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Home My WebLink AboutSOCIETY OF ST. VINCENT DE PAUL 1aCity of Santa Ana Clerk of the Council AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Zpl r~oV 30 QM ~ g~ Return form to the Clerk of the Council Office (M-30). Call647-5237 if you have any questions. C(T`i` , !~~dA The agreement with ~ i/ r nJ Cc- ,v ; lJ~ h~A-ct. ~ /Yj,e ,o „q-7-, o ,,~ ~,r.,vr G.~s No. N ,~o~ - 049 - oo ~ was completed on a/ ~2'7 ~0 ? Na and,~jnal~payment has been made. Na s~ n.d~ ce s gic,a E`O, Department: /~~ ~• c~ ~ N~ ^+~-~ Svf Phone/Ext.: X ~? S / Signature: ~- Date: ! ! /j~~a7 Revised 07-23-07 INSURANCE ON FILE WORK MAY PROCEED CLERK OF COUNCIL DATE: G-s-o7 FIRST AMENDMENT TO CONSULTANT AGREEMENT N-2006-069-001 THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into on May 7, 2007, by and between the Society of St. Vincent de Paul, Institute for Conflict Management ("Consultant") and the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"). RECITALS: A. The parties entered into Agreement #N-2006-069, dated July 1, 2006, (hereinafter "said Agreement") by which Consultant has provided mediation hearing officer services for Animal Services complaints. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of said Agreement. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Consultant Agreement, the parties agree as follows: Section 3, TERM, shall be amended to extend the termination date to June 30, 2008. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. APPROVED AS TO FORM: __. ~ ,~ v'~JOSEPH W. FLETCHE City Attorney CITY OF SANTA ANA \ ~"_ P UL M. WALTERS Chief of Police ATTES'~~ .. ~~ ~'A TR/C/A E. HEALY CLER1f C'f THE COUNC/L ~.----" ~--T. Client#: 21346 T+ C/Zv't;ML~n~ ~ N alb ~ ~~SOCIEPAU ACORD,w CERTIFICATE OF LIABILITY INSURANCE USI Northern California SO California Street, Suite 650 San Francisco, CA 94111 415 273-8700 INSURED Society of St Vincent de Paul 422 West Almond Avenue Orange, CA 92666 GATE (MM/DOiY YYYI 01/30!07 I nw t,cr~ I IrI~AI t IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: ESSEX Insurance Company ! 39020 INSURER B: Commerce and Industry Insurance Comp 19410 INSURER C: INSURER 0: COVERAGES :.,~;Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REOSPECTORO WH COHLTHYS CERTIDFIICDA7EAMAY BE I SUED OR ~ ~~ M C AV ERTAIN 7HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Q~ =O ' , L,C ScCr ES aGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LN R ,A D L LTR NSR^ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION Y LIMITS A ;GENERAL UABILI7y ~-~ I 3CU7170 10~27~06 10~27~07 EACH OCCURRENCE S1 QQQ QQQ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED _ 55O QQQ CLAIMS MADE ~ OCCUR MED EXP (Any one person) 51 QQQ i X 5500 Ded Per Claim PERSONAL a ADV INJURY sEXCLUDED L~ I '-• GENERAL AGGREGATE 52 QQQ QQQ : AGGREGATC uulT APPLIES PER. `-' PRO PROOUCrs coMP;oPAGG sEXCL'L1DED X POLICY T LOC ;AUTOMOBILE LIABILITY 'r~ ANV A TO COMBINED SINGLE LIMIT U (Ea acaoenq 5 ~~ ALL OWNED AUTOS ' !SCHEDULED AUTOS ~~ BODILY INJURY (Per person) S ~ I HIRED AUTOS ~-7 ~ j~rR~~I L: AS TC F RM . NON~OwNED AUTOS - - - BODILY INJURY (Per acadenl) S I~~! Z PROPERTY DAMAGE I ~ (Per