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<br />05/17/02 14:59 FAX 515 224 4955 <br /> <br />DANA_COMPANY <br /> <br />IiZJ 001/001 <br /> <br />ACORD" CERTIFICATE OF LIABILITY INSURANC~sfgRfM I DATE (MMJPOJYY) <br />05/11/02 <br />PRODUCER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />'I'h~ Dana Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />12345 Un1versity ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Des Moines IA 50325-B245 INSURERS AFFORDING COVERAGE <br />Phone: 515-224-4391 Fax:515-224-4955 <br />l""SURED ~~l!RER A~ ~~ncinna~i Insur~ce ComPanY <br /> V1sionary Systems, Ltd." ~~Fl:5; United Nat;onal Ins. Co- .. <br /> Ch;r:is Trout INSURIi~ c: Was~o~t Insuranoe Co~orati~n .- <br /> lOB 3rd Street INSURER 0: <br /> Des Moines ~~ 50309 . ,. <br /> , INSU~ER E: <br /> <br />COVERAGES <br /> <br />THE POUCI(;S OF INSURANCE LISTED BELQWHAVE BE~ ISSUED TO THE INSURED NAMEtI A90VE FOR 'n-le POLICY PERIOD INDICATED. NO'I'IMTH$T^NDING <br />ANY ReoUIREMEl'lT, TERM OR CONDITION Of! ANY cONTRACT OR OTHER DOCU~ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8S. ISSUED OR <br /> MAT P'ERTAIN, THE INSURANCE: AF"FOROED BY THE POLlCliS D.E!SCRI5eD HEREJN IS SUBJECT TO All. THe TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> poLICIES. AGGREGATE: LIMITS SHOWN MAY HAV6 BEEN REDUCED BY PAID CLAIMS, <br />Itf: TYPE OF INSURANce pol.IC.... NUMBER 'O'r',f;(.~r.r;~CTl,YE PDAi!! MMJD~'fJJ/?N C1Mm! <br /> DA: Ii MF4IDDfYY <br /> GENERAL. I.I"'BILlTY EACH OCCURIltENCE . 1 000,000 <br />A -. BOP20690B4 04/01/02 04/02/03 1 <br />X COMMcR.CIAL GENERA.l LlABll,.lTV ~.~E DAMAGE (.A.f1y one nre) . 000,000 <br /> - - l.iJ <br /> 1 ClJl.IMS MADE: X oCCUR MED EXP (Any ene pcl'W/'l) $ . 5,000 <br /> - - .- PERSONAL & ADV INJURY . 1,000,00_q. <br /> -.. - GENERAL^GGREGATE . No Li.mit <br /> GEN'L AGG~E~E LIMIT APPLIES pER: pA,CDUCTS - COMF'IOP AGG . 1 ,000,000. <br /> -. ..RO, ri <br /> POLlCY : JeCT toe <br /> AUTOMOBILli LIABILITY COMBINED SINGLE LIMIT <br />A -',~ ANY AU'TO CA.P5029159 04/01/00 04/01/03 (Es accldenl) . 1,000,000 <br /> -'" .- <br /> - ALL OWNED AUTOS BODILV INJURY <br /> SCHEDULeD AUTOS (Perp€lrson) . <br /> .- <br /> ~ HIREO AUTOe BODILY INJURV <br /> . <br /> ~ NON-OWNED AUTOS (~r acddent) <br /> -. <br /> - -,-" , I ~ROPERTY DAMAGE I' <br /> (Perau:r::h;l~nll <br /> ~GE LIA.,LlTY AUTO ONI. Y . EA ACCIDENT , <br /> ,. <br /> ANY AUTO OTHER THAN EA Ace $ .- <br /> AUTO ONLY: AGG . <br /> e;X:CESS LIABILITY EACI-l OCCURRENCE $ 1 000,000 <br />A ~ OCCUR D CLAIMS MADE BOP20690B4 04/01/02 04/01/03 AGGREGATE . 1 000,000 <br /> . <br /> .. <br /> DEDUCTIBLe $ <br /> I RETENTION . . <br /> WORKERS COMPENSATION AND X i fd'R'?'C,~'irS I IVeR' <br />c EMPLOYERS' I.I.ABILllY WCXOOOB23400 04/01/02 04/01/03 100 000 <br /> E,I... EACI-l ^CCIDENT . <br /> ~,[S~SE-EAeAPLOYEE $ 100,000 <br /> E.L. DISEASE: - POLley LIMIT , 500,000 <br /> O'T'I-lER <br />B Profession-.l L1ab B12626B 01/29/02 01/29/03 Per C1aim 1,000,000 <br /> Retro date ~/29/98 CLAIMS M/IIlI!) A""re"ate 1,000 000 <br />De$CItJPTION OF OPERATlOIll$fLOCATIONSlVit4tCLES/EXCLUSIONS }l.DOED BY ENDORSElMEJII'1'ISPECIAL PROVlSIClN$ <br />Additional Insured on Liability: Santa. .Anna Fi.r~ Depa.rtment <br />CERTIFICATE HOLDER I y I ADDl11cNAL INSURED: IN5URI:R LI!!TTER.; CANCELLA TlON <br /> SANTANN SHOULD ANY OF THE A80W DESCRIBED pOL.lel.$ BE CANCELLED BEFORE THE EXP1RATlOr <br /> C1ATe: THeREOF. THE ISSUING INSURER WlLL:II _ _ _Ul MAIL ...3..0....- DAY.S WRITTEN <br /> Santa .Anna. Fire Department NOTltE! TO THE CERTlACA'r1! I-fOLDIi.R. NAMED TO 'THE LEFT, au I "_L.~.._ -".'1 <br /> Attn: Roberta ari.ones I R <br /> 1439 SO\lth Broadway " <br /> Santa 1m..na CA 92707 <br /> AUTHORIZED RliPRESENT IVE ) I ^" <br /> Dana C. Ramun T <br />ACORD 25-5 (7/97) "- @AcORDCORPORATION 1988 <br /> <br />~ ~t9J(/~f\&L ()t<id b~ LA-0fZ-A--- 3EtPl1 <br /> <br />~ E,,1/1 ~ <br />