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<br />ACORD. CERTIFICATEOFLIABILITY INSURANCl;,u~~~~ ~ DATE IMMlDOIYY) <br />10/31/03 <br />PRODUCER A- - ;;2./X'3 -139 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Consolidated Orange Co. Inc>. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1920 E. seventeenth St., *130 ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. <br />Santa Ana CA 92705 INSURERS AFFORDING COVERAGE <br />Phon..: 714-558-1334 Fax:Lic #0559854 <br />"'UREO INSURER A. BAFECO/American States Ins Co <br /> Southland Commun~cations Markel American Insurance Co <br /> 0; Data Inc. 'NSURER B, <br /> DBA: SOUTHLAND CAR COUNTERS INSURERC' <br /> DBA: PHOENIX DATA SERVICES <br /> 1407 N. Ba§avia St. Suite 107 'NSURER 0' <br /> ~range CA 2867 INSURER E. <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSlJEOTO THE INSURED NAMED ABOVE FOR THE POlICV PERIOD INDICATEO. N01WlTHSTANDING <br />ANV REaUIREMENT. TERM ORCONDIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE '!ERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN RECUCED BV PAID CLAIMS. <br /> <br />LrR <br /> <br />'TYPE OF INSURANCE <br />GENERAL LIABILITY <br /> <br />paucy NUMBER <br /> <br />P LI <br />OAT M""'O <br /> <br />DATE MMIDOIYY <br /> <br />A X COMMERÐlALGENERALLIABILITY 01-CD-677669-0 <br />CLAIMS w.DE 0 OCCUR <br /> <br />09/30/03 <br /> <br />EACH OCCURRENCE <br />09/30/04 FIRE "'MAGE{Aoyooo',,) <br />MED EXP (Any """ ..~on) <br />PERSONAl.&ADVINJURV <br /> <br /> <br />GENERAL ADGREGA TE <br />PRODUC'!S - CaMP/OP AGG <br /> <br />lOC <br /> <br />09/30/03 <br /> <br />COMBINED SINGLE LIMIT <br />09/30/04 (E."""",,) <br /> <br />A <br /> <br />ANY'UTO <br />AlL OWNED AUTOS <br />SCHEOULEaAUTaB <br /> <br />01-CC-677669-0 <br /> <br />BODILY INJURY <br />(P""""O") <br /> <br />X HIRED AU'!OS <br />X NON.QWNEOAUTOS <br /> <br />OODILYINJURV <br />(P"""""') <br /> <br />.. .. .. <br /> <br />PROPERTYOAMAGE <br />IP".""",,{) <br />AU'TOONLV-EAACCIDEN'! , <br />EAAce I <br />AGG , <br />I <br />I <br /> <br /> <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />----". <br /> <br />ANV AUTO <br /> <br />OTHER THAN <br />AUTOONLV. <br /> <br />EXCESS LlABlUTY <br />OCCUR 0 CLAIMS MACE <br /> <br />DEDUCTIBLE <br />RETENTIONS <br />WORKERS COMPENSATION ANO <br />EMPLaVERS" LIABILITY <br /> <br /> <br />, <br />E.L. DISEASE. EA EMPLOVE I <br />E.L. DISEASE. POLICY LIMIT' <br /> <br />OTHER <br /> <br />03/01/03 <br /> <br />03/01/04 <br /> <br />EA CLAIM <br />AGGREGATE <br /> <br />B PROF LIAB INS MG-817294 <br />"CLAIMS MADE" PRIOR ACTS: 03-01-00 <br />DESCRlPTI"" OF OPERAT10NSlLOCAT10NSNEHICLESlEXCLUSIONS ADDED BV"DORSEMENTISPECIAL PROVlSi""S <br />-CANCELLATION - EXCEPT 10 DAYS NOTICE FOR NON PAnŒNT OE' PREMIUM. <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS & VOLUNTEERS AIŒ <br />NAMED AS ADDITIONAL INSURED BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS <br />CONTRACT ARE CONCERNED PER FORM iCG7635 10/01. <br />RE; TRAFFIC COUNTING CONTRACT -PROJECT 5512 <br /> <br />CERTIFICATE HOLDER <br /> <br />Y ADornO"^, 'NSUREO; INSURER LETTER; A <br /> <br />CANCELLATION <br /> <br />UMmi <br /> <br />$ 1 000,000 <br />$ 200 000 <br />$ 10 000 <br />. 1 000 000 <br />'2 000 000 <br />.2 000 000 <br /> <br />.1,000,000 <br /> <br />$1,000,000 <br />$1 000 000 <br /> <br />6ANTO13 <br /> <br />SHOULD ANY OF THE AIIOYE DESCRISEO POUCIES B. CANCELLEI> BEFORE THE "",PIRAT10 <br />OATE THEREOF. THE 'SSUING INSURER WlLL- MAIL ..1Q!. DAYS WMTEN <br />NOTICE TO TH! CERTIFICATE HOLDER "AM.o 'TO THE LEF'T,~ <br /> <br />THE CITY OF SANTA ANA, ITS <br />OFFICERS, EMl?LOYEES, AGENTS <br />ATTN: ZED KEI<ULA <br />20 CIVIC CENTER M-21 <br />SANTA ANA CA 92702 <br /> <br />_. <br />AIITHORIZED REPRESEN'TATI '10_- - () f::. <br />Leonarei Ii Free n;;r-"~ <br />@ACORD <br /> <br />ACORD 25-8 (7/97) <br /> <br /> <br />88 <br />