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<br />Feb-24-05 02:07P Mar1a Halverson
<br />
<br />P.02
<br />
<br />
<br />l!;!'iut-UA It I"-tMiOOlYV)
<br />2/14105
<br />
<br />PROCUCi.R
<br />Driver. Alliant tn5uranco Sorvicos, Inc.
<br />p ,0. Sox 25684
<br />Santa Ana, CA 92799
<br />(800) 821.9283 ElCt 190. Fox (949) 755-2713
<br />ucense No OC36861
<br />IN5UPtED -!;ptclAi."Llo\ii[ifYiiSu~ lP)r.a.t.lIUr.H"
<br />FAMIUES TOGETHER OF ORANCE COUNTY
<br />801 S. LYON ST.
<br />SANr A ANA, CA !l27OS
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONl,V AND'"
<br />CCNFIIlS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ClIlrIplCAYE-'
<br />DOts NOT AMEND, EXTEND OR ALTER THE COYeRAOl! AFFORD!!D BY THE
<br />POLICIES BELOW,
<br />
<br />
<br />COMPANIES AFFORDING COveRAGE
<br />
<br />I~~Y' "j,.--ILLlNOIS UNION INSURANCE COMPANY
<br />COMPANY
<br />LETTeIt B
<br />"COMPANY
<br />LOTUM c
<br />-~~~~~.Y--~-D~-.
<br />COWANY E
<br />Len..
<br />
<br />THIS IS TO CERTIFY mAT THI: P(lLICIU 0' IN&UItAHCI: Ll$,e ULOW HAW' .UN ISSUED TO TtI! llSUIIIED NAIlED MOvI FOIIt THil ~., """P INDICATED.
<br />NOTWITHSTANDING ANY .!Ot.....NT. TERMOR COHtIf11ONOF AHYCONTRACt 0.. OTttri" DOCUMEKT WITH Rr.~T TOWIICHTHIICEATfRCAft_"..ISSUEU
<br />OR aMY ,.RTNN. THE INIUfWfCI!. Af'fOfIID!D BY' THE. POUCIU DEICRIBIlO HEA~1lI1$ SU&.lECr TO AU. TKE nUll. 9CLUSION AIilO CONDITIONI OF SUCH P(lt.JI)Ifj;,
<br />_..~~M~.~.~,'!~~1!8VJ~~~'-~!::!!!!:...____. __'_~y'_'""'_' ___".__'..__._____
<br />~~R f'tItl Of" IIl4$URAJltCE POI.JCV NUMHR POLICY EFFlCTNE IXPlRATIQIrf
<br />0llTE: tIIM/DDM'l DATE MMIDDI't'V
<br />10/27/04 09/29/05
<br />
<br />LIIITS
<br />
<br />A
<br />
<br />GENERAl UUIIIUTY
<br />
<br />G2207845ll
<br />
<br />GENEIlbU.AOGAIGATI.
<br />rAODUCTS-coNPIOP
<br />G
<br />rE:RlONAL & Ar::N. INJURY
<br />
<br />-au IIELOW .
<br />
<br />
<br />
<br />COMMEftCW" Gl!NERAL
<br />UMU\.m-
<br />~ 13] OCCUR
<br />OVIINER'S I CONlRA.CTOR'S
<br />tl'FtO'f
<br />GLDEOoSl,OOIl
<br />
<br />EACH OCCURPENCE
<br />
<br />FIREi DAM^G& !Any,",,,)
<br />~) t!.WJII::NSE (Any OM
<br />
<br />$1.llOO,OOO
<br />---
<br />$1.000,000 .
<br />$1.000.000;
<br />$l.ooo;~,_
<br />N/A
<br />$1.000.000
<br />
<br />
<br />Al1TOMOtIIl..! LIAILJTY
<br />ANY AUTO
<br />All OW"~Aln('lS
<br />SCHfOll,F.DAl/IOS
<br />HIReD AUTOS
<br />NON-OWNEO "lJTo..<;
<br />GARAGE:: llABII.lTV
<br />AUTO Deoo .1,000
<br />
<br />G22078458
<br />
<br />09/29/05
<br />
<br />A
<br />
<br />APPROVE
<br />
<br />'ROhllViNJlJ
<br />{Perpr.:Mnl
<br />800lL Y INJURY
<br />(F'W eccfClenl)
<br />PfIDPEIUY tWMGe:
<br />
<br />uwancLLA rORM
<br />OTHER 'THAN \It.mRFI LA FORW
<br />
<br />
<br />Laura lie
<br />ssistant Cit$" Alforne\
<br />
<br />
<br />'NOAKIE,.., COMPlNSATtON
<br />AND
<br />IMPLOYBt'B UAaJ'1'"f
<br />
<br />A I NON,PROFITOIRECTORS
<br />AND OFFICERS
<br />
<br />G22078458
<br />
<br />10/27104
<br />
<br />09/29/05
<br />
<br />$1.000,000
<br />
<br />PI!R OCCURRENCe AND
<br />ANNUAL A~E~TE
<br />
<br />Of. R IT.
<br />o It.''lTE .........tllillllill!y......... ...1IlI\II....M,......I..iIltJ .. ...~~)~n..,...Itr-.OoM..tI'Qllimil
<br />
<br />AS RESPECTS TO THE COMMUNITY DEvelOPMENT BLOCK GRANT THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS IIND EMPLOYEES S>iALL BE
<br />NAMED AS ADDITIONAL INSURED, ADDITIONAL INSURED ENDORSeMENT ATTACHED, SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSjONa
<br />
<br />.
<br />
<br />
<br />. l!:;.llf."u., _~ .." ..,:~,:,-=" .,J<Git. ..:I;.;::rjs, iT' ~'''''''_'''-_-_::''''~'''';''''''''.-':~''-''".,."
<br />
<br />1!1f!~i:i,..,.""i!l'~",f.~~i"~,..~;",~,~.-~..u'
<br />
<br />C'TY OF SANTA AN"
<br />10 C Me (".ENTER PLAZA. M-25
<br />SANTA ANA,CA 92702
<br />
<br />I SHOULD ANY DF THE ABOVE DESCRiBED POLICIES BE CANCELLED BEFORE TH&
<br />!XPtRAnON 0.. l'E THEIltEOf, THE ISSUING COMPANY WILL "~IO[ .u~A W MM..
<br />~ DAYS WRITTEN HOl1CHO THECeRl1FICATE HOeDER NAMED TO THE LEFT. '
<br />aUT FAILURE TO "'AlL SUCH NOTIC'! SMALL IMPOSE NO OBuGATION ORLIABlUTY
<br />QtO ANY KINO UPON THE CDMPANY, ITS AGENTS OR REPRESENTAllVES
<br />"excEPT 10 OAYS FOR NDN-PAYMENT
<br />A "
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