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<br />AUG-17-200" <br /> <br />11:"6 <br /> <br />SPECTRUM RISK MGMT <br /> <br />P.01/04 <br /> <br />k;( <br /> <br />.ACDRQ. 'CE~TIFICATE OF LIABILITY INSURANCE I õaïi7iioö4' ' <br />ReouCIR (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INfORMATION <br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERl'~~CATE DOEs NOT AMEND, EXTEND OR <br />CA Lic. #OC774~5 ALTER THE COYERA E AFfORDED BY THE POUCI!s BELOW, <br />18010 Skypark C;rcle, 1140 <br />Irvine, CA 92614 INSUReRS AFFORDING COVERAGE NAIC' <br />"UIUD l"SCíf Corp. A-~eo3-~ INSURS"" Evanston Insurance Co. 35378 <br />18281 Gothard St..Ste.l09 IN9VREIU: Arneri tan States Insurance <br />Huntington Beach. CA 92648 A -~wt- 023 INSURER c, AICì Groll l <br /> ~9VRERD, State COmpensation Ins. Fund 3507& <br /> INSURER e;: <br /> <br />THE PO~ICIES OF INSuRANCE LISTED SELOW HAvE BEEN ISSUED TO THE INSURED NAMED AIIOvE FOR THE PO~ICY Pa¡.IOD INDICATED. NOTWlTHSTANDIN' <br />ANY REDUI'lEMENT, TERM OR CONDITIQIII OF ANY CONTRACTOR OniER DOCUMENT WITH RESPECT TO WfjICH THIS CERTIFICATE MAY SE ISSUeD OR <br />MAY PERTAIN, niE INSURANCE AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A~~ THE TERMS, EXC~USIONS AND CONDITIO"'; OF SUCH <br />PO~ICles. AGGREGATE ~IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID cv.IMS. <br />IS" ""E OJ! IN8URANCI! POUtY NUIlBElt PfJUCY I£FFEC11VI POUCY DJl'RA'nc. <br />GIJIIJW.LWIIU1Y 04CLP1005236 01/01/2004 01/01/2005 Eo>.~OCCURAlHCE <br />X COUNERClAL GENeRAl UABtUTY ~r.tAGe TO ~ <br />C'-""S MADE [!] OCCUR <br /> <br />. <br /> <br /> <br />L.IIITII <br />. <br />. <br /> <br />^ <br /> <br />~~EXP(Any".penonJ S <br />ÆR90NAL.1 AOV INJURY S <br />GENERAL AGGRE~TE S <br />~IJUCTS - COMPIOP AOG S <br /> <br /> <br />LOC <br /> <br />01-CE-703426-&O 01/01/2004 01/0l/2005 <br /> <br />CO&.4lINED SINGLE L.IWIT <br />fEe I~danl) <br /> <br />X ANY AUTO <br />ALL OWNED AUTOS <br /> <br /> aoDR.Y IMJURY . <br /> (Pør~) <br /> BODILY ll\UURY . <br /> (Pol' 1CCi( ~Q <br />'3 PROÆRTY DAMAGE <br /> (PlII"lIc::I:IdR) . <br /> <br />B <br /> <br />SCHEDULED AUTOS <br />X HIRElt AUTOS <br />X NON~WNED Al,ITDS <br /> <br /> <br />AUTO DNl.Y. Eo>. ACCClENT . <br />OTHER TWAN EAACC $ <br />AUTO om Y: AGG S <br /> <br />EACH OCCURRENCE . <br />"GGR£~TE $ <br />.000,000 . <br />. <br /> <br />GARAGI! UQIUTY <br />ANY AUTO <br /> <br />C <br /> <br />8CEllell8BREUA LIA8JTT <br />X OCCUR D C~ ~DE <br /> <br />8E2349062 01/01/2004 01/01/2005 <br /> <br />DeDUCl18I.E <br />RETs¡fIDN <br /> <br />. <br /> <br />. <br />1750075-04 07/01/2004 07/01/2005 X WCnAT1J. OTH- <br />TO BE ISSUED BY 5aF, ..L. EACH ACÇIDEI<T S <br />E.LDI5EA5E'EAE"""- . <br />1;.1.. OI5r;ASE. ÞOUC'f UMIT . <br /> <br />WOIÐŒR8C(8IEIiIIA11ON MO <br />EIIPLDYERS" LIAIIIUTY <br />D ANY PAOPRtETORIPARTNERlEXECUTIVE <br />OFFlCE_- exCLUDeD'I <br />~,... ._Þe ,n." <br />SPECIAL ~ISIONS l!illlol~ <br />OTHER <br /> <br />)EIC~N OF OPERAn0N81 LOCATIONI1¥EHlCtL.R' !lCWIIONI ADDIO av I!IIDCIR$EIIENf, "Scw. PROVISION' <br />he Clty of Santa Ana, its ofT1cers, employees, agents, and representatives <br /> <br />nsureds. Insurance 1s pr1~ry and non~contributory <br /> <br />s <br /> <br /> <br />20000 <br /> <br /> <br />are included as additional <br /> <br />e notice below: <br /> <br />10 Days for NonPayment/NonReporting Payroll <br /> <br />.--- <br /> <br />.. ---.. <br /> <br />9HOULD ANT ~ f'tie A80Vl 0!8C1tf8IO POUCII!8 ØI! CAI8;:ELJ..&D BEFORE THE <br />EXP8IAllQN OA"fE nEREOF. TttE 8S8UIMG IN8IJRI!1t WILL MVltV'\1lfoWlN. *"- <br />-ILDAYIWlim&N NOTICE T1'J ~ C~RTIFICATE HOlŒR NAIlED TO ntE LEFT. <br />16_"""-"'~ r~-IfUIII I6I !tVlIIII-ICX <br />IfNIiI! '---'__.m- "-ww_............. -IQOCXXXXXXX <br />AUTH.""".""'.HEIITA11\IE I'ì..-. rl -- <br />:Hm Water-house/CINNIE ...".-- ~ <À/ <br />ilMCORD CORPORATION 1881"Y () <br /> <br />City of Santa Ana <br />20 Civic Center Place <br />P.O. box 1918 <br />Santa Ana. CA 92702 <br /> <br />'CORD 25121Ø1/D81 <br />