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r <br /> ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/YY) <br /> 01/31/2001 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br /> INSURED <br /> INSURER Al <br /> INSURER B: <br /> • <br /> INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> ,y POLICIES,AGGREGATE LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> II TR TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> DATE IMMInD209 DATF IMMfODNYI LIMITS <br /> GENERAL LIABILITY X111111111 01/01/2001 01/01/2002 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tel $ 50,000 R <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ASV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ 2,000,000 <br /> —I POLICY ,IFt 1 n LOC <br /> AUTOMOBILE LIABILITY X222222222 91/01/2001 01/01/2002 <br /> COMBINED SINGLE LIMIT $ 1,000,000 <br /> X ANY AUTO (Ee occident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per parson) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per nccldeel) <br /> PROPERTY DAMAGE V $ <br /> SEE ATTACHED ADDITIONAL (Per accident)) <br /> GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ <br /> ANY AUTO INSURED ENDORSEMENT OTHER THAN EAACC $ <br /> 1I AUTO ONLY: AGO $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE COVERAGES DEPEND ON TYPE AGGREGATE $ <br /> DEDUCTIBLE OF AGREEMENT/CONTRACT _ $ <br /> RETENTION $ W qT $ <br /> W TO <br /> WORKERS COMPENSATION AND XXX33S333333 01/01/2001 01/01/2002 X RVL1Y' IDEa' <br /> EMPLOYERS'LIABILITY <br /> E.L.EACH ACCIDENT $ 1,000,000 <br /> E.L.DISEASE•EA EMPLOYEE $ 1,000,000 <br /> E.L.DISEASE•POLICY LIMIT,) 1,000,000 <br /> OTHER PL444444 01/01/2001 01/01/2002 Each Occurrence 1,000,000 <br /> Professional Lleblllty <br /> DESCRIPTION OF OPERATIONS/LOOATIONSNEHICLESIEXCLUSIDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate Holder Is additional Insured per attached. <br /> Project No. <br /> CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Santa Ana DATE THERECP,THE ISSUING INSURER WILLS MAIL 30 DAYS WRITTEN <br /> 20 Civic Center Plaza - Ross Annex (M- } NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,a <br /> Santa Ana, CA 92701 <br /> issai <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25-S(7/97) ACORD CORPORATION 1988 <br /> L J :. <br />