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JUL701-2005 02:02 PM MIDORI.GARDENS 714 751 9170 P•02 <br />�lLCu CERTIFICATE OF LIABILITY INSURANCE I 06/27ATE nOO'G <br />—T. 06/27/2005 <br />Seymour ` Parker Ins <br />License NOSS4959 <br />272DO Tourney Rd Ste 26S <br />Sal Clarita, CA 9115S Robyn Thorne <br />vnLT AMU %;WMPCna MU NIUMID UrUN I He VICKIErICA IC <br />HOLDER. THIS CERTIPICATE DOES NOT AMEND, EXTEND I <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES ML <br />INSURERS AFFORDING COVERAGE <br />NAIC0 <br />INSURED' H Obi Gardens <br />3231 Main St <br />Santa Ana, CA 92707 <br />INSURERA Redwood Fire S Casualty <br />INSURER B. <br />INSURER <br />INSURER D <br />VERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Of SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I N <br />°° <br />ttPE OF Ix6URANCE <br />POLICY NUMBER <br />FE <br />POLKVFa <br />uwn <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />6 <br />COMMERCIAL OFNERAL LIABILITY <br />AfMO TO RENTED <br />6 <br />CLAIMSMADE 0 OCCUR <br />WO EXP (My PPI6DA) <br />S <br />PERSONAL A AM INJURY <br />S <br />GENERAL AGGREGATE <br />I <br />OENL AGGREGATE LIMIT APPLES PER <br />PRODUCTS -COMP,OP AGO <br />6 <br />POLICY PECT LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(EF awdPAp <br />BODILY INJURY <br />(PM W.j <br />6 <br />ALL OWNED AUT 06 <br />SCHEDULEDAUTOS <br />H IREO AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />IT <br />(PEmdMAI <br />6 <br />PROPERTY DAMAGE <br />IPM ACGXAM) <br />6 <br />—_ <br />OARAGE LIABILITY <br />AUTO ONLY EAACCIDENT <br />1 <br />OTHER THAN EA ACC. <br />6 <br />ANY AUTO <br />AUTO ONLY ADD <br />6 <br />EXCEDS ORfiLLA LIABILITY <br />EACHOCCURRENCE <br />I <br />OCCUR ❑CLAMS MADE <br />AGGREGATE <br />S <br />6 <br />6 <br />DEDUCTIBLE <br />6 <br />RETENTION 6 <br />WORKERS COMPENSATION AND <br />WS633392 <br />06/01/200S <br />06/01/2006 <br />X ATu- TH. <br />TONEL <br />A <br />EMPLOYERS' PRORE TO"ALIABILITY <br />ANY PgOPPIETOR/PMTNENEXECUTIVE <br />Of HCERRAEMSFR EKCLUDEDT <br />P,06, ft.R A PM6, <br />EACH ACCIOENT <br />6 1 000 00 <br />EA DISEASEEAEMPLOYEE <br />6 1,000 00 <br />EL DISEASE POLICY LIMIT <br />6 1 000 D <br />SPECIAL PROVISIONS DNAw <br />OTHER <br />Ten (10) day notice <br />IF cancelled for non-payment <br />of premium. <br />OESCRIPMN OF OPERATIONS, LOCATIONS I VEHICLES I EXCLUSIONS ADDED SY ENDORSEMENTI L SIONS <br />/V <br />2 `i ✓i..�✓ _.__ <br />Laura SLia Sficedy <br />Asslaant lijv :Vt^T Ic� <br />City of Santa Ana <br />Parks, Recreation a Community Services Agency <br />-M23 <br />999 W. Santa Ana Blvd., <br />end Floor <br />Santa Ana, CA 22702 <br />SHOULD ANY OF THE ABOVE DFICRmED POLITIES BE CANCELLED BEFORE THE <br />EXPRIAMN DATE THEREOF, THE IBBUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS L'JRTRBN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UAB UTY <br />OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESSNTATNES. <br />ACORD 251200110a) FAX: (714)S71-4248 CACORD CORPORATION 1908 <br />