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09/08/9-095 11:41 8316364948 <br />INTERWEST HOLLISTER <br />PAGE 01i01 <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE OPID 04 DA't(91NO0 m <br />PRODUCER ELRIN- 09 07 05 <br />InterWast Insurance Services TH�CER IwICATE ISI SUED AS A MATTER OF INFORMATION <br />Hollister ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CFRTIFICATi DOES NOT AMEND, EXTEND OR 500 Park Center Drive, Suite 1 I ALTER THE COVERAGE AFFORDEDBY THE POLICIE38lLOW. <br />Hollister CA 93023 <br />Phone 1 831-636-4919 FSOC-831-636-4948 <br />INSURED <br />I INSURERS AFFORDING COVERAGE NAIC t <br />Neti0n&l Raritan Fouadation <br />FDO Academy of International <br />range <br />y20 E. 4th Street Suite 202 <br />Santa Ana CA 91701 <br />INSURER A: Zurich Worth Ameri Ge <br />16535 <br />INSURER B'. <br />INSURER C: <br />ENSURER D: <br />COVERAGES <br />e <br />"SURE" <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NALffiO ABOVE FOR THE POLICY PERIOD INDICATED. NOTYITNSTANOMG <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY 000PLACT OR OTHER DOCLA,ENT W RN RESPECT TO IYHICN THIS CERTIFICATE NAY BE Is]UED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE FOLICIES DESCRIBED HEREM IB SUBJECT TO ALI. THE TERN; EXCLUSIONSAND CONDITIONS POLICIES, AGGREGATE LIMITS MOWN MAY NAYE BEEN REDUCED BY PAID CLAMS, OF SUCX <br />LTR k]R <br />A <br />YPEOFM {CE POLICY NUMBER <br />DATE <br />- _• LIMR3 <br />OEM ETUL W{ILYTT <br />X GDNMERGIAL GENERAL LV.BLNY.043547323 <br />CLAIMS MADE • X OCCUR I <br />j <br />07/21/05 <br />'�, 07/21/06 <br />EACH OCCURRENCE <br />PREMIBCS ea nrCe <br />{ 1, 000, 000 <br />'s 1, OOD,ODO <br />MED ESP fAM on, PAnm <br />010,000 <br />I PERSONAL A An INJURY i 1,000 000 <br />~� <br />�J L <br />OCNAGGREGATE LIMIT APPLIES PER. <br />GENERAL AGUREWTE 112,000,000 <br />PROOUCTS. COMP,OPAGO S , 2000, 000 <br />ICY I LOC <br />I POLr^' PE�'T <br />I <br />I <br />! <br />A-.UTOMOBILE <br />u"R Fy <br />ANYAUTO <br />{ <br />ALL OWNEDAUTCS <br />' <br />cOMBMED SINGLE LIMIT <br />1 CEO arddm0 S <br />If-- <br />BODILY MJURY <br />(Px wnen, S <br />_ <br />f-!NON-OWNEDAUTGS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BOORYNJURY <br />I (PE, ftddw J <br />It <br />I <br />j <br />PROPERTYOALMGE <br />(Pw Vwmwe <br />E <br />FARAOE uANHJ7Y <br />ANYAUTO <br />I <br />I <br />'AUTOONLY-E4 ACCIDENT�B <br />— <br />OTHERTNAN EAACC <br />AUTO ONLY. AGG <br />S <br />t <br />! [%0CB]RIMSRELLA LIABILITY <br />j� OccVH L' CUM3 RNDE <br />EACH OCcuagENOE <br />AGGREGATE <br />t <br />f <br />—y DEDUCTIBLE <br />5 <br />S RE�mSN S <br />WORKIRb COMPENSATION 4N] <br />- - <br />t <br />I! I <br />EMPLDYBIWUNINL <br />ANY gqppMBa6RE <br />OFFCEMwCIUN <br />jMf@I, OeKnLa wpx <br />9VFCb PROVISIONS b.W <br />.._—_. .__. __—__ <br />�,Li LC <br />1 tl[1L iJ ly�F1i <br />_L- <br />T—O <br />Y EP{ <br />— <br />ELPACMALCIMCRID3�ENT� <br />E. L. DISEASE -EA SMPLOYEI;It <br />3 <br />Ji.::IJ tjy <br />1^3Y <br />EA <br />E.L. OISSE-POLICY LIMIT <br />t <br />IE Pi10ND PEIIATIONB I LOCA7)N3/VERL <br />f <br />as <br />�n x -: cause Ana, lts Of£icars, Agents,EBLyloyeea and Volunteers are named <br />additional insured ae respects their Intereets in connection with the <br />naaaed insured. <br />HOLDER <br />The CityF of Santa Ana <br />20 Civic center vlasa <br />Santa Ana CA 92701 <br />25 <br />BNOYLD ANY OF THE ABOVE DESCRIBEO POLIOIA] {! CµGlLLED {EFORE TX6 "I"kATIO <br />nATETNERBOP,TWM{UMGINRURERRPLLgkl"A"fo AL 30 DAT]YJIUTTEN <br />NOTKi TO THE DERTIFICO" HOLM NAMED TO IME LEFI, '%EXI�1%18 kKLbT6�;14XL <br />aRF,oNDIvaO[BINa9flsN aHSX9AMIX NNRINCIRLAN[Ib;ttltpGR Aa #lEN7ElOIt <br />