acci0en p 'GARAGE LIABILITY i- ti, .1 , li',.C 1 A Ci A AUTO ONLY ~ EA ACCIDENT 'i 5 ANY AUTO ~ s~lsta:Tt t me ty ~' ~ ~ OTHER THAN EA ACC S I AUTO ONLY qGG S EXCESS/UMBRELL.A LIABILITY , ~ ~ ~ EACH OCCURRENCE 5 ;~ OCCUR ~ CLAIMS MADE AGGREGATE 5 ~_' S `"~ DEDUCTIBLE S ' ~ RETENTION S B '~ WOR 5 , KERS COMPENSATION AND 3424145 Q1~01~07 01~01~Og X wcsTATU~ 0TH. ', EMPLOYERS' LIABILITY ~ ANV aRO~RIETOR/PARTNER/EXECUTIVE JFFiL_NME,`1D ' K XCL D' D E1. EACH ACCIDENT 51,000,000 , t C J c ! ~I, II yes cescn De unoer E.L. DISEASE ~ EA EMHLUYEE 51,000,QV~ SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 51 000 QQQ I OTHER , , DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS In the event of non-payment, 10 days notice of cancellation may be given. RE Society of St. Vincent De Paul, Institute for Conflict Management(Consultants). City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured as respects to General Liability (endorsement to follow from carrier). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Clty Of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~~ OAVS WRITTEN 2O CIVIC Center PIaZa (M-3O) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAD Santa Ana, CA 927(]2 IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON 7HE INSURE, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 Of 2 #90233 19LJN ©ACORD CORPORATION 1988 I I ~.~ Cllent#: 21346 SOCIEPAU ACORD CERTIFICATE OF LIABI LITY INSURANCE ; D ;ti6 PRODUCER /~~ USI Northern California ' " ~~ ~ ~O _~~ ~ _~~ ~ SD CBlifomfa Street,' Suite 650 . / -T QQrr ~~ - (J ~ q /V ' pq LP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS CERi1FlCATE DOES NO7 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco, CA 94171 /~ KQ 415 273$700 ~a~ ~ W U ~ ' INSURERS AFFORDING COVERAGE ~ ~ NAIC 4 R/SIIRED - - ~~ ~ INSURER A Commerce and Industry Insurance Comp 19410 Council of Orange County Society of INSURER B: St. Vincent De Paul (A Non-ProfH Corp) INSURER c: 422 W. Almond Avenue INSURER D: Orange, CA 92666 WSVRER E: COVERAGES 7HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wmi RESPECF TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLCY EFFECTIVE POLICY E%PWIITION LTR TYPE GF NSURANCE POUCY NUMBER LNRS GENERAL IMJNLRY EACN OCCURRENCE t COMMERCULL GENERAL LUV3ILT' DAMAGE TO RENTED E CLMMS M40E O OCCUR MED EXP (Any a,le psrapn) S PERSONALA ADV NJURY S GENERAL AGGREGATE E GENL AGGREGATE UMR APRIES PER PRODUCTS-CDMPAJP AGG f POLICY J~ LOC AVr OMOBIIE LIABILf(Y COMBINED SINGLE UMR ANY AUTO (Ea acrAlenl) f ALL OWNED AUTOS - BODILY INJURY' SCHEDULED AUTOS ~ _ (PBS ~) E HIRED AIROS BODILY INJURY E NONOWNED AUTOS (Px ecddenp PROPERTY DAMAGE P M [ E er arc ( en J GARAGE LUUIILRY AUTO OILY-EA ACCRN:NT f ANY AUTO OTHER THAN EA ACC E AUTOONLY: AGG S EXCESSNMBRELIA UA&LRY _ EACH OCCURRENCE 3 OCCUR ~ ClNM3 MADE AGGREGATE f f DEWLTIBIE f RETENRON f f A WoRxERSCOfrENSATwNAIx) 3424145 01!01107 01/01/08 X wcsrATU- oTw EMPLOYERS' LIABILDY ANY PROPRIETORlPARTNERIEXECUTVE E.L EACM ACCIOEM S1 000000 OFFICERAAEMBER EXCLUDED'f E.L. DISEASE-EA EMPLOYEE S1,ODO,900 M yyaaaa~~ tlesviba under SPECIAL PROVISIONS Oebw E.L DISEASE - POLICY UMn 31 OOO 000 OTHER DESCRrRIDN OF OPERATIONS/LOCATIONS IVEHICLE9l E%CLU310N8 ADDED BY EMDORfEIEIfTI SPeCV1L - In the event of non payment of premium, l0 days notlce of esncellaUon maybe ~ r ~ ~--^ ~~..