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<br />A CORDm CERTIFICA\.;: OF LIABILITY INSUf,.,.4NCE DATE (MMIDDIVY) <br />07/01/2002 <br />PRODUCER (949) 8 52 -0909 FAX (949)852-1131 IHI" ,"'' ""~~~ <br />Milestone I~surance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 19598 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />8 Corporate Park, Ste 130 INSURERS AFFORDING COVERAGE <br />Irvine, CA 92623-9598 <br />INSURED Saint Joseph Ballet Company INSURER A: Travelers Indemnity Co. of CT/Charity First <br /> 1810 North Main Street INSURER B <br /> Santa Ana, CA 92706 INSURER c: <br /> INSURER D: <br /> , INSURER E" <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ~H~TIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL,E ERMS, EXCL SIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. " \ <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDNY) ....,OATE (MMIDDNY) LIMITS <br /> ~NERAl LIABILITY 60529X3801 06/24/2002 /06/24/2003 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAl GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 50,000 <br /> I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000 <br />A PERSONAL & ADV INJURY , 1,000,000 <br />~ <br /> f- GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER- PRODUCTS - CDMPfOP AGG $ 2,000,000 <br /> h ,nPRO- n <br /> POLICY JECT LOC <br /> ~TOMOBllE LIABILITY 60529X3801 06/24/2002 06/24/2003 COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Eaaccident) 1,000,000 <br /> l- <br /> I-- AlL OVVNED AUTOS BODilY INJURY <br /> {Per person) $ <br /> SCHEDULED AUTOS <br />A L- <br /> ~ HIRED AUTOS BODILY INJURY <br /> (peraccidenl) $ <br /> ~ NON-OWNED AUTOS <br /> I- PROPERTY DAMAGE $ <br /> (Per accident) <br /> RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS LIABILITY ~60529X3801 06/24/2002 06/24/2003 EACH OCCURRENCE $ 1,000,000 <br /> O"OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000 <br />A $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ~ TO FOR ~ ITQRYLI""';' I I'ER <br /> EMPLOYERS' LIABILITY ~ E.L. EACH ACCIDENT $ <br /> ~- E.L. DISEASE - EA EMPLOYE $ <br /> E.L. DISEASE POLICY LIMIT $ <br /> OTHER .EE"" .,,,, <br /> Deputy Ci Attorney <br />DESCRIPTION OF QPERATIONSfLOCATlONSNEHICLESJEXClUSIONS ADDED BY ENDORSEMENTISPECIAl PROVISIONS <br />he City of Santa Ana, 20 Civic Center Pl aza, Santa Ana, California 92701j its officers, employees, <br />gents and representatives are named as Additional Insureds as respects General Liability <br />er the CG 2010 attached for the "City of Santa Ana's Community Development Block Grant. .. <br />Ten ClO) day notice of cancellation for non payment of premium. <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER CANCELLA nON <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WfllKRllQA(1X> MAIL <br /> City of Santa Ana ~ DAYS WRITTEN NOTICE TO T~CERTlFICATE HOLDER NAMED TO THE lEFT, <br /> Community Development Agency <br /> M-25 ~~~ Ull M"-'lIlJI':MlftNll_X'XX <br /> P.O. Box 1988 ~~ K~~ ~XXXXXXX <br /> Santa Ana, CA 92702-1988 AUTHORIZEOR P '~ -4 J? fi~ I" <br />A<.;ORD 25-517107' I IIU7 <br />