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Client#~ 12271 <br />oleACO2 <br />~ICORDTM CERTIFICATE OF LIABILITY INSURANCE o7~a/o Df11"'' <br />PRODUCER <br />Ashbrook-Clevidence, Inc. <br />575 Anton Bivd. #810 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License #0188788 <br />Costa Mesa, CA 92626 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INS'rRED INSURER A: Philadelphia Insurance Company <br />Orange County Bar Foundation INSURER 8: <br />P.O. BOX 986 INSURER C: <br />Santa Ana, CA 92702 <br />- <br />INSURER D: <br /> INSURER E: <br />COVERAGES <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 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 />LTR ~ TYPE OF INSURANCE POLICY NUMBER POLK:Y EFFECTIVE POLICY EXPIRATION LIMBS <br />q GENERAL LIABILnY PHPK162357 03/15/06 03/15/07 EACH OCCURRENCE $1 000 000 <br /> X CQMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $~ 000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Arty one person) s5 000 <br /> PERSONAL 8 AOV INJURY $1 O00 OOO <br /> GENERAL AGGREGATE $2 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG S2 OOO OOO <br /> POLICY PRO- LOC <br /> <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> (Ea accdent) <br /> ANY AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> (Par person) <br /> SCHEDULED AUTOS <br /> <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> (Per accident) <br /> NON-OWNED ALJfOS <br /> <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> <br /> ANY AUTO OTHER THAN ~ ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSAlMBRELLALlABILITY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> S <br /> DEDUCTIBLE $ <br /> _ .. <br /> RETENTION S $ <br /> WC STATU- OTH• <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LWBILITY <br /> <br />-"" ` _ ~ <br />-,-' "'" ~'° <br />~~ ._ --°° <br />E.L. EACH ACCIDENT <br />$ <br /> ANY PROPRIETOR/PARTNER/EXECUTNE - - °-~"` <br /> OFFICER/MEMBER EXCLUDED9 E.L. DISEASE - EA EMPLOYEE $ <br /> K desaibe under <br />SPECIAL PROVISIONS below <br />`' ~ ... <br />E.L. DISEASE -POLICY LtMR <br />S <br /> OTHER <br />DESCRIPTK)N OF OPERATIONS 1 LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Cancels ~ supersedes Certificate of Insurance #12123 dated 06/15/06 <br />City of Santa Ana is named as additional insured subject to an Additional Insured <br />Endorsement to be issued by the company. *10 days for non-paymept of premium. <br />City of Santa Ana <br />Attn: Frank Hernandez <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />ACORD 25 (2001!081 ~ .,f ~ ft19'17Q <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *3n DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LU161LITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />O ACORD CORPORATION 1988 <br />