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<br />----uat:e: Q/.l.J.l"""f> ....."''''. ~.~.-.. <br />,,- <br />. <br /> <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE DA 1E IMMIDOJYYYY) <br /> 6/11/2008 <br />PKODUCE:K (559) 222-7722 FAX: (559) 222 -1124 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />James G Parker Insurance Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />License *0554959 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1753 E Fir Ave <br />Fresno CA 93120 INSURERS AFFORDING COVERAGE NAIC # <br />INSultED I"SURER A. Redwood Fire " Casua.ltv <br />Midori Gardens Inc II\SURER6_ - - - , - - <br />3231 Main St INSLRERC <br />Santa Ana CA 92707 '--,-!!SURE'RO - - - e- - <br /> i INSURERf <br />T-IE pOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWrT"iSTANDING ANY <br />REQUIREMENT. TERM OR CONDITION O~ ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wi-tICH T41S CERTIFICATE MAY BE ISSUED OR W,AY PERTAIN <br />T-IE INSIjRA~~E AFF~~~~~A~~ THE POLICIES DESCRIBED HE~~,I~<"IS SUBJECT TO ALL T-IE TERMS, EXCLUSIONS AND CONDITIONS OF SUC-I POLICIES <br />INS~ I~~~'~ TYPE OF INSURANCE POLICY NUMBER p~~~~~!~~~ ~~;f:::t~~N, LIMITS <br /> GENE:HAL LIABILITY I:ACH OCCURRENCE I, <br /> SlJE:RClAl Gt:NERAlllADllIIY DAWAGE 10 HENTED -'-- <br /> 1 EREMISES.1E611CCJ!'~tl~--e) - <br /> ! _I CLAIM::; MADl: D OCCUR Po1ED EXP (Aro~ ~nl! nerSQn I <br /> I - - J'ERSONAl.\ AOV If\jJURY t-L--- <br /> '-- GEM'RAl AGGREGAlf <br /> ! ~'L AGG:Er~.~rLlPo1I' ,o,AE~ PER. PROD\..CTS COMPIOPAGG I <br /> PRO. , <br /> POliCY JECT laC <br />I ~OMOBILE LIABlUlY I COM6\fl<ED SINGlE llMll <br /> i(F""Gc,:jI!"j) I <br />1--__ ANy,o,LIO <br /> 1-_-jALL OWNl:O "UTOS 't>ODllY INJURY <br /> ~ SCI--l:Ol.LEOAUIOS (pEroerSDn) . <br />I j HIRED AUTOS BOUlLY It\JURY <br /> NON OWNED AllH1S IP~' "cx'(jerd} I' <br /> I PROPERlY DlloW,AGE' . <br /> ,(PE'8GCl(jpnl) <br />I 5RAGt:L'ABILllY AUlD OMY' Ell. ACClDENl . <br />! AI\YAI,;10 OTl-lER1....AN EAAGC ,t <br />1 AI,;TOOMY. AGG <br /> E:.Il.CESS!UMBRE:.LlA LIABlLllY EACH OCCURRENCE I <br /> ~O::::CLR C ClAlWSlJADF AGGREGAIE <br /> bVt:DUClllnE , -- _iL- - <br />, -- -- I -- <br />, kEIEl';l1ON t <br /> , <br />A I WO~Kf:KS CQMI'EN8A liON AND i~fSIAlUSUElh. <br /> t:MPLOYERS' t.IABILll Y f" '0,,, '"''''"+- -- <br /> "NY PROPRIETOR.'PAR1NERIEXECUllVE E.L. E:ACH ACCIDEN1__ ...l-- _~~tlO.OOO <br /> OFF1CER'MEMeER EJo:.ClU OED? 4406003892081 6/1/2008 6/1/2009 'E.l.DlSE:ASE .fAEWPlOYEE'!& 11000,000 <br />i If yes. ~"'c',op Linde' 11::.1_ DlSl:ASf. POliCY LIMIT: t 1,000,000 <br /> SPECIAl PROVISIONS oc = <br />10 THER <br /> ! <br />DESCRIP110N O~ OPE~A TIQNSILOCAIIONS/\/E.HICLESJEXCLUSI0t4S AOOI:O BY ENOO'RSE.Mt:N1ISPECIAL PROVISIONS <br />.Workers' compensation: 10 day notice to insured of cancellation for non-payment of premium/non-reporting of payroll. <br />No other modification to the C.ncellation s&ction in this certificate will apply to Workers' compensation <br />cDverage.~~Workers' compensation: Additional Employers Liability Li~itt $1,000,000. (Accident - Policy Limitl <br /> <br />CERTIFICATE HOLDER <br />(714) 571-4248 <br />C~ty of Santa Ana <br />Parka, Recreation & Community Services Ag <br />-1123 <br />888 W. Santa Ana Blvd., <br />2nd Floor <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION <br /> <br />SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IHE <br />EXPIRATION DAlE IHEREOf, IHE ISSUING INSURE~ WILL ENDEAVOR 10 MAIL <br />Y] 0 OAYSWRlllEN NOllCE TO THE CEFHIFICATE HOLDER NAMED TO THE LEFT, aUl <br />I-AILURE 10 DO so SHALL IMPOSt; NO OBL.IGAlION OR LIABlLny Of ANY KIND UPON IHE <br />INSURER ITS AGENIS OR REPRESENTA liVES. <br />AUIHORIZEOREPRESENlAllVE ~ ~ <br />.1ames Parker T'r/RRm C/A4H? .&::> ~"'ii" <br /> <br />'" ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />INc;.n?t:; m'''~\ ,,~. <br /> <br />,"",...... <br />.' " <br /> <br />FOR,Vl <br /> <br />p,,~p . ~(? <br /> <br />7tAQ~f::!<;:~-- <br />