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<br />SEP 11' 00 (MON) P 53 <br /> <br />A LAWR1IIJ ASSOC <br /> <br /> - " TEL:! 81 ~, 5472 <br /> POOl <br /> " <br />ACORI),.. CERTIFICATE.QF INSURANCE. DATe 1~"'1lOIY'Y) <br /> 09/11/00 <br />PflQDUCIlM THIS CERTlFICATE IS ISSUIm AS A MATTER OF IN~ORUATION <br />i\.llen Lawrence IX Assoc - I InC. ONLY AIID CONI'ERS NO IllBKTS upoN TWE CERTlRCATE <br /> tlOLDER. TIllS cERTIFICATE DOES NOT AlIENO. EXTEND OR <br />License #04'12063 ALTeR TIlE CovElaGE AFFORDEIl BY THE POUCIES BELOW. <br />P. O. Box 7948 [;:;; COMPANIES ArFoRJ)11lG COVEIlACI! <br />Canosa Park, CA 91309-7948 ----.----- <br /> COMPANY <br />(61S)704-0700 - --r^::,r"or"--""~_~__-- <br />i~sURED ~- - ..- - <br /> LIen On Me, Inc . BAIG/Amer. .Intl. Grp-,-- _-- <br /> P.O. Box 91630 COMPMY <br /> Pasadena, CA 91109-1630 C <br /> --- ------ <br /> CCM~^N'!' <br /> I I D <br />CQV1!KABU <br /> HilS IS TO ce~FV Tt1A.T THE POLICIES OF INsuAANC!; uS'I"ED BELOW HAVE BEEN ISSUED TO nE INSURED NAMEDPBov~FORTt-EPOLlCYPERIOD <br /> INCICATEO, NOiWITHSTAN01N<';. /&NY REQUIREMENT. TeRM OR CONomON OF ~y CONTRACT OR OTtiE.R DOCU~ENT 'MTH ru:SPe:CT TO WHICH 'tHIS <br /> OEF\T1RCA'TI MAY sli ISSUED Oft MAY PeRTAIN. THE INSUF'(ANCE AFFORDED BV THe POLICIES Cl:SCRIBI!O HEREIN 15 SUBJECT TO ALL THE TERMS. <br />_ "IEXClUS'CNS AND CONDmONS OF SuCH PQUCIES, Ul!ITS SHOW; MAY~EEN RECU<;EO ~"'O CL.AiI'o1S.. - - - <br />co, I TYPE Of' INS\l......,. I .OUCY NU~""" I 'OUCY E"'ECT1IIE .QUCV DP'MTlOr- moTS <br />1.1/\ DATE(MMlDDNV1 D"TECMMIUOffV) <br />A r.AAlUABlU1Y nSBAGA198BDX 08/15/00 08/15/ 01 ~RAlACGREGATE.~O. 000 <br /> X COUNERCtAl GI!I\ERAL L1UIL1TY I ."RODUCT$-COMPIOPA~ 000, P.Q.Q..... <br /> . ]Cl.AIMS MAO~ ljJ ~eiJR ~~l. AllV "'URY {s2: 000 ,.QQQ... <br /> _lOWNER'S&CCNTRAClOR5PROT 1 ~OCCURR~ $2 000,000., <br /> 1-1- -. .-1 eoe CA""GE em.... ~..l .3 0 Q , 0 0 0 <br /> NeD Q(P (Any en. ~1In1 .10 000 <br />A ~r.401IILE UABll.,lTV 72SBAGA1988DX 08/15/00[08/15/01 I <br /> eOlA;INGD sINGlE LIMIT s2 , 0 0 0 , 0 0 0 <br /> - ANY AUTO I ~"V1N'U"V-r <br /> - ALL OWNED AUTOS <br /> X SCHEDULED AUTOS (psrDBI$I;m) <br /> --. . ... <br /> HAlig AUn:JS I BODII.VINJURY <br /> X NOl'HJWNED ,AUTO:!i ,(Pt!raccllllll'1ll . <br /> '''- I I PROPERTY DAMAGE <br /> ---,.. .- . <br /> ~A,.V;EUASlU'!"V ~Orf1,.YoEA~. . ......--- <br /> -- AI'Iyp,l,[lO ~TII'R n<A_ AUTO DIU; - <br /> -- - ~CHACCID~T S , <br /> AGGRliGA1E . <br />A E)(Cri$5l: UABlu1V 72SBAGA1988DX 108/15/00 OS/15/01 ~EA.~~ ._ !!.,..OOO.OOO_ <br /> XI'UM~1'tl:1.L.A FORM I AGGREGAlE ,1.......Q.Q.Q.,. QQQ.. <br /> OTllER11i'\N lJtJBRELlA f'ORr.ft , . <br /> WORKERS COMPENSA'I1QN ANC I ~ I'T"l\lT~L1/l.trrs ..- <br /> EMPLOYERS' UAlUUTY <br /> ~CH "ccOIiNT S <br /> TI-t~ pROPP.IIiiTt:'A' pONce I ~&ASe~ICYLlr.lIT 5 .- <br /> PARlNCRSEXEcunve i <br /> OmcE.AS ARE.: I 'j ""0' i D ,SEA'E. "CH eMPLOYEE , <br />B OTIIER I iOJ/25/0010J/25/0li $1,000,000 Limit <br /> ~rofeSional 278-48-71 <br /> iability I \ $5,000 Oeductib1e <br /> , i <br />DlESCRPTlCN Ofi OPfRATIQNM...OGAl1ON$N!:H~I.CI"PEaAI. rt;M8 <br />The City of Santa Ana, its agents, officers, and employees are named as <br />additional insureds with reSard to liability and defense of suits arising <br />(See Attached Schedule. ) <br />CERTlFlCA're HOLDER CANCI!LLATION <br /> SttQULDANY OF 'THI:AI!IQW CEBCRJ8I;O I'CJl,JCII6S n eANcELlJ;.r:l IiIEPORE 'J)€ <br /> City of Santa Ana aPlru.noN OATETHEREOF, TtIE!_unGC;QMPANy'~JU. ~NAI1. <br /> Workers Compensation Claims Adm 3.O..-DAYS WRITfEN NOTICE T01tE cmmPICA1i. HOI.DER NAMED TO THti: LEroT, <br /> 20 Civic Centel' PIal'a (M-41) <br /> Santa Ana, CA 512701-1.986 <br /> IU'\'l{OVED AS TO ~w:.~ <br /> , .IIS60428/M';0427 ~! <br />AcoRD 2$-EI (S'9311 of 2 n' .. .... C,m. e ACORll CQRPORA110N 1993 <br /> U C. .. .('U <br /> .V <br /> <br />Laura Sheedy <br />Deputy C;ity Attorney <br />(J! "..-( ~J <br /> <br />y <br />