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ACORDTm CERTIFICATE OF LIABILITY INSURANCE <br />DATE {M 00� <br />0113112001Y} <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Fx_]OCCUR <br />X 1 1 1 1 1 1 1 1 1 <br />01/01/2001 <br />0 1 10 1 12002 <br />EACH OCCURRENCE <br />$ 1;000;000 <br />FIRE DAMAGE (Anyone fire) <br />$ 50,000 <br />MED EXP (Any one person) <br />$5,000 <br />PERSONAL & ADV INJURY <br />$ 1;000;000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X222222222 01/01/2001 0 1 10 1 12002 <br />SEE A ADDITIONAL <br />INSURED ENDORSEMENT <br />COVERAGES DEPEND ON TYPE <br />OF AGREEMENT/CONTRACT <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ � �������� <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR EICLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />XXX333333333 <br />01/01/2001 <br />0 1 10 1 12002 <br />TORY L IM OER <br />E.L. EACH ACCIDENT <br />$ 1;000;000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1;000;000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1;000;000 <br />OTHER <br />Professional Liability <br />PL444444 <br />01/01/2001 <br />0 1 10 1 12002 <br />Each Occurrence 1;000;000 <br />DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Certificate Holder is additional insured per attached. <br />Project No. <br />CERTIFICATE HI)LDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN <br />29 Civic Center Plaza - Ross Annex (M— NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Santa Ana, CA 92791 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 -S (7197) O ACORD CORPORATION 1988 <br />