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<br />. 10/09/2001 09:45 <br /> <br />9730512 <br /> <br />COLONIAL 5 BAY INSU <br /> <br />PAGE 01 <br /> <br />ACORD* <br /> <br />PRODUC,," ^.. ::OLONlAL So-~ BAY <br />~NSURANCE ~ROKERS <br />11859 INGLEWOOD AVENUE <br />HAWTHORNE, CA. 90250 <br /> <br />( <br /> <br />DATE,(MM!t1~," <br /> <br />09/21 '01 <br /> <br />TWIS CERTIFICATE IS ISSUED AS A MATTER 0Ii' IN . ATION <br />ONLY AND CONFERS NO RIGIfTS UPON nlE CffrV"'ICATE <br />HOLDER. THIS CERTIFICATE. DOES NOT A..,.IeND. EXTeND oR <br />AlTEI1 THE: COYE:AAGE AFFOIlDfD BY THE POlICIES BElOW. <br /> <br /> <br />INSURERS AFFOIlDING COYEIlAGE <br /> <br />lNaUAI!O <br /> <br />LJ:15N ON ME. J:NC. <br />P.O. BOX 91&30 <br />PASADENA, CA. 91109 <br /> <br />IN3UREnA; .U1l~ III.VltAMeR eOMP.&IIY <br />INSURER B: !L'OPA. IJlBURAIICI COMPAHT <br />INSURER e TUDOR IHSUP.A1IC1' COMPASY <br />INSURER O' <br />INSURER E: <br /> <br />COVl!RAGES <br /> <br />TI-tE POI,IOIES OF IN3VRANCE I..I-ST!;;D OELOW HAvE BEEN ISSUED TO THI: INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA1'1:0, NOTWITHSTANDING <br />AN( REOUREMENT. TERM OR CONDlTlON Of JoN( CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS cERTIAC'.TE MAY BE ISSUED OR <br />MAY ~AT.AlN, THE INSURANOe ~FOROED BY THE POlIC1E$ DESCRIBED ~EqEIN 19 SUBJeCT TO AlL Tf-E TERMS, EXa.US1ONS AND CONOITIONS OF SUCH <br />POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE llEEN REDUCED BY PAID ct.AIMS. <br /> <br />IIltSA TYPE OF INSURANCE poUOY MUMBER. POLICY I"eCTIVl! <br /> <br />A lII!N......uAlHJ'TY PAS"38700B415 08/15/01 08/15/02 <br /> <br /> <br />I.IMITS <br />E'ClH"^,U""NCE ; 2 0 0 0 0 0 0 <br />~"EO_.."""_,",) . "300.000 <br />MeD""" .~ "L_; 10,000 <br />PE"""NAL &AIlV INJURY $ 2 0 0 0 olfo <br />GEN.IW._REOAT< $ 40000ll"0 <br />PR~l?~~,:.~~f>/CP AOO-' ;--.r 0 0 .~-oo O.~ <br /> <br />X COMfJE.ACb\lOENEAAl UA.elUTY <br />c::;LAlM& MAC!: ~ OCCUR <br /> <br /> <br /> LOC <br />A ;..l,I'tOMCItlLE UAl:lIUTY PAS-38700846 OB/15/01 08/15/02 C~I:IINg) BlNIJl.E ULlr1' <br /> ~''''''''"'''I . 2000000 <br /> AN" AUTO <br /> .ALl. OWNED AUTOS BODILY INJURY I <br /> SCHEDlILED AUTOS {P..,--.,) <br /> it HlReo /tUTOS BODILY INJURY <br /> X lPer900~nt) $ <br /> NON-oV'INeO AUTOS -----. -----.,--..-.-...- <br /> PROPERTY DAMAGE . <br /> (P~8CCkWITt) <br /> GAFWlE LlABIUTY A1JTO ONl" .SA "caDENT $ --- <br /> /lNY.AJJTO OTHER lHAN !:."'II\QO . .._- <br /> AI.JTOONlY: AGO $ <br />B EXCEn u^"u.lTV XL-l0723-01 OB/15/01 08/15/02 eACH OCCURR~_~c.~ $ 1000000 <br /> X ClOCl.ft o ClAIMS MADE N30ReGATE $ 1000000 <br /> $ <br /> <br />WOA.KERa COMPIii,..ATION AND <br />EMPLOYEM' UAllUTI <br /> <br />CtA.....L_-1. ~) <br />Laura Sheedy <br />Deputy City tturne <br /> <br /> <br />1:.---.. "__._ <br />. <br /> <br />OEDUCTIBLE <br />RETENTON $ <br /> <br />APPROVE <br /> <br />AS TO 'ORM <br /> <br />OTI<. <br /> <br />$ <br />J <br />E.L DISEASE. f'OUCY UMIT " <br /> <br />C Q1"tteA <br /> <br />ROPBSSlOKAL <br />lABILITY 'SPL-OOOSSOO 03 25 01 03 <br />DESCRIPTION OF OPI~110NIILOCATIO~N&lICLD/ElCCLU9IONG ADPI!D BY EHOO"5E~ENT/SPECIAL. PRO'/i$IONS <br />-10 day notice of cancellation for non-payment <br />The CITY OF SANTA ANA, rTS AGENTS, OPFIC~RS, AND EMPLOYEES ARE NAMED <br />AS ADDITIONAL INSUREDS (See attached schedule). <br /> <br />S1,OOO,000 LIMIT <br />02 $5,000 DEDUCTIBLE <br /> <br />CEFlTlFICATE HOLDER <br /> <br />% ADDITtoNAL INSURED. INSUFI!m L...ETTIR: <br /> <br />CANCE:LLATION <br />srI0UI.DANYOFTHI!'AIOYIt De$CRIRD POUfU:IC' Ill!!: CAHCl:l..lt:p~"onE"THE E)(f"lflA'IOH <br />DATE THEiR.c:O~. TlotE II!J:UI~ IN&UI:UiR WILL IDIOIKI.IIDOX WUI. .3..0-.- DAYS WRITTEN <br />NOTICE TO 1'1-11 CEATlFICAie f<<)LDIER NAMEOTO THE LEFT JiXJQOt:DCd!1O~1GKLL <br />_]ll1ltDlA< _1IlIO]llta)u''"'IIIOJO'It;lRJllll~ <br />.X <br />AUTH 51;! APA <br />" <br /> <br /> <br />II ACORD COIlPORATION 1888 <br /> <br />ern OF SUlTA lIIlA <br />KOItDU COMPa8A'l'!:QJr CLA%XS ADM <br />zO c~Vle cz~a p~A (M-.1) <br />BARTA lIllA, ca. 92101-1988 <br />A~I Rosa Flor.. <br /> <br />/lCORD ,&oS (7/07) <br /> <br />..,1. <br />