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~ 1 <br />Client: 52595 MIDORLAN <br />----- - - --- -- - <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />D/YYYY) <br />.M O6/O5IO7 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />USI/BMI Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lic # OF27247 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />29A Technology Drive <br />Irvine, CA 92618 A ~ p~0bb -~~ ~ INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: St. Paul Mercury Insurance Company 24791 <br />Midori Gardens INSURER B: Fireman's Fund Ins Co 21873 <br />3231 South Main Street <br /> INSURER C: <br />Santa Ana, CA 92707 <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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MMIDD/YY POLICY EXPIRATION <br />DATE MM DD Y <br />LIMITS <br />/~ GENERAL LIABILITY CK08101554 O6/O1/O7 O6/O1/O8 EACH OCCURRENCE $1 QOO OOO <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $5O OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $rj 000 <br /> X FD Ded Ea $1,000 PERSCNALEgCV INJu R`f $1 OQO OQO <br /> GENERAL AGGREGATE $2 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/0P AGG $2 OOO OOO <br /> POLICY X PRO- <br />JECT LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED <br />IN <br /> S <br />GLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) <br />$ <br /> PROPERTY DAMA <br /> GE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: qGG $ <br />B EXCESSIUMBRELLA LIABILITY SSE78156171 O6/O1/O7 O6/O1/O8 EACH OCCURRENCE $1 OQQ 000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $1 OOO OOO <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> <br />WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />a <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS helo.v __ <br />_ <br />E.L. DISEASE -POLICY LIMN <br />$ <br /> <br />OTHER ___ ___ <br /> .;~ ~. <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS , ~~ ~ <br />Re: City of Santa Ana. y, . ~ <br />L <br />i ~ ~i 1 <br />,~ <br />J~/ <br />. <br />; _ <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its ~-~+~ -1:=.-L - -`- 1 ~ '"- <br />~~-._, <br />officers, employees, agents, volunteers and representatives are named as `- <br />Additional Insureds with regard to liability and defense of suits arising ~~ ~• i <br />(See Attached Descriptions) <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *~n DAYS WRITTEN <br />Attn: Jerry Jeffries NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza -Ross IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Annex (M-21) REPRESENTATIVES. <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />h~.~rcu ~a (cuu-uua~ 7 of 3 #M434041 DFTJG ©ACORD CORPORATION 1988 <br />