLELIMIT 5 11000,000 <br />13 -? A 1.1. L111 NED AUTOS BODILY INJURY (Per Person) 5 <br /> U b(_I TIP DU LEIJ AUTOS BODILY INJURY (Per Arriden) 5 <br /> 1-1 I NIZED AUTOS <br />I <br />J PROPERTY DAMAGE $ <br /> C <br />] NON-OWNED AU-FOS <br /> ( <br />-1 C:ARAGI? LIABILITY <br /> -- <br />13 r.\OLSi l 1.\1111.1rY <br />-- EACH OCCURRENCE $ 5,000,000 <br />j f <br />?l 1; ?IItRI(1. L:\FO IiM 7982-002.3 02/01/10 02/01/11 AGGREGATE $ 51000,000 <br /> <br />--- TI111H "THAN UMBRELLA FORM <br />-- <br /> 1\' ORKEILS'COMPENSATION STATUTORY LTMITS"' ' <br /> AND 1I'il R0 VE?.J, AS I 1M EACH ACCIDENT -? <br /> <br />f\I1'LOYL'R'S LIABILITY <br />-? % <br />DISEASE- POLICY LIMIT J <br />, <br /> DISEASE - EACH EMPLOYEE <br /> <br /> <br />131SC R I PT 10 N O F OPERATIONS/LOCATIONS/VEHICL /SPE IAL ITEMS: -- <br />'ll:c City, its oJlicers, agents- volunteers and employees are na med as Additional Insured. ,- - '? <br /> <br />':A\AF AND ADDRESSOF CERTIFICATE HOLDER: CANCELLA'T'ION: <br /> SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE. ISSUING COMPANY WILL ENDEAVOR TO MAIL. 30 [JAYS WRITTEN <br />City of Santa Ana, Finance and Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE -PO MAIL SUCH <br /> <br />C'1-1'ICes A <br />enc NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, <br />g <br />y ITS AGENTS OR REPRESENTATIVES. <br />20 Civic Center Plaza M17 <br />P.O. <br />A r1na, C <br />CA 92701 <br />%'.Ltn: Francisco Gutierrez .5 j <br />A-rd 25-S (7/97) ACORD CORPORATION 1988