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<br />::avid Hartl
<br />
<br />FRX NO. :714-633-1299
<br />
<br />Sep. 06 2006 01:25PM Pi
<br />':':.~~~>.ftli~S~
<br />
<br />/".1.0
<br />. ..~....
<br />
<br />CERTIFICATE OF UABILIlY INSURANCE
<br />
<br />P DATI;(~
<br />~~~1 03 24 06
<br />
<br />THIS CERTIACATE IS ISSUED AS A MATTER OF INFORMA110N
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER WE COVERAGE AFFORDED 6Y THE POLICIES BELOW.
<br />
<br />,.,:?:, I:\suranc& Ag8nay Ine
<br />~~::..1 ~ureka Avenue iF
<br />'"~<':-:-h~, Linda CA 92886
<br />--: 714-572-9700 1;'",,:714-572-9880
<br />
<br />INSURERS AFFORDING COVERAGE
<br />
<br />NAIC#
<br />
<br />- :'c'XC LEJ.RNING CLIMATES
<br />::'",,"I"J:O HAR~L . /
<br />~~.""Y ~'78E1 /; '1A1I_--e:J.1.
<br />.::; C:J,. 92859-0788 fl OluVlf'
<br />
<br />INSURER A: STATB (l(lNPBMSA'nCM XN!l PUlftl
<br />INSU..R .: HARTFORD CASUJlLTY INS CO
<br />INSUR'EiR c=
<br />INSURER D:
<br />INSURIO.RE:
<br />
<br />29424
<br />
<br />
<br />.. ,::, or.- INSURANe~ 1,1$i"'GO ,1iil,.OW HAIlE BEEN ISSUED TO Tl-tE IN$U"liiP NAMeD AIOVE FOR THe POLICY PERlOO INDICATED. NOlWITHST4NClNIJ
<br />.;:,"l";', T~ OR CONOfTION OF ANY. CONTRACT OR OTWI!~ OOCUI\IIENT WITH RESPeCT TO WWI~ THIS CliATIFlCATE MAY 9E ISSUED OR
<br />-'.'E NSURANI:S AFFOl':tDIUI DV TI1E POlICIIiS DESCA.leeD I1IO~EIN 15 6U8JECT TO AU. THE TERM6, EXCLUSIONS ANO CONDtTIONS OF SUCH
<br />,-:' :n~C:A~L1M~.$S_MOV"t'''~Y.'HAVI!;~~I!N,13,~RUJ~~JV..ehIi:!,CLAIMS,..' -' .~. .'- -',----'-' -".-'.
<br />
<br />.. -7. -1..SR~ TYI'~ 0' lHaURANCIi
<br />i ~~IiRAL UASIUTY
<br />8 X fXl COMMERCIA\. GE:NIiRAL LIABilITY
<br />~ CLAIMS MAnE 00 OCCUR
<br />'.",,:~~~~s Owners
<br />
<br />POUCY NUMB~
<br />
<br />OArs
<br />
<br />
<br />LIMITS
<br />
<br />72SBAK09228
<br />
<br />04/01/06
<br />
<br />04 01/07
<br />
<br />eACH OCCURR~NCE
<br />PReMISES lea occuteneEI
<br />MEO EXP (Any one p8t'800)
<br />PERSONAL & ACV INJURY
<br />GEMERALAGGREGA'TE
<br />PRODUCTS. COMP'IOP AOO
<br />
<br />s 1000000
<br />s 300000
<br />'10POO
<br />, 1000000
<br />s 2000000
<br />s 2000000
<br />
<br />
<br />coo
<br />
<br />~ -~<A9UTY
<br />
<br />
<br />COMBINED SINGLI! LIMIT .
<br />(!!:aaedr;kJnt)
<br />tIODll Y INJURY .
<br />(PMl)EII'iIOr'I)
<br />.eOOll Y INJURY .
<br />(PlJr/ilQ;lClentJ
<br />PROP5RTY DAMAG5 ,
<br />(Pe(aCCldenO
<br />AUTO ONLY - CA ACCI061'(f $
<br />
<br />. """,'IJT0
<br />.,~; 1,\;1'05'
<br />S . . SCHEOULEo AUTOS
<br />I HIRIiiDAUTOS
<br />NON.()WNeO AUl'OS
<br />
<br />_....1
<br />
<br />OTH~R THAN
<br />AUTIO ONLY:
<br />
<br />EAACC I
<br />.AGG .
<br />
<br />"'---"~''l.'M8REiLU UAall.lTY
<br />, ~CCUR [J CLAIMS MA~E
<br />
<br />EACH OCOURRENCE
<br />AGl)REGATE
<br />
<br />.
<br />.
<br />.
<br />.
<br />,
<br />
<br />7!C~J $
<br />I WORKERS CQMPEN3ATlON ANO
<br />, EMpL.OYERS'LlABlLITY
<br />,i\,. ! ANY PROP~'ETOR!PAR"N!:RfEXECUTIVl;;
<br />. OI=FICIiiM.4EM!;!I!R l;;XCLUOEO?
<br />, -:le~liIl.lndet
<br />-.-,.,. ;'~t: PRO\IlSIONS be/ow
<br />
<br />1443563
<br />
<br />04/01/05
<br />
<br />
<br />04 01/06 .1000000
<br />,1i.L DI6eASE-EA EJdPLOYE6 '1000000"
<br />E.l.,OtSeASe.POLlCYUMlT S 1000000
<br />
<br />'.~ '",'J..tiAATIONs II"QCATtONSI VEHtCU!81 EXClUSKlNI ADDED'QY ENDORSEM!NT 1 SPECIAL MOI/ISlONS
<br />(ZIONS OF THE INSUREO AS COV!:IUilO BY THESE 5'OLICIES.
<br />':~CITY OF. Sl\N'1'A.~, I~SOFFICERS, AGENTS, EMP
<br />., ARE NAM!lO ADDITIONAL INUSiU!:O PEa ATTAClIED CG2010
<br />-". CANCELLLATION APPLIES FOR NON-PAYMENT OF PREMIUM.
<br />
<br />.: :::.~'9CATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />
<br />: CONSULTING
<br />ES; .I\ND
<br />/93. TEN DAY
<br />
<br />CITYOFS
<br />
<br />SHOUU) ANY Of THE I; DIiSCR.lllED POlIelU .~E C LLIi]) DEFORE THE EXPIRATION
<br />DATIi.THI!:R~F,"rHEIS! ING1N_~URERWll;.L.[ '__ ~ DAV&wmn~
<br />. -- --..-"-- -.:./. ~,
<br />NO"nC1! TO Yttlt: ~T1fIOATE HOLDER ~o TO THi(L.EFt. ~UT"'fiImgg::lCR2'.-..s.fnW.L
<br />"POD NO OBUaA11ON Oft UA8LlTYOP"ANY KINO UPON M INSUA.~ In AQENTS OR
<br />REPRElENTATP41.. / //
<br />AUTMO~ REP TIVe ~/.
<br />
<br />-.~y OF SAN~A ANA
<br />"':'~ ~;:'! (:LEiU(
<br />"~VIC CENTli:a FLAM
<br />'-',. ,'I.~'J\ CA 92701
<br />
<br />~~.-
<br />
<br />. '-':'!)
<br />
<br />@ACORDCORPORATION 1888
<br />
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