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IIIII�I�� II I III III I <br />Id�i�illl l III �'�IIIIL II <br />NAME AND 1DDRI-5S CF AGFNC'I <br />NANCARROW INSURANCE A ;I3NCY <br />1400 N. HARBOR. BOULEVAKD <br />SUITE 640 <br />FULLERTON, CALIFORNIA 92635 <br />—. --- — -- .— _ —. —_.- 11.11__.. —_. 4,.114, — <br />NAME AND 1DDRI`55 OF INSURED <br />SOUTHWEST SANTA ANA LITTLE LEAGUE, INC. <br />& SANTA ANA. 'POP WARNER FOOTBALL, INC, <br />c/o MR, CHUCK WINN <br />1239 SOUTH ROSS <br />SANTA ANA, CALIFORNIA 92707 <br />This is to rertihf tha, policies of insurance I stet below have been issued 1:'. I u 1 in : I d r <br />of any co,'rac: or rther document with nspe� 1 to All this certificate I .r in a : <br />terms, ex, usions E Id! cl:Inditor$ of such polices._ <br />COMPANY TY°E'JF U <br />IN,RANCE 01 ICY NLII IR <br />OTTER <br />_1111___ _. _—_ -1111-- _ — — — - — .1111... —__. <br />GENE'IFIAL. LIABILITY 1111--- - - <br />J COkll'RFHF NSI'VF FORM <br />A - PREN '�E OPERATIONS UAP 6- 08- 48 -20 -00 <br />IXPL LION AND COLLAPSE <br />IT sn RE <br />JIINDE Rb ROUND HAZARD <br />PROD JO TS, M P. F I FD <br />Z ErATIONS HAZARD <br />'OR1C UAL INSURANCE <br />1311 RM PROPERLY <br />DAMAGI <br />❑ INDP ENDENI CCNTRACTOY.S <br />PI RS DIAL IN AJRY <br />- 1111_ 11. <br />ALI —11MIOBILE LIABILITY <br />'CO PEN NSNF IORM <br />IwN o <br />TIFT <br />NUIN J <br />VLIV IAN[ D <br />EXCESS LlABILIT'Y -- <br />1�1 UMRlFLUI IORM. <br />!J OT HI R I HqN UMb RE LL L <br />FORA' <br />1MOFfKEI >S' ('OMPENSATION <br />and <br />LMPLOYEFtS' I_IABILITV <br />OTHER .11..11. <br />C l F1' IhFFORDINIGi l;7IDId EiFhl'41iEi ti <br />f'4;EAT AKER.ICAN INSUI;ANC'E COMPAN4 <br />I Ffz <br />�:,I. <br />I T f i <br />I 1 <br />- - - - -_- - -- 4,4,-11.. <br />I T f t <br />for the <br />policy period indicated <br />ab v�7rq}[T{]{t2(+3Eltllt>QMr hbt vnh!l ar din try lr µlinrrenl t In'l or ro cliliur <br />%l, <br />-ny c:r� surzncea <br />.yt Apoir.Isde=cr Gr :I here n Is s It iii .o all :In:. <br />LY, . _ rf _ Willy ... ....1111 <br />Lim Willy hnusan I : f-6-01-6 I- <br />.Y <br />_ <br />_ <br />EACH A( F B131' <br />CULFINCE <br />PERIOn OD <br />_- __...__.__._.__.... <br />RLeI , 114,11 �R, <br />$ , <br />9/24/83 t <br />9/24/84 <br />PROPLII IY DV M AGf <br />301111 NJUEY AND <br />S00 <br />PRLPL O <br />.�IY AM IGI_ <br />F .;500 <br />QLHINEI <br />------------------ <br />.__...______- _...__.._____— .1111.- .- --------- .. <br />PFF;CN6L INJIT V` <br />1111 1111.. _ <br />_ BOD'II i114J H i 11-11 <br />I <br />RODI_'1 INFJFY <br />iLACH AC;J[, III <br />PR(t F I ! r11t l <br />$ <br />BO II Y IV IIJF I IN <br />PR II 1;1Y '.A1 _ <br />$ <br />- <br />rrfl Nr D <br />eo IY INIDDY 1Nc <br />PR L VDid41GL <br />ri $ <br />Ni <br />I unrrr <br />DESCRIPTION OF OPERATIONSILOCATIONSNLHICLFS <br />DESIGNATION OF PREMISES: MEMORIAL PARK <br />2100 S. FLOWER <br />SANTA ANA, CALIFORNIA <br />Cancellation: Should any of the above described oolici!•, be cancl ed Lefore the expirAion date tTEleof, the issuing com- <br />pany will ems 30 days written notice to the below named certificate holder, M7=3GMX <br />r�7@ R�7 �$ RL° F[ ��R�CI '�i�3�k�.ldl�t�4L9ktX}14[�@4H4i <br />SEE ATTACHED FOR ENDORSEMENT NAMING CITY OF SANTA ANA AS ADDITIONAL INSUR] <br />- <br />NAME ANIJADDRESS OF CERT IFICATIi HOLDER <br />CITY OF SANTA ANA, ITS OFFICERS, E DATLISSUCD— _._91121$3___.__..__ - 1111_ 1111____ <br />LOYEES AND AGENTS <br />C/o THE CITY CLERK <br />20 CIVIC CENTER PLAZA i - - - - -_- <br />SANTA ANA, CALIFORNIA 92702 AUIHORVED Rr:PRE<ENTATIVE <br />- -- 4,4,4,4, -- — ---- <br />ACORD 25 (1 19) <br />