-• , .r ~~ ~,. ~ ',~.,^p RE: Cold Weather Shaker. . _ _... __--- E~_ A; City of Santa Ana, Community Development Agency P.O. Box 1988 Santa Ana, CA 92702 ACORD 25 (2807108) 1 of 2 i ANY aF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPRATION EaREOF, TIIe ISSUNG NSUREBBIILL ENDEAVOR TO MAL ~0_ DAYS VAtIrIFUI TO THE CERTFICATE HOLDEN NAf1FD TO THE LEFT, BUT FAILURE TO DO SO SNALL KND UPON Txe NSURER RS AGENf3OR 198E Client: 21346 SOCIEPAU ACORD.M CERTIFI CATE OF LIABILITY INSURANCE °"'"Y' ;Z;ZB;o; vaopucER C " ~)~~ ION I I $ T (~•03~--OCf USI Northern California ON LY AND CONFERS O RIGHTS U ON THE CERTIFlCATE 50 California Street, Suite 650 A - i qqg _ (zl S F i CA ALDTER RHE COVERAGE AFFORDEDNBYTTHE POLIC ES 8E OW. an ranc sco, 94111 A' (qq g -O~{S-Oy 415 273.8700 A ~a0e70 _~ O INSURERS AFFORDING COVERAGE NAIC # INSURED A-1003-0lc0 Soci t f St Vi t d P l wsuRERA: ESSEX Insurance Company 39020 e y o ncen e au 422 West Almond A Af 1 0 ~ INSURER e' National Union Fire Ins Co - Pittsbu 19445 venue ( -0 0 6-Oib j Oran e CA 92866 wsuRERc g , INSURER 0'. INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. IN R LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE pAT MMIDD Y POLICY E%PIRATION P.T M D/YY LIMITS A GENERAL LIABILITY 3CX6561 1D/271D7 1D/271D6 EACH OCCURRENCE $ 1 DDD DDD X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ESO DDD CLAIMS MADE ~ OCCUR MEO E%P (Any one person) E1 DDD X BI/PD Ded: 5500 PERSONAL 8 ADV INJURY E GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S POUCV PRO- JECT LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea acatlenll ALL OWNED AUTOS BODILY INJURY $ SCHEpVLEO AUTOS I Par person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS 1 Par accltlenU PROPERTY DAMAGE $ (Peramtlenl) GARAGE LIABILITY AUTO ONLY-EA gCCIDENT $ ANV AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ E%CESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ 8 DEDUCTIBLE RETENTION $ E B WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY 34266]3 Dtl011D6 DtID1/D9 X WC STA IU^ O1H ANV PROPRIETORIPARTNERIEXECUTIVE EL EACH ACCIDENT g1,OOD,000 OFFICER/MEMBER EXCLUDEDP If as tlesaibe antler EL pISEA$E-EA EMPLOYEE 81 OOO,OOO y SPECIPI PROVISIONS CeIOw EL DISEASE-POLICY LIMIT $t DDD DDD OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I E%CLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS In the event of non payment of premium, 10 days notice of cancellation may be given. RE: Society of St. Vincent De Paul, Institute for Conflict Management (Consultants). City of Santa Ana 20 Civic Center Plaza (M30) Santa Ana, CA 92702 ACORD 25 (2007108) 1 of 2 #5997761M99775 BHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL a OATS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO BO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZEp IGI IAI ~naP IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of [he policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certifcate holder in lieu of such endorsement(s). DISCLAIMER The Certifcate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001!08) 2 Of 2 ifS99T76IM99775 CHECKLIST FOR PROCESSING AGREEMENTS AND AMENDMENTS ~, s,#1Y ? 