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05/31/2611 14:39 949--8299203 PARMENTER INS AGENCY PAGE 02 <br />?r_cu CERTIFICATE OF LIABILITY INSURANCE °"-HK,""QFX"TTT; <br />15/31/2011 <br />THIS CERT+iCA.TE IS ISSUED AS A MATTER OF INFOR14ATION ONLY AND CONFERS NO ROWS UPON THE CERTIFICATE HOLDER. THIS <br />C€--RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />Qf=LOW. TH-S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />R17PRF.SENIATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />YIPO TANTB If the certificate holier is an ! ,the polipy(les) mart be endorsed. SU9ROG ION IS WAIVES. subject to <br />tht terms and ,,onditlora of the policy, certain poNCies my require an andorsamrnL A statrment on this cwditwb dogs not confer rights to the <br />cti 0cate holdw in lieu of such endorsement(s). <br />PattDenter Insurance Agency <br />214?1 Abedtl <br />Mitision Viejo, CA 92681 <br />Kau KIM - _...._.?. <br />Jinn Lentz <br />DISA: ThinkOp s <br />COVERAGES CERTIFICATE NUMBER: REVNIODN NUMBER: <br />TH S IS TO r CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE=D NAMED ABOVE FOR THE. POLICY PERIOD <br />1 WDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE; MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, <br />F'KCLUSIOW3 AND CONOITIONs OF SUCH POLICIES. LIMITS SHOWN MAY WAVE BEEN REDUCED aY PAID CLAIMS. <br />tiv TYPE OF INGA l WA uno warm <br />_---? <br />A __ "L6 t°" ITr x 078BAK1a1Q3 243-10 124341 wHac ENix _ S1.000000 <br />X COWreitaAL UENERAL LIAIMLITV _ $300.009 CLWAS-MADE x aOcuR I IilEOt P guy one L $5 000 <br />9 PERSONAL a ACV INJURY $1,0000.000 € <br />QEWL AGIGJ{C 11*- L-7 AIIPLI211 PER: PROOL CTS - OMPMR /dap S 1 AU0 Q!y - ?o <br />Poucr ` LOC <br /> <br />AN1 AUTU BODILYmkIURYP«pe,sat) $ <br />- A 1,L C SAI*10 SCE LED BODILY INJURY (Per 20dat) <br />---- 9 <br />-. <br />$ <br />....... HIAW AUTOS AUV909? 0 ?ry <br />? <br />= _....,. <br /> <br />I {nNlO U&.J". LAO <br /> <br />R <br />OCCU <br /> <br />LOAM H 00CURRENCE <br /> <br />s <br />- <br />-- -- <br />Crt 6s cJAR ( CLAMPS MApC AQQfVQIATE w- <br />M,l21iR@Rl G1a1rawaw ae M o ? ?: •.1G L1 <br />AND ns rt_ovER ' LIASWY Lb+Rtta -- <br />ANY PR(JW If:TOR/PARTt4FRIE%ECUTIVE YIN E.l. EACH ACCIDENT S a <br />OFv1CPP.XEMBFREXCLVDED7 NIA -^--- <br />"s <br />(NMtdat"y In NH) E.L. OISEASE - EA t;MPLOYCI $ <br />DEfiCRJPYICN OF L?RATI E.L, OI$CA9! -POLICY LMT _.? <br />n <br />affl CRIPTION W (;*IRAMNS 1 LOCATION! I Val µsaKS ACOIm 101, AdWk tM RMAMM Uchad^ R mm "wA * M NgJNrd) <br />T h* City of Santa Ana, its officers, employees, agants and voWnteem am named ss additional Insured with milard to liability <br />CFRTIR FICATE HOLDER CANCELLATION <br />q-Fa City of fiatifa Aria APPROVED AS TO FORWI 2fl Civic Center Plaza SMI;N„D ANY OF THE AbOn DESCROED POLICIES BE CANCELLED BEFORE <br />THE KKOWtATWN DATE TIE OF, NWICE VALL 8E DF_UVERED IN <br />St rtts Ana, C.a. '9x702 n a r A0001lCANCE WITH THE POLICY wlsOVis10Nti. <br />TERESA L. J AWHORMOREPRSawrAWN <br />Assistant City Attorney 1.1 / x <br />01SU-2010 ACORD CORPORATION. AN rights reset it. <br />ACORD 29 (2010106) The ACORD "*ww end logo err regla Bred marks of ACORD