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DATE (MWODNY) <br />A Rn� CERTIFICATE Q LIABILITY INSURANCE aan2r2uo4 <br />Serial # 100139 THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION <br />RODUCIER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />MAGUIRE INSURANCE AGENCY ALTER THE IS CERTIFICATE <br />AFFORDED YOTHE END, E BEDO R <br />L� #0477648 <br />27101 PUERTA REAL SURE 200 - NAICN <br />MISSION VIWO, CA 82891 SlSVRERS AFFORDING COVERAGE <br />_._M_ .. oun AnFI PHIA INDEMNYTY INSURANCE CO. <br />THE <br />NATIONAL COUNCIL ON ALCOHOL AND DRUG <br />DEPENDENCE -ORANGE COUNTY <br />22471 ASPAN STREET,SUITE #103 <br />LAKE FOREST, CA 926304644 <br />CEnR�EAYBSSER <br />WHICH 7HTFMA7EMArtUDO <br />:RLLS. EXCLUSIONS AND CONDITIONS OF SUCH <br />LWAIL Y 10 01 7%AAO I 04/07/2004 I 04/07/2005 <br />CLAW MADE u OOOUR <br />GENT AGGREGATE LIMR APPLIES PER <br />POUCV M LOO <br />AUrOMOWX UAMMY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREO AUTOS <br />NONam" AUTOS <br />GARAAE UAI"6" <br />ANY AUTO <br />MWESSAIABRPLA LLABILNY <br />OCCUR 1:3CLAMIS MADE <br />DEDUCTIBLE <br />RETENTION f <br />TION AND <br />q�ye� �ppp�ARTTxAIDF�CUfIL'E <br />3PECIltl. PROWSIONSbBIUV <br />OTHER <br />OOMBIN&O SIMILE LIMIT <br />f <br />FpOPERJY IGIMAGE If <br />O`MER THAN <br />AUTO ONLY: <br />CERT HOLDER IS AN ADDITIONAL INSURED WITH RESPECTS TO OPERATIONS & USES PERFORMED BY OR ON BEHALF OF THE <br />NAMEDISURED <br />CERTIFICATE HOLDER ---_._ CANCELLATION <br />- SHOULD ANY OF THE ABOVE DESCRIBED PO M�M B{t. �CC.AN.CEl,LEO BEFORE THE EJ�IRATION <br />. ,��.. �.�. _ .�i n::; •'.,.. MT£7HEf1EOF, THE ISSUWD INSURER jWr�p TONAA. 30 DAYSWRITTEN <br />CITY OF SANTA ANA NO= TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALUNE TO 00 SO SHALL <br />20CIVIC CENTER PLAZA IMPONNOOBUGATION RTTYOFANY pNDUPON THE INSURER, rcsAc�1ENTSOR <br />SANTA ANA, CA 92701 / AJ lam.. —uiA/ <br />1988 <br />C:TWROICERTPROS.FPO <br />