2 ~~ ~. S 1~ TO: CLERK OF THE COUNCIL OFFICE FROM: DEPT.: Police Animal Services ((s~ - l~._~<. ~ t`~i-~ ~.i~si~ MAIL STOP: 18 CONTACT PERSON: Sgt. Marty Shirey EXT.: 8791 THE FOLLOWING ITEMS SHOULQ BIw PR4~ftDEf~ tlhl:~t1EST PR~~Stl~tt3 CyF: Af3RI~ME~'~81~OR THE CITY: AGREEMENT NUMBER (if amendment): A / N N-2006-069 AMENDMENT NUMBER (if applicable): ^ 1sT ® 2ND ^ 3RD ^ COUNCIL APPROVAL DATE: TBD AMOUNT: ^ OVER $25,000* (A) ®UNDER $25,000* (N) NAME OF CONSULTANT: St Vincent de Paul Institute for Conflict Management TERM OF AGREEMENT: EFFECTIVE DATE: 7/1/07 TERMINATION DATE: 6/30/08 INSURANCE REQUIRED: ^ NO (Provide City Attorney Office approval) ® YES ^ AUTO ®CGL (Commercial General Liability) ^ PROFESSIONAL LIABILITY ®WORKERS COMPENSATION (INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COT^' SIGNATURES REQUIRED: ® VENDOR ® AGENCY (UNDEF ® CITY ATTORNEY ^ OTHER COMMENTS: Iki,n.~%~+~ oti ~''`~ C~ / U ~~ ~ ~ S~1 ~1,'~ ~ iii .rte ''1 FOR CLERK OFFI USE ONLY: PROCESS ADDITIONAL REMARKS: /,~~~~ ^ DO NOT PROCESS ^ MISSING CONTACT/PROJECT MANAGER INFORMATION ^ MISSING SIGNATURES ^ NEEDS COUNCIL APPROVAL * Charter amendment effective oecemper z~, ~uub ror wry manager cvniracr. auuwn~y n~~~Caac. t, -~ snr~Fanu ACORD,~ CERTIFICATE OF LIABILITY INSURANCE o2~ 6 2oo ~""' i / 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~ USI San Francisco ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 50 California St., 6th Floor / ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (1 San Francisco, CA 94111 _ ~~~ ~, - ~) C. ~ - j, 877 490-7535 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: NatlOnal Union Flre InS PittSbUrgh, 19445 Society of St Vincent de Paul INSURER B: 8014 Marine Way INSURER C: Irvine, CA 92618 INSURER D: INSURER E: Cn\/FR AQFC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DATE MM D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED n $ CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY HJJURY $ NON-OWNED AUTOS (Per acddent) PROPERTY DAMAGE $ (Per acddent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND 3429095 01/01/09 01/01/10 ~( WCSTATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE E.L. EACH ACCIDENT $1 OOO OOO OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1 OOO OOO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1 OOO OOO OTHER APP U VLF ~'~.:9 ~ f~ ~'O DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS , ~ ~. , , In the event of non-payment of premium, 10 days notice of cancellation may be given. ~f'`"' In the event of non-payment, 10 days notice of cancellation may be given. - Laura ~, ,,^ ~ dy RE: Society of St. Vincent De Paul, Institute for Conflict Management ~ ~SSlstarit '~,'il y ,; _ , ; ~. ;, fey (Consultants). SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~,0_ DAYS WRITTEN 20 Civic Center Plaza (M-30) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana, CA 92702 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTH O R IZ ED R E P RESENTATIVE ' • ~- ~_ ~' ~e _/n ~ ACORD 25 (2001/08) 1 Of 3 #S3289259/M3288043 PC3JA ©ACORD CORPORATION 1988