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r <br />~coR~~ CERTIFICATE OF LIABILITY INSURANCE Date(mm/dd/yy, <br />iducer '' 4/23/2008 <br />Betty Tran THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />Complete Insurance, InC. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />19000 MacArthur Blvd. PH Floor COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine CA 92612 INSURER AFF RDIN OVERA E <br />(949) 263-0606 INSURER Travelers Indemnity Company CT <br />www.Completelnsurance.com Travelers, MN <br />A-2008-070 INSURER Travelers Property Casualty of Amer <br />Travelers, MN <br />ued <br />INSURER <br />Johnson-Frank & Associates, Inc. <br />INSURER <br />5150 E. Hunter Avenue <br />Anaheim CA 92807 INSURER <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT O WHICH THIDS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR POLICY POLICY <br />TYPE OF INSURANCE EFFECTIVE EXPIRATION <br />'_TR POLICY NUMBER DATE DATE LIMITS <br />GENERAL LIABILITY MM/DD/YY MM/DD/YY <br />A COMMERCIAL GENERAL LIAB 6806825L007 12/1/2007 12/1/2008 EACH OCCURRENCE $ 1 0 O 0~ <br />FIRE DAMAGE (An one fire) $ 300.01 <br />CLAIMS MADE OCCUR MED EXP (An one erson) g 5 Oi <br />Primary/ConCon Scheduled AI Endt <br />Waiver Subro #CGD3820906 PERSONAL & ADV INJURY $ 1 000 OI <br />GEN'L AGG LIMIT APPLIES PER GENERAL AGGREGATE $ 2 000 01 <br />POLICY Ivan irrr n i nr PRODUCTS-COMP/OP AGG ~ ~ nnn nr <br /> A UTOMOBILE LIABILITY $ <br />B ANY AUTO BA6819L639 1 21~ <br />~~ <br />' 008 COMBINED SINGLE LIMIT <br /> ALL OWNED AUTOS ' <br />VE i` <br />/' $ 1 ~000~000 <br /> SCHEDULED AUTOS ~p <br />Rp <br />~°~,~ BODILY INJURY <br />(Per person) <br /> <br />HIRED AUTOS <br />( $ <br /> <br />NON-OWNED AUTOS <br />- L BODILY INJURY <br /> ~+ c <br />c~OpCK <br />G J !~ (Per accident) <br />$ <br /> ~,IS • <br />p`ttOr a <br />~ PROPERTY DAMAGE <br /> GARAGE LIABILITY i (Per accident) $