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<br />J ACpRq~ CERTIFIC/GE OF LIABILITY INSlC,ANCE DATE (MM/DDfYY) <br /><. <br /> 07/11/2001 <br /> PRODUCER (209)473-5023 FAX (209)478-0217 < II~ I~.~_I ~ '5 . A'."" """ ur "'UN <br /> Truex Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box 7276 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 2291 W. March Lane, Suite 100A INSURERS AFFORDING COVERAGE <br /> Stockton, CA 95267 <br /> INSURED Conference of CA Historical Societies. INSURER A: Hartford <br /> dba: Santa Ana Historical Preservation INSURER B: <br /> Society -- <br /> .- INSURER c: <br /> 120 Civic Center Dr W INSURER 0: <br /> Sa~ta Ana CA 92701 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 RESPECTTQ WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~f~ TYPE OF INSURANCE POLICY NUMBER t'~Lfi(ri:;t8a'rm DATE (MMlDDfYY) LIMITS <br /> GENERAL LIABILITY 57UUNGI551O-01 06/30/2001 06/30/2002 EACH OCCURRENCE $ 1,000,00~ <br /> ~ <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300,OO~ <br /> \ CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10 , OO~ <br />A PERSONAL e. ADV INJURY , I,OOO,OO~ <br /> GENERAL AGGREGATE $ 2,000,OO~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COM PlOP AGG $ 2,OOO,OO~ <br /> I .nPRO. n <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> -, (Eaaccident) , <br /> ANY AUTO <br /> ---j <br /> ALL OWNED AUTOS BODILY INJURY <br /> ~ , <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> I HIRED AUTOS BODILY INJURY <br /> q NON.OWNED AUTOS (Peraccidenl) , <br /> PROPERTY DAMAGE $ <br /> I (Per accident} <br /> GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ~ OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> :~ ~EOUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I TORY LIMITS I I' ER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> E.L. DISEASE. fA EMPLOYE $ <br /> E.L. DISEASE - POLICY LIMn . <br /> OTHER 57UUNGI551O-01 06/30/2001 06/30/2002 Limit: $ 21,000 <br /> Business Personal <br />A Property Deductible: $" 500. <br />DESCRIPTION OF OPERATlONSJLOCATIONSNEHICLESfEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />~enewal certificate. The City of Santa Ana, its Officers, agents, employees & volunteers are named <br />~s additional insureds as respects their interests in connection with the Insured's operations <br />Fonducted on City property. <br />CERTIFICATE HOLDER 1 1 ADDITIONAL INSURED; INSURER LETTER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY W1LLIOKX~ MAIL <br /> City of Santa Ana - CDBG ....3..0..- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> ~J(IIlOOIH9IJCUKJ(~IIlIK!lOOlJIIll)QJ(K~)OIJ(X <br /> M-25 Community Development Agency 1l~llK~~K~9Ol0llfJ{ft)(JIIl(WXKXXJ(XXXX <br /> POBox 1988 M-25 <br /> Santa Ana, CA 92702 AUTHORIZED ~:NTATIV~ N~~ <br /> Richard ris ,,-. . <br /> """,, -' ,.-. <br /> <br />I ,J.1' ,. ' <br />