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From: Mandy Murphey At: G.S. Levine Ins. Svcs., Inc. FaxID: G 5 Levine Insurance To: Stacey Date: 10/18!2007 02:53 PM Page: 7 of 7 <br />OP ID MS wTl IMMND/YYYY( <br />ACORD CERTIFICATE OF LIABILITY INSURANCE FAZEH-1 10 1e o7 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRGGULT:N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />G. S. Levine Insurance THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR <br />HOLDER <br />Services, Ina. . <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />10505 Sorrento Valley Rd. 1200 <br />San Diego CA 92121 <br />Phone: 858-481-8692 Fax: 858-481-7953 <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INlYNlD INSURER YA )[(, eaialt Insurance CO. <br /> <br /> INSURER a <br /> IrauRERa <br />Scott Fazekas G Associates <br />17777 Dal Paso Drive INSURS+D: <br />Poway CA 92064 <br /> INSLpeTe <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW WIVE BEEN ISSUED TO THE NSURED NAMED Asvvr. rvn I ne ruuar rorYw IIWO.ITI ~M. ,.., ~ ..~ ~ r,o ~.....~~... <br />NDRM]N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IMV BE ISSlJm OR <br />ANY REOUQiEMENT. TERM OR CO <br />NSURANCE AFFORDED BV THE POLICES DESCRIBED FEREN IS SUBJECT TO ALL THE TERMS, EACLUSIONS AND fANDITIONS OF SUCH <br />MAV PERTABJ, THE I <br />POLICIES. AODREGATE LIA4T3 SHONN MI1V FiAVE BEEN REDUCED BY PND CLAIMS. <br /> PGIJCY EFFELTYE PGIICYE IMTON YMDe <br />LTR NSRD TYPE OF INSURANCE POYCT NIIR®Ht ppTE GALE MMNWY <br /> ILL LN6IUTY EACH OCg1RRENCE S <br /> GEN EN <br /> MMERCILL GENERPL LYaIfI`! PREMISES IEa orarence E <br /> CO <br />CVJS6 MADE ^OCCUR fEO EMP (AnY ana penpn) S <br /> <br /> PERSONALAAOVIWJRV f <br /> <br /> GENERALAGGREGATE S <br /> <br /> TE IJMR APPLE:6 PER PRODUCTS-COMP/OP KiG S <br /> G3PLAGGREM <br /> PR6 LOC <br />PIXICY JECT <br /> <br /> AVI DMUIILELWILITY CGMBRE091N(%E LRAIT f <br /> <br />UTO (En acclGenl <br /> ANYA <br /> NI OYMED NJT09 90gLY INILIN S <br /> <br />EO aJTGs <br />u IPN'penon) <br /> scnm <br />L <br /> HR®AUTG9 BOPLY INIURY S <br /> <br />bMIED AUtOS (Per avJQer~U <br /> NON <br /> R3OPERIY WXAGE ! <br /> (Ver x[IOYQ <br /> GAIUGE W6IYIY AUTO ONLY-FA ACCIOENr S <br /> UTO OTHER i141i FA PCC s <br /> NIYA ~ AUTO CPILV: ,~ E <br /> AWMNRlUA WBILRY PACII GCCMRENCE 5 <br /> [IIC <br />UR ^ QAIMS IMOE AGGREGAR S <br /> OCC <br /> S <br /> BwcnELE <br />! <br /> G <br /> <br />RETENTIGN S s <br /> WC 9TATU- OT14 <br /> GMPEN9AlION W10 TORY LIMBS ER <br /> WURNEp90 <br /> ENRGYER!'WNRISY El FJGH ACCIDENT S <br /> MfY PROPRIEIORIPORTN~CUTNE <br />OFFICHLMEMBER IXCLUDEUf <br />El DISEASE-EA BAPLDYEE <br />f <br /> <br /> Mya, IXSmbe UnJer EL. DISEASE-POLICYLINT E <br /> SFFCVL PROVISIONS L JW <br /> <br /> OT1E0. <br />A Professional DPR9606624 06/05/07 06/05/08 Claim/Agq $1,000,000 <br /> Ded 10 000 <br /> Liabilit <br />DElCRIPNDN OF OPEMTON! / LDCATDN9! V6MdE9 / e{CWlION9IIDDEOlY fiNDORlEMEIR/ 9PECULL FROL'IlIDN! <br />Re; All Operations o£ the named insured. <br />Proo£ of Insurance. <br />The City of Santa Ana, Its Officers, Employees Agents, Volunteers 6 <br />Respxeaentativea are named oertificate holders. <br />*10 day notice of canoellation applies for xLaDn payment o£ premium. XX ' <br />JITION <br />GCK I IrIT.AI c nvwcrE - --- <br />CITSAN- BNWWANY OFTNE ABOYD DE6GRIBED POaG~6 BE CANCELLED lEFOR6T~E%PIMTON <br />City of Santa Ana DATETNEREDF. TI~ISSYINO IN511RERMRLL~MNL 30* DArs wrsmEN <br />Attn: Tonic Zerba xDDC6T0 THE CERRFIMTE HOIffiRNAMED TO TIE LEFT. <br />20 Civic Center Plaza (M20) <br />P.O. Sox 1988 - <br />Santa Ana, CA 92702 <br /> ~D xEPRCC TP,G <br /> al ACORD CORPORATION 1981 <br />ACORD 25 (2001108) <br />