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t?r?4 City of Santa Ana <br />Certificate of Self-Insurance <br />City of Santa Ana, Risl< Management, M-28, 20 Civic Center Plaza, Santa Ana, CA 92701 <br />This is to certify that the City of Santa Ana is self-Insured for the following coverage: <br />Self-insurance Llmit <br />Tvne of Coverage ?--- <br />$1-,-000,000 <br />General Liability: Bodily Injury and Property Damage <br />Terms, Conditions and Special Items: <br />above, shall apply only with respect to claims arising out <br />The provisions under General Liability, <br />fficers <br />of the negligent acts or omissions of the City of Santa Ana, its o, agents and employees or <br />any other person under its direction and control. <br />Cancellation: <br />ured coverages be modified or cancelled before the <br />-ins <br />Should any of the above described self <br />expiration date shown below, the City of Santa Ana will provide 30 days written notice to the <br />named certificate holder. <br />Certificate <br />South Coast Air Quality Management District <br />Mobile Source Air Pollution Reduction Review <br />Committee (MSRC) <br />21865 Copley Drive <br />Diamond Bar, CA 91765 <br />Certificate Effective Date: ulfuircwl <br />Certificate Expiration Date: 07/01/2013 <br />Briza Morales, Risl( Management Technician <br />(714) 647-5470 <br />Date Certificate issued: 10/30/2012 <br />55B-23