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<br />.: (.;.08;). <br /> <br />OF LIABILITY INSUR-a-E <br /> <br />CERTIFICA <br /> <br />DATE ("""DYY) <br />- ,- <br /> <br />PRODUCER <br />Andreini «Company <br />300 Esplanade, Suite 100 <br />Oxnard, CA 93030 <br />(805)981-9585 F:(805)981-0161 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPDN THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY <br />A <br /> <br />PHILADELPHIA INDEMNITY INS CO <br /> <br />INSURED <br /> <br />COMPANY <br />B <br /> <br />S'rATE I"'()MPF.1IrSATJ:ON" INS <br />Iì'ñ~ ~~.¡"rH",,"'j i <br />,; H...,?""'-II'òi\:~'!,;',', ",",;!;.:~ ('L".',.. <br />.,N ....' .::~:. ~:-¡- :l>f-á3:_..- <br /> <br />ORANGE COUNTY CONSERVATION <br />CORPS FAX NO. 1(714)-956-1944 <br />700 N. VALLEY STREET, STE. AB <br />ANAHEIM CA 92801 <br /> <br />COMPANY <br />C <br /> <br />COMPANY <br />D <br /> <br />FUND <br /> <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. NOlWlTHSTANDING 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 />EXCWSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. <br /> <br />AUTO ONLY. EA ACCIDENT <br />DTH," THAN AUTO ONLY, <br />EACH ACCIOENT , <br />AGGREGATE , <br />07/20/03 07/20/04 EACH OCCURRENce ,< MnMn <br />AGGREGATE " Mn "^" <br />T.M'~ <br />06/01/03 06/01/04Ixl~!~~ I lo~.~ <br />El EACH ACCIOENT ,< Mn Mn <br />El D~EASE - POliCY LlM'T ,< Mn "^" <br />El D~EASE - EA EMPLOYEE " Mn "^" <br /> <br />SHOULD ANY OF THE ABOYE DESCRIBED POUCIES BE CANCELLED BEFORE THE <br />EXP1RATION DATE THEREOF, THE ISSUING COMPANY WILLXØ!I$IIaIIJOOXMAIl. <br />'30 DAYS WRIITEH NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />)(j(t() ¡jQiXJI(d()i i:IülJXIœK) ¡II_~1I\X 1oI_)IIII()( Q O JO( <br />)(ð .X)i)¡'¡(~XlIt IXJtIIIXJt' )1diI.1«I. xoro<_~ <br />AUTHOROZEb-RI!J"ESENTATlYE ..J... ~ <br />- t / ð I 1\ I ,( 'SIP /J.ArJ "'r\ <br />.;...~¡¡ftØNðüiF;i <br />V l.) <br /> <br />CO <br />LVII <br /> <br />POUCV El'RCTIVE POUCY EXP1ILATION <br />DATE (MMIDDIVY) DATE (MMIDDIVY) <br /> <br />TYPO OF INSURANCE <br /> <br />POUCY NUMBER <br /> <br />A ~ERAL UABDJTY PHPKO5S497 <br />,fu ~MERCIAL GENERAl LlABUTT <br />J..j --l CLAIMS MADE [XJ OCCUR <br />- OWN,"'S' CONT1IACTOR~ PROT <br /> <br />07/20/03 07/20/04 GENERAL AGGREGATE <br />PRODUCTS - CQMP<Jp AGG <br />PERSONAL . AD' INJJRY <br />EACH OCCUMENCE <br />FÆ DAMAGE (My ano ~.) <br />MED E)(p (My... po"",,) <br /> <br />A ~OIlQBILE UABIUTV <br />X ANY AJJTO <br />- ALL OWNED AUTOS <br />- SCHEDULED AUTOS <br />- HIRED AUTOS <br />- NON.OWNEO AUTOS <br /> <br />07/20/03 07/20/04 COMBINEDSINGLEL"IT <br /> <br />PHPKO5S497 <br /> <br />BODLY IN..\JRY <br />(P" po"",,) <br /> <br />~~DA~DFOBM <br /> <br />BODILV IIWRY <br />IP" ",~..Q <br /> <br />PROPERTY DAMAGE <br /> <br />~AGE UABIUTV <br />---j ANY AUTO <br /> <br />T <br /> <br />D puty City Att may <br /> <br />~:ESS UABIUTY <br />A UMBÆI.lA FORM <br />r-;,. OTl<," THAN UMBÆI.lA 'ORM <br />B WORKERS COMPENSATION AND <br />EMPLDVERS' UAB'UTY <br /> <br />PHUB021098 <br /> <br />46-012055-03 <br /> <br />Tl<E PROI'RIETORI <br />PARTNERSÆXECUTrÆ <br />OFFICERS AJ1E, <br />OTHER <br /> <br />n,NCL <br />HexcL <br /> <br />A <br /> <br />07/20/03 07/20/04 DEDUCTIBLE <br />DEDUCTIBLE <br /> <br />AUTO PHYSICAL <br />DAMAGE <br /> <br />PHPK055497 <br /> <br />DESCRIPTION OF OPERATIONSILDCATIONS/VÐtOCLES/SP£CIAL rrEMS <br />RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES <br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH <br />RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED <br />ENDORSEMENT,ATTCHED.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. <br /> <br />CITY OF SANTA ANA <br />ATTN:ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA CA 92701 <br /> <br />, <br /> <br />\J <br /> <br />UIIITS <br /> <br />'0 Mn Mn <br />'OMnMn <br />51 Mn MIl <br />" Mn Mn <br />$ 'MMn <br />$ CMn <br /> <br />'1,000,000 <br /> <br />, <br /> <br />$ <br /> <br />$ <br /> <br /> <br />1,000 COMP <br />1,000 COLL <br /> <br />.j <br />