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<br />BLAKE P. SANBORN INSURANCE THIS CERTlFICA TE IS ISSUED MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON T CERTIFICATE HOLDER. THIS CERTIFICATE
<br />16264 WHITTIER BLVD, DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />WHITTIER CA 90603 POLICIES BELOW.
<br />PHONE: 562-943-7174
<br />FAX: 562-947-7957 COMPANIES AFFORDING COVERAGE
<br /> Agency LiC#: 0072770
<br />INSURED COMPANY A: EVANSTON INSURANCE COMPANY
<br />THE REYNOLDS GROUP 7fJO'). ,oil . COMPANY B: MERCURY CASUALTY COMPANY
<br />250 EL CAMINO REAL, #204 ,n
<br />TUSTIN CA 92680 COMPANY C
<br /> COMPANY 0:
<br /> 1\--- -- -- -
<br /> 'COMPANY E:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABove FOR THE POLICY PERIOD INDICATED,
<br />NOTVVITHSTANCING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 'MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
<br />OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES
<br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />'TO DATE1MWOO/'l'Yl DATE lMMlOOIVY)
<br /> GENERAL LIABILITY 02PKG00560 FEB 18 02 FEB 18 03 EACH OCCURRENCE , 3,000,000
<br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any One Fire) S 50,000
<br /> CLAIMS MADE X OCCUR MED. EXP (My One Person) , 5,000
<br />A PERSONAL & AOV INJURY , 3,000,000
<br /> -
<br /> . GENERAL AGGREGATE , 3,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG , 3,000,000
<br /> -- - --- -.- >
<br /> , POLICY PROJECT , LOC
<br /> AUTOMOBILE LIABILITY AC11024749 MAY 16 02 MAY 1603 COMBINED SINGLE LIMIT
<br /> ,(Eaaccidem) , 1,000,000
<br /> ANY AUTO
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> (Per person} ,
<br />B X SCHEDULED AUTOS
<br /> X Ht~ED AUTOS BODILY INJURY
<br /> S
<br /> X NON-OWNED AUTOS (Per aCCident)
<br /> PROPERTY DAMAGE ,
<br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT S
<br /> ANY AUTO OTHER THAN EA ACC S
<br /> AUTO ONLY AGG S
<br /> EXCESS lIABILITY EACH OCCURRENCE I
<br /> OCCUR CLAIMS MADE AGGREGATE ,
<br /> S
<br /> DEDUCTIBLE ,
<br /> RETENTION , S
<br /> WORKERS COMPENSATION AND WCSTATU- OTHER
<br /> EMPLOYERS' LIABILITY TORY LIMITS
<br /> El EACH ACCIDENT ,
<br /> E L DISEASE-EA EMPLOYEE S
<br /> EL DISEASE.POLICY LIMIT S
<br />A ~Irs~~~y 02PKG00560 FEB 18 02 FEB 18 03 LIMIT: $3,000,000 EACH OCCURRENCE
<br /> DEDUCTIBLE: $10,000 EACH CLAIM
<br /> CONTRACTORS POLLUTION
<br /> LIABILITY LIMITS: $3,00,000 EACH OCCURRENCE
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICA TA.~9.L~,'t} I;' titrER~St~'l9(),fNAL I
<br />INSURED AS RESPECTS GENERAL LIABILITY COVERAGE.
<br /> ~~;jl~. :
<br /> DCDU1't l,." '\ttornev'
<br />
<br />CERTIFICATE HOLDER X ADDITIONAL INSURED: INSURER LETTER:
<br />
<br />CITY OF SANTA AN FIRE DEPARTMENT
<br />1439 SOUTH BROADWAY
<br />SANTA ANA, CA 92707
<br />
<br />CANCELLATION
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI: THE
<br />EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAil 1_
<br />DAYS VVRITTEN NOTICE TO THE CERTIFICATE HOLDER NM1ED TO THE lEFT RUT
<br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON fi Il
<br />INSURER, IT,'S AG NTS OR ESENTATIVES
<br />
<br />Certificate #
<br />
<br />
<br />Steve Pickell
<br />
<br />Attention:
<br />
<br />ROBERTA BRIONES
<br />
<br />ACORD 25-S (7/97)
<br />
<br />4268
<br />
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