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<br />. <br /> <br />A-,JDOJ ~/~i:'J'l) <br />, <br /> <br />ijClA'?DN CERTIFI~TE OF LIABILITY INS~'NCE I 0A11I pIIMlOI'IY) <br /> 12-05-02 . <br />PRODUCER )"HIS CER11FICATE IS ISSUED AS A MATTER OF INFORMA110N <br />S.D. HINES INS. SVS. , INC. ONLY AND CONFERS NO RIGHTS UPON THE CER11F1CATE <br /> HOLDER. THIS CER11F1CATE DOES NOT AMEND, EXTEND OR <br />3580 E. PACIFIC COAST HWY #8 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />LONG BEACH CA 90804 <br /> INSURERS AFFORDING COVERAGE <br />t(SURED INSURER A:. PHILADELPHIA INDEMNITY INS. CO. <br />HOTLINE OF SOUTHERN CALIFORNIA INSURER B: <br />INSURER C: <br />P.O. BOX 32 <br />LOS ALAMITOS, CA 90720 INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POUCIES Of INSURANCE USTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANOING <br />ANY REOUIREMENT. TERM OR CONDITION Of ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTlRCATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCWSIONS ANO CONOITIONS Of SUCH <br />POUCIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REOUCED BY PAlO CWMS. <br />':'~ TYJi'f OF INSURANCE POUCY HUMBER rg~Y EFF'fCTlVE ~'ffJ EXPIR.tTlON UMlT1 <br /> GOlERAL UAB1lJT"'l" EACH OCCURRENCE .1,000,000 <br />A X- COMMEAcw... GENERAl.. l.IA8ll.fTY FIRE OAMAGE (My one fire) . 100,000 <br /> I ClAJMS MAD€ ~ OCCUR PHK037300 11-26-02 11-26-03 MED DP (My OM perlOll) .5 000 <br /> PERSONAl.. & MJI/ \tUJR'Y .1 oon 000 <br /> GENERAl.. AGGREGATE ".000.000 <br /> ~~ AOGFEnl~IT 717 PRODUCTS. COMPJOP AGO ., .nnn .nnn <br /> po"/Cy ~8i LOC <br /> ~MOBI...E UABI..ITV COMBINED SINGlE L.J.lrT . <br /> "" AUTO (Ea acc~n~ <br /> - <br /> - AU O~ED .wTOS BCDLY IN.AJAY <br /> (fIllplCm) . <br /> - SCHEDUlED AJJTOS <br /> - HIRED AUTOS BOOIl Y IN.JJAY <br /> (Per accldenO . <br /> N~EO AUTOS <br /> - .. <br /> - PROPERlY DAMAGE . <br /> (fItr .cc1d.~ <br /> ~~"E umm '. AUTO OM.Y . EA ACCIDENT . <br /> AN'( AUTO OTHER THAN EA ACe . <br /> AUTO ONLY: "'" . <br /> EXCESS UABD.1TY EACH OCCU~CE . <br /> ::J- OCCUR 0 ClAJMS t.WlE AQGREGATE . <br /> . <br /> --, <br /> 10'- . <br /> , APPROVED AS TI I:m': ; <br /> WORKERS COMPENSATION AND ",.(J ri/ '/~ STA <br /> EMPlOYERS' WBIUTY <br /> f/ ;..4tee EL EACH ACCIDENT . <br /> Laura Sheedy EL DISEASE. EA EMPlOYEE . <br /> I R'. . EL DISEASE. POliCY LIMIT . <br /> OTHEII -, <br />OESCRIPllON OF OPERATlONSILOCATlONSlVEHICL.E.SlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROV1SK>NS <br />THE CITY OF SANTA ANA IS NAMED AS ADDITIONAL INSURED PER ATTACHED <br />ENDORSEMENT <br />CER11F1CATE HOLDER I \ AocmoNAl ~SURED; INSURER LETTER: CANCELLA110N <br /> SHOULD ANY Of 'T1i! A.OVE DESCRIBED POUCIU IE CANCEU.ED BEFORE THE EXPRA T10N <br />CITY OF SANTA ANA DATE 'T1iEREOII, THE II8UIHa INSURER WLL l!Kdlll'iO&:XI>MAL ~ DAYS WRIT1'D4 <br />COMMUNITY DEVELOPMENT NOTleE TO 'T1iE CERTIFICATE HOLDER NAMED TO 'T1iIE LDT,~'flljRl:r~~ <br />AGENCY M-25 X_:ilQ{IIIIlI<I(WUIlO"_IIro(JlIK4IIK_}QllPIt>>l'tj!lfllllm~~x <br />P.O. BOX 1988 ~/h~JA'AL.f <br />SANTA ANA, CA 92702-1988 <br /> . <br /> , <br />ACORD 25-S 7/9 I OACORD CORPORA110N 1~ <br /> <br />( 7) <br />