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�Oi.f11:llm <br />PRODUCER <br />BELL & EMMONS <br />Insurance Services, Inc. <br />966 Calle Amanecer Ste. B, P.O, Box 5266 <br />San Clemente, Callfornle 92672 <br />(714) 492.7224 <br />CODE SUB -CODE <br />INSURED ..._ _.. ... <br />CHARLIE'S FOODS, INC. <br />201 S. MOUNTAIN VIEW <br />SANTA ANA, CA 92704 <br />A .... 0s( <br />3triHll�li rG 8!8189'' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS` <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />COMPANIES AFFORDING COVERAGE <br />LEr ERNY A CANADIAN INSURANCE COMPANY <br />...COMPANY f3._.. ...... .... ._...._ _.._ _.. <br />LETTER <br />COMPANY.. ...... ...... ....... . ....... <br />LETTER <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CCI TYPE OF INSURANCE POLICY NUMBER ! POLICY EFFECTIVE: POLICY EXPIRATION ALL LIMITS IN THOVSANOS <br />LTR :' DATE (MMIDDIYY) DATE (MMIDDIYY) ':. <br />GENERAL LIABILITY ....... _... ...... ._.. GENFRAL AGGREGATE ..... $ ... ...... <br />A X COMMF.RCIALOFNERALLIABIUTYPRODUCTSCOMPIOPSAGGREGAIE $1q,_OQO�y <br />CLAIMS MADFX ::... OCCUR,: CON724160 5/27/89 5/27/90 PERSONAL AADVERTISING INJURY $1 "000 <br />V OWNER'S & CONTRACTOR'S PROT! ( J V EACH OCCURRENCE 1 $1 000 <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED ALII'08 <br />SCHEDULED AUTOS <br />HIRED AUTOU <br />NON OWNED AUTOS <br />GARAGES UAWLITY <br />EXCESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER _. ...... <br />FIRE DAMAGE (Any one fire).. $ 50 <br />MEDICAL EXPENSE (Any one person( $ 1 <br />..... ..... .>.. .. COMBINED .... <br />SINGLE $ <br />LIMIT <br />BODILY <br />INJURY $ <br />(Per person) <br />BODILY <br />INJURY $ <br />(Per accident) <br />PROPERTY <br />DAMAGE <br />_..... .... ...... __. EACH AGGREGATE <br />OCCURRENCE'. <br />.... .... ... _. _. STATUTORY <br />$ _..._ (EACH ACCIDENT) <br />$ (DISEASE—POLICY LIMIT) <br />$ (DISEASE—EACHEMPLOYE <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIRESTRICTIONS/SPECIAL ITEMS <br />ADDITIONAL INSURED AS PER GL2010 ATTACHED. <br />CITY OF SANTA ANA <br />10 CIVIC CENTER PLAZA <br />P. 0. BOR 1988 M-25 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL * UXI(*N*h <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, MMS XXXIXIX X(XX*)4X XiXIX9trtiMXWXXNX9 X*X%NNNAt9iUX)N <br />