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<br />: . <br /> <br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE <br />07/H/2006 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P. O. Box 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED Taller San Jose INSURER A: Hartford Insurance Camcanv of the Midwest 37478.001 <br /> 801 N. Broadway INSURER B: <br /> Santa Ana, CA 92704 <br /> INSURER C: <br /> INSURER 0: <br />, INSURER E: <br /> <br />COVERAGES <br /> <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 />1I,"tSR ~~ TYPE OF INSURANCE POLICY NUMBER PRk}l~i[fn5~~~ POLICY EXPIRATION UMITS <br />T. DATE MMIDDIYY <br /> ~NERA.L LIABILITY EACH OCCURRENCE I <br /> - OMMERCIAL GENERAL. L.IABIL.lTY ~~~~~~~9~~~T.~""e\ I <br /> - CLAIMS MADE D OCCUR MED EXP (Anyone person) I <br /> - PERSONAL. &ADV INJURY I <br /> - GENERAL.AGGREGATE I <br /> ~N'L.AGG~nE;~~ APPlSIPER: PRODUCTS - COMP/OP AGG I <br /> POLICY JECT L.OC <br /> ~TOMOBILE L1ABIUTY COMBINED SINGL.E L.IMIT I <br /> - ANY AUTO (Eaaccident) <br /> - AL.L. OWNED AUTOS BODIL. Y INJURY <br /> (Parperllon) I <br /> - SCHEDUL.ED AUTOS <br /> - HIRED AUTOS BODIL. Y INJURY <br /> , I <br /> - NON-OWNED AUTOS ''D l',s . ) {Per accident) <br /> ~ ,'j' PROPERTY DAMAGE <br /> , ,; "', /\ I <br /> - (Perac:cident) <br /> , , "t2!i~fS\( , <br /> ::=jGE L1ABIUTY ,~ AUTOONL.Y -EAACCIDENT I <br /> ANY AUTO f\";\v'\ EAACC I <br /> _~Jc," \~ I' _'" OTHER THAN <br /> , ~ \ ," \ AUTO ONL. Y: <br /> ~ . .."."\\ Iv AGG I <br /> ~ESS LIABILITY " '6 o~ t- '>) EACH OCCURRENCE I <br /> OCCUR D CLAIMS MADE AGGREGATE I <br /> I <br /> R DEDUCTIBL.E I <br /> RETENTION I I <br />A WORKERS COMPENSATION AND 72WNC93300 5/31/2006 5/31/2007 X I T~~~I~J/fs I IOl~. <br />EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT I 1 ono 000 <br /> OFFICER/MEMBER EXCLUDED? E.L.. DISEASE - EA EMPL.OYEE I 1 000 onn <br /> ~~~(::~~~a~~~~NS below E.L DISEASE - POL.ICY LIMIT I , oon noo <br /> OTHER <br />DESCRIPTION OF OPERA. TIONS/LOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana and Santa Ana Empower.ment Corp. <br />20 Civic Center Plaza, M-21, PO Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TO MAIL. ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BlIT FAILURE TO 00 SO SHALL. <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRES <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll,1684859 Tpl,504710 <br /> <br /> <br />@ACORDCORPORATION 1988 <br />