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-;�A vuGER Li4ense # 0502s0a (845) 987-9727 <br />grown & Brown Insurance f MFC &`d Insurance Serv}ces <br />P.O. Boas 2875 <br />Camarillo, CA 93011-2015 <br />2222 Lav+rma Ave <br />Los Anfte €es, CA 90049 -2825 <br />INSURERS AFFORDING COVERAGE <br />INSURER a: <br />INSURER <br />DATE(MM100lYYYYI <br />619072005 <br />WNW. <br />IOVE FOR THE POLICY PERIOD INDICATED. NOT4VIIHSTANDING <br />:SPEOT TO WHICH THIS CERTIFICATE MAY 0E ISSUED OR <br />To ALL THE TERM$, EXCLV9IO4S AND CONDITIONS OF SUCH <br />GIVE <br />�...�. _. ...... .. ,. <br />1 °E OF INSURANCE <br />._. .. ..... ...... ...... <br />POLR:Y NUMBER <br />FOtKY EFFEC'SVE <br />DATE' M10tl <br />POUCYE PIRATION <br />D E 211 <br />LIMITS <br />OVNERALLIA91LIW <br />FACHOCCURRENCE <br />$ 9,090,900 <br />A I <br />CO19ME.ROXGENERALLIAIIIRY <br />PHPK904338 <br />92127/2004 <br />12127/2005 1I <br />, REMIS ce> <br />a so®,DDo <br />�, IMMS MADE T OCCUR <br />111 <br />LMED RAP (Any one cr50nj <br />$ 5 99 <br />PER30NA_iSAOVINJURY <br />$ 9� ®99,000 <br />$ 3,000,900 <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE <br />LIMITAPPLr$ PER; <br />PRODUCTS. COMPIOP AGO <br />$ 3,000,00( <br />1 <br />PODGY I I <br />FRO LDO <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LPRII' <br />$ <br />ANY ALTO <br />(199CCedij <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />{per pateun} <br />60DILY iNXRY <br />HIRED AU" OS <br />NON -OWNfiDAUTOS <br />I <br />(perawdeny <br />__..__. <br />PROPERTY OANIAGE <br />$ <br />{Rar ecddYnll <br />i <br />GARAGE UABIUrf <br />v <br />AUTOONLY - EA ACCIDENT <br />& �- <br />$ <br />ANY AUTO <br />pTHER THAN EA ACC <br />$ <br />! <br />AUTO ONt.Y. AGO <br />ExCEs9'UMriRELLA LIABILITY <br />EACH OCCURRENCE <br />Y 2,99D,000 <br />A <br />lr } =Up <br />F 9ilFIe339aT2 <br />121`2712004 <br />1212712905 <br />1 AGGREGATE <br />$ 21000.000 <br />_ <br />5 <br />DEDUCTIBLE <br />XRETENTION S 90,000 <br />} <br />Y /ORKEAII OOMPENSAYION ABD <br />6MPLOYEKS'U IM-111 <br />/ <br />WG gTb'(V- OTH' <br />TORY LIMITS, EFS <br />E.t_ EACHACCIOVNT <br />Z <br />OFFICEMMEM ERi EXOILUERIE%EOjlTite <br />pFFiCEkLMEM£ER EXCLUDED? <br />Y <br />__- ...... <br />$ <br />Et 01sEASE.P.R EMPLOYEE <br />It Vr+a, dosGiba Vndor <br />SPECIAL PROVISIONS bolow, <br />_ <br />,w 9.,at1G`& <br />Stitt S�tGeC <br />EL.4lB9tSE- i'OLIGY LIMIT <br />8 _ <br />OTHER Assistant City Attopey J <br />DESC3EIFn0Pr OR OFERAYfquB t t,OGATrpN£ /VEHICLES 1 EXCLUSIONS ADDED BY ENOORBRMENT I SPECIAL PROVISIONS <br />(10) sway Notice of Cancellation for Non - Payment of Premium <br />"Proof of ingurance"` <br />City of Santa Ana <br />pemonnel Services Department <br />Post Office Box 190$ <br />Santa Ana, CA 92702= <br />9HOULO ANY Of THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE YNEREOC„ THE i££UING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wmTrON <br />NOTICE TO THE CERTIFICATE NGLIIER NAMED TO THE LEFT, OUT FAILURE TO DO £0 SHALL <br />IMPOSE PO OBLIGATION OR LIABILITY OF ANY FUND UPON THE INSURERS ITS AGENTS OR <br />Ea] <br />