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<br />At;OR!}.. CERTIFICATE OF LIABILITY INSURANCE OP 10 ~~ D~tE (MMU)/"{'(('(t
<br /> HATIOOl 10/16/07
<br />PRODUCER ~ .?u:S- \ \ Lj THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Marshall , sterling ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />upstate Inc. .- ;;kD5 - ( ltf -DI HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br />113 saratoqa Road ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
<br />Glenville NY 12302
<br />phone: 518-384-1100 Fax:51B-3B4-0193 INSURERS AFFORDING COVERAGE NAlC#
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<br /> 8370 W lah re Blvd Ste 205 1N$L.RER 0
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<br />DESCRlP'MPlOf OPERA'TIOHS! LOCA'JIOta I VEH!CLEs. I EXCLUSIONS ADOeD 8'1' 1~Ea.\l. PROVISIONS
<br />city of santa Ana is provided Additional Insured status when required by
<br />written contract or a9reement with respect to operations of tbe Named
<br />Insuz:ed.
<br />
<br />CERTIFICATE HOLDER CANCELLATION
<br />CITY108 SHOULD AH'f Of THE ABOVE DESCRIBED POLICIES BE CAtlCELLED BEFORE THE EXPIRATlOtI
<br />DATE THEREOF, 'THE ISSWlQ-INIWRER WILL EUOEA\lOR TO MAll. 30 DAYS WRl1TEN
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<br />NOTlCS TOTHli aiR1tFICAT& HOLD&Rt.lAMED TOTWE LifT. BUT fAlLU~ TO DO so SHALL
<br />...05& NO OBlIGATION OR UAIIlITY OF J.If( t<ltlD Ul"OO THE IUSURER. ITS :'OENT$ OR
<br />REPRESENTAnvES.
<br />. (tPRe.SENf~TJVE
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<br />City of santa Ana
<br />Public Works Agency
<br />Attn: Shahi" Gob"an
<br />20 Civic Center H-43
<br />Santa Ana CA 92702
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<br />ACORD 2S (20011081
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