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-08-07;08:05AM; - ;7147771641 # 2/ 7 <br />?D,? CERTIFICATE OF LIABILITY INSURAkt E 11/10 ?' <br />Complete Insurance, Inc. <br />California DOI #0437762 <br />?0 MacArthur Blvd., PH Flr <br />L-A ne, CA 92612-1447 <br />S1SO E. Hunter Avenue <br />Anaheim, CA 92807 r <br />-Y <br />INSURERS AFFORDING COVERAGE <br />G: <br />T <br />rnvoosr_e¢ <br />NAIC 0 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />VISA DD' <br />. TYPE OF INSURANCE POLICY NUMBER POLICY EPFECTIVE <br />DAIS POLICY EXMRATION LIMn6 <br /> 09NERALLIABILm BKO19S7972 12/01/2006 12/01/2007 EACHOCCURRENCE 5 1,000,000 <br /> X COMMERCMLGENERALUABILITY DAMAGE TO RENTED f 300,00 <br /> CLAIMS MADE XOCCUR NED EV(Arri mN PwPOn) 5 10,00 <br />A PERSONAL S AUV INJURY f 11000,00 <br /> GENERAL AGGREGATE $ 2,000 000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S 2,000 00 <br /> POLICY X JT 71 LOC <br />E <br /> AUTOMOBILE LIABILITY BA01669594 12/01/2006 12/01/2007 COMBINED SINGLE LIMIT <br /> <br />X ANY AUTO <br />(ER MRIdPnt) $ <br /> <br />O <br />1,000.00 <br /> ALL OMMED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(hrpPASOn) 3 <br />B <br /> X HIRED AUTOS GODILY INJURY <br /> X NOWOVMED ALIT03 (PPr.mamm 3 <br /> PROPERTY DAMAGE <br /> <br />1 <br />(Per arJUam) f <br /> GARAGE LIABILITY AUTO ONLY-EAACCtDENT 5 <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTO ONLY: ADD 5 <br /> EIIOESWUMBRELLAUASILITY BK019S797Z 12/01/2006 12/01/2007 EACH OCCURRENCE f 4,000 OOC <br /> X OCCUR CLAIMS MADE AGGREGATE 3 4,000,00C <br />A 3 C <br /> Droucnau 3 <br /> RETENTION 3 5 <br /> WORKERS COMPENSATION ANO <br />' 1NC STATLL OTW <br /> EMPLOYERS <br />YABIUTY <br /> ANY PAOPRIETOMPARTNERIEMCUTIVE EL. EACH ACCIDENT f <br /> OFFICERMEMBER EUWDE07 ILL DISEASE - FA EMPLOYE I <br /> II yM, dwaib. under <br /> SPECIAL PROVISIONS WIN, LL DISEASE. POLICY LIMIT 5 <br /> OTHER 10 day notice applies to <br /> non-payment <br />OESC <br />er W,PTION OF OPERA?TIQN3 / LOGTONS I VEHIC <br />tificate Holder is AddTt!a LES I EXCLUSIONS ADDED BY ENOORS <br />nal Insured as rasnart EMENTI SPECIAL PROVISIpNq <br />c rAnaral IiahYltty hilt nnly if ranl,ieAd by written <br />with the Named Insured prior to an occurrence and as per coverage form CL/BF26090903. <br />subject to all policy terms and conditions. <br />City of Santa Ana, <br />its officers, employees, agents and <br />representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL KW OM MAIL <br />30 DAYS WRITTEN NOTICa TO THE CERTIFICATE HOLDER NAMEOTO THE LEFT, <br />ACORD 25 (2001108) ©ACORD CORPORATION 191