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CIS '2 '1 If'Z 0 02 Q I_- A X Wil 111SURA110E 10001/00Z <br />h- "' 0 1 — C) -7 "< <br />r,% -wl it k- on. A N I A MIR N'lr%r Ik10%% IMA, UATE (mm=" <br />03/2S/(>: <br />7AIS CER71FICATE IS ISSUEO AS A MATTER OF INFORMATION <br />0 NLY AN D CO N r CRS NUJ' wR � CH 4 S UIP'ON' T1 M C ORT N�ICATC <br />— I V .11 neire k1r'Yr AtAPPJri C:Vlr=Mr% ruj� <br />p'mj jn!��"vtftna!n gervicess, Ini-r- 1-1ULUCEC I a UMK I 1� I I <br />8.0, Box 3895 ALTER THE COVERAGE AFFORDLE) BY THE POLICIES BELOW. <br />Laguna nillm CA 92654 INSORERS AFFORDING COVERAGE <br />Phnnm-949-380-8300 Fax:949-3GO-7i9U <br />INSURERA' Scottsdale Ins Co <br />*3URER B: <br />Sheltel: Ltr'S'uP ER C' <br />4452 jNsvk'6pa 1______'_­__ I I <br />Lacruna Beach CA 92652 ­ <br />wiiURER E <br />THEFCV, IcIFS OF NSURANCL L0.1 Fu HhLtJW <br />&R <br />HAVE btEN IZISOEL1 lul HL iN$UkED hbl+k YE FTHL;:0LJG'f PER"- iWDiCATED <br />OR <br />AM REQUIREMENT, TERM OR CONDITION OF <br />qAypERTAIN,'TmE IrISU RANGE AFFORDED <br />ANY CONTRACT OR aTHCfi DOCUMENT WITH FESFECT TO VvHIOH THIS CIERTIFIC-ATE Mlky BE---. IBSU�D <br />By 711E FOLICIESCESMOCID HrrCtfN IS S'JBJF-CT'rO ALL THE TERMS, FXCLUSIONS AND CONDITIONS Or,'uJrkI <br />ZtC <br />LIPt FtlOF <br />B <br />FIRCIDAMACE(Anyorohm) JZ10U000 <br />� �E�X;' (An�vom; m 5o <br />'E:o <br />pDD.-QWL & ADY 1 C, 0 0 0 <br />GE-NERALACGREGATZ is 2000009 <br />JCTS - COVIPIOP <br />PRO- <br />0MOMILr, LIAHILrFY <br />ANY AUTO <br />FD,'iINC41 F I INVT T <br />-------- - -­ <br />71 ALL OWNED AUTOS <br />80DILYINJURY <br />SCHEDULED AUTOS <br />LLI�_ - , - — ------- <br />NDtVC','0NEU AUtOS <br />1300:1-YINJUrW <br />0 <br />PROPERTY DAMAGE <br />j <br />ARAGE: <br />LIABILITY <br />AUTO ONLY - FA AWA DENT $ <br />AXY AUTO <br />cy <br />AUTO CNILY' I <br />AGG S <br />EXCESS LIA131UTY <br />UkL''U4:1 ISLE APPRC)LVJ*'-) AS TO -FORM <br />LRETcYvilW <br />ul <br />UTAIU- I I <br />�,Iura Sheecj%A <br />!'k' EkPH A ("r-KIIIE UT T <br />................ .. .... -- ---- <br />F I nOIPA5�P - rA FMr5I CVFLi A <br />0 ("'PIPTION O"F QOaY F!NIIIDRSEMEN-T-/9PEUIALPROVISfONS <br />5S OPERA71ON&LOC ONS)VFHICLES/EXCLU116�S A60 <br />city of Santa Ana, its orfjoeXq, ,Agents, EjuployeeZ and Volunteers are najaeCl <br />as additional insured as rft'qp�at-3 thear 3'riternst in connection Wihilt <br />named insured. *10 day notice tc-r nOn-PE'Yment Of Pxemium <br />(' FRTIFIC.ATE HOLDER N I AMITIONAL INSURED: INSURER LETTER: <br />SHOULD ANYOF THE ABOVE DESQ1NISIEn POLICIES aF CAN OIELLED BEFORETHE F-APiKA 1-4 <br />DATE IHCMOF. THE ISM IW INSURER MLL XVyAiN0MffiM MAJ L _±!�LDAY$"ITTEN <br />(;mty of Santa Ana- clj!G tvi-25 NOTICE TD TME CE11TIR CATERU LUER NAMED TO THE LEFT, VIU"1.. SHA1_L <br />ccmm'mity IMPOSE NO OBLIGATION OR LLAB143TY01' ANY KIND DRON THE INSURER, rrS AGENTS OR <br />P 0 13ox 1989 RIFF)RESENTATIVES. <br />Santa Ana CA 92?02 --aaaEm pET'kmZ,7A <br />Houma A= L-A <br />Rp (-.)R-Ayl r1w 4 4 F(A <br />