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z~io~ zoos <br />i <br />CERTIFICATE OF INSURANCE ISSUE GATE <br />• ~ ~ <br />- - _. _ -- -.._ , - .. __ 08/28/2007 <br />_ .---- I <br />PRODUCER CeRA x2373 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />GEORGE 1. BROWN INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />P,O, BOX 5060 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SAN CLEMENTE. CA 92874-5060 POLICIES BELOW. <br />(949) 381-1400 <br />FAX (949) 3B1-2767 _.- -- .-- ------------ ---.__. _. <br />COMPANIES AFFORDING COVERAGE <br />(COMPANY <br />A <br />(N6VRE0 --.-~---.......... ..., <br />MlDORI GARDENS, INC. coMPANY <br />B SAFECO INSURANCE COMPANIES <br />COMPANY <br />3231 SMAIN - ~--- -------..-...__ - .. _. __.. <br />SANTA ANA, CA 92707 COMPANY - <br />COVERAGES <br />THIS IS Tp CERTIFY THAT THE POLICIES OF INSURANCE LISTED eELOW WIVE BEEN 188UE0 TO THE INSURED NAMED ABOVE FOR THE POLY PERI00 INDICATED, <br />NOTWITHSTANDlNGAMY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT oR OTHER DOCUMENT WITH REBPEGT TO WHICH TN18 CERTiFICATf MAY BE 188VED OR MAY <br />PERTAIN, THE k18URANCE AFFORDED BY THE POLICIES DEBCRIBEO HEREIN IB SUBJECT TO ALL THE 7ERMB. EXCLL1810N6 ANO CONDITIONS OF SUCH POLiC~B LMAITB KNOWN MAY <br />WIVE eEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER ~ POLICY EFFECTIVE ii POLICY EXPUiATION LMNRS <br />LTA DATE (MMIDOfYV} DATE (MMIDDIYY) <br />GENERAL LIABILITY OENERAI AOOREOATE $ <br />COMMERCUIL OENERAI LIABIIRY ~ PRODUCTBLOMP/OP AGG $ <br />IMB MADE ~ OCCUR ~ PERSONAL 8 ADV INJURY 0 <br />OWNER'S 6 CONTRACTOR'S PROT. -..... _._ _. . <br />EACH OCCINiRENCE $ <br />FIRE DAMAOE(Any Ong Fllr- i - <br />MED. EIIPENBEIAny Orw Pawn $ <br />-- I __.....__ ._ ..... <br />',AUTOMOBILE LIABILITY <br />X ANY AUTO 02CE160299-10 JUN 1 07 JUN 1 08 COMBINED SINGLE LIMB $ ~ 000 000 <br />ALL OWNED AUTOS BODILY INJURY <br />j BCHEOVLED AUTOS (Par vw~on) $ <br />81F X MIRED AUT06 I <br />~( NON-0WNEO AUTOS BODILY INJURY i <br />IPw Awidaru) <br />~ PROPERTY DAMAGE _ <br />GARAGE LIABILITY AUTO ONLY-EAACCIDlNT $ <br />--- <br />ANY AUTO OTHER THAN AUTO ONLY -~ ~~ <br />EACHACCWENT $ <br />1 AGGREGATE $ <br />EXCESS LIABILITY I EwcN OCCURRENCE ra <br />UMBRELU FORM - -. ,. ... _.._ -_. <br />AG__GREGATE i <br />OTHER THAN UMBRELLA FORM ~ -'~~~~' -~ <br />WORKER'S COMPENSATION AND BTATUroRr r.n~nlrs _._ <br />EMPLOYERS'LIABILITY iEACMACCIDENT <br />_. .. _ <br />TNEPROPRIEIOR/ (NCI OI8EA8EiOLICYLNNIT $ <br />PARTNERS/EXECUTIVE --- ._..-_ „ ..-•-- <br />OFFICER9 ARE' EXCL I DISEASE.EACN EMPLOYEE <br />.... --...,_ I. .,._. <br />OTHER _._. _, .,,..._._ <br />-DESCRIPTION OF OPERATIONBILOCATIONBIYENR;LESfSPEG1/1L ITEMS <br />CERTIFICATE HOLDER IS NAMED A3 ADDITIONAL INSURED PER FORM CA7110 {09!05) WITH RESPECT TO ALL <br />ONGOING OPERATIONS PERFORMED BY THE NAMED INSURED FOR THE CERTIFICATE HOLDER AS REQUIRED <br />BY WRITTEN CONTRACT. <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />ADMIN SERVICES <br />DIVISION PUBLIC WORKS AGENCY <br />20 CIVIC CENTER PLAZA M21 <br />SANTA ANA, CA 92702 <br />ATTN JERRY JEFFRIES FAX 71447-5069 <br />s r (~ ~~~ <br />/ ~ ,/' <br />CANCELLATION --. _ ___ _- <br />BHOWLD ANY OF THE ABOVE pESCRRIED POLICIES 8E CANCElLEO BEFORE THE <br />EIWIRATION DATE THEREOF. THE KSUING COMPANY WILL MAIL ]0 OAVB <br />WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEfT <br />70.0AV NOTICE OF CANCElLAT10N LIES FOR NON-PAYMENT OF PREMIUM <br />AirrNOR11ED REPREBE VE <br />