ORANGE, COUNTY OF - SHERIFF'S DEPARTMENT (3)

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CHARTIS AEROSPACE INSURANCE SERVICES, INC. CERTIFICATE OF INSURANCE - CALIFORNIA THIS IS TO CERTIFY TO: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAS/HAVE BEEN ISSUED TO: COUNTY OF ORANGE AND ORANGE COUNTY SHERIFF'S DEPARTMENT 600 W. SANTA ANA BLVD., SUITE 104 SANTA ANA, CA 92701 AIRCRAFT POLICY NO. AV 003792644-03 POLICY PERIOD: From MARCH 31, 2012 to MARCH 31, 2013 INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA LIABILITY COVERAGES LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE Bodily Injury Excluding Passengers $ $ Property Damage $ XXXX $ Passenger Bodily Injury $ $ Single Limit IN cluding Passengers, $ XXXX $ 5,000,000. With Passenger Liability Limited To $ $ XXXX PHYSICAL DAMAGE COVERAGE: GROUND & IN-FLIGHT DEDUCTIBLES: IN-MOTION LIEN REGISTRATION MAKE & MODEL YEAR INSURED NOT INGESTION AMOUNT NUMBER VALUE IN-MOTION MOORING N183SD AS350 B2 2004 $ 2,100,000. $ NIL $ 42,000. $ - N184SD AS350 B2 2005 $ 2,100,000. $ NIL $ 42,000. $ $ $ $ $ $ $ $ $ OTHER COVERAGES/CONDITIONS/REMARKS to 'PROVES AS LISA { C?tY Attorney Assistan sy The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy above. The Aviation Managers assume no responsibility for failure to provide such notice. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is sub'ect to all the terms, exclusions and condition of the policies. Certificate No. 7 ?--- ---- GL?`? Date of Issue 6/06/12 js By (Authorized Representative) CAV30-CA 8/09