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A RD~ CERTIFICATE OF LIABILIT Y INSURANCE o'~i7i" <br />PRODUCER (714) 905-1923 x3125, I?ax(714) 905-1910 <br />Ha and Tilton & Rola Ins. Assoc. , Inc. <br />Yw ~ - 1?P <br />License N0614365 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />888 S. Disneyland Drive ~i400 <br />Anaheim CA 928021646 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />WSUREO INSURER A Tray®lera Ind. CO . of Conn . <br />Mull@n & ~1880C1at@9, IriC. INSURERB:Pr@fATr@d E 10 Ara InS. <br />1200 N. Jefferson Street wsuRERC:Everest National Ins.Co. <br />sL11te D INSURER D. <br />_ <br />Ai38hA1Dl CA 92807 (~ 1l~ INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHSTANDINGAHY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />DiSR D~ TYPEOFWSURANCE PQLICYNUMBER ~~ EFFECTNE P~ ME>~RATiON LIMTfb <br /> GENERALLIABILnY 680 4413L7C8 07/24/2007 07/24/2008 1,000,000 <br /> X COMMERCIAL GENERAL LIA80.1TY D TO RENTED ~ 300 , 000 <br />A CLAUNS MADE a OCCUR MED EXP one s, OOO <br /> Deductibl0-Nona S 1 6 1,000,000 <br /> AGG t 2,000,000 <br /> GEN1 AGGREGATE LDAIT APPLIES PER 2 , 000 000 <br /> X I <br /> AUTOM081LELIABILIfY <br />~~ 680 4413L748 07/24/2007 07/24/2008 COMBWEOSINGLELat1T <br />ICI <br />l,ooo,ooo <br />A ALLONMEDAUTOS NOTE: TNIB CO~vER1uG8 IS BOOILYINNRY <br /> SCHEDULED AUTOS 1^OR NON-ONNSD 6 HIPSD (Paprfon) : <br /> X FIIREDAUiOS AUTO ~~~ ONLY-~ BOOILYINJURY <br /> X NON-0NMEOAUTOS OSrtl1ED V88ICLSB. (Pvsaldarq) 8 <br /> X Deductible-None PROPERTYDNAAOE <br /> tpo- aceioxal ~ <br /> OARAOELUUBLnY AUTO NLY•EAACCIDENT <br /> ANY AUTO OTHER THAN <br /> ~ AUTO ONLY A <br /> EXCE88RJMBRELLA LIABILITY /- <br /> OCCUR ~ CWMS MADE ` <br />~5 <br /> s <br /> DEDUCTIBLE 4 <br /> <br />$ WOAKERBCOMPENSATIONAND TdIQT133245-1 02/Od/2007 02/04/2008 y n " <br /> EMPLOYERB'LNBRJTY <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />E.L. ACM ACCXXSNT <br />1, 000, OOO <br /> OFFICERMIEMBER EXCLUDED'! E.L. DISEASE • EA EMPLOYEE 1, 000 , OOO <br /> n ya. aaorms order <br />s eebw <br />EASE • POLICY LallT <br />1, 000 , 000 <br />C OTHER Prolesaional <br />Liability- Rgtro <br />Dais: 12/28/1979 48A8000505071 01/04/2007 01/04/2008 $1,000,000 Each Claim <br />$1,000,000 Aggregate <br />$10,000-Deduatibla <br />DEBCRIPTWN OF OPERAflONSfLOCATgNBNENICLESlE1(CLUSIONS ADDED BY ENDDRSEYENTISPECUIL PROYgt4N8 <br />Ra: Ali Operations <br />Certificate holder is added as additional insured as per CGD2520303 attached. <br />Primary-Non-Contributory wording as per CGD037 Od OS attached. <br />~Noto: Ton Day Notice oP Cancollation Lor Non-Payment o! Premium/Non-Submission of Paproll Report. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIE8 BE CANCELLED BEFORE THE <br />City Of Santa Ana EXPIRATION DATE THEREOF, THE IS3UD10 INSURER YVILL ENDEAVOR TO MAIL <br />PUb1iC WOrkB AgEInCy 30 DAYS NIRITTEN NOTICE TO THE CERTIFK:ATE HOLDER NAMED TO THE LEFT, BUT <br />20 Civia Center Plaza <br /> <br />Santa Ana, CA 92702 FAIWRE TO 00 80 8HALL IMPOSE NO OBLIGATION OR LUIBILTTY OF ANY KIND UPON THE <br /> D18UAER. TTa AGENTS OR REPREBENTATIYE8. <br /> AUTHORIZED REPRESENTATIVE <br /> Dona Delight/DLD ~ p`•~•~- <br />ACORD 25 (2001108) ®ACORD CORPORATION 1968 <br />INS0251o1oel am Pepe i of t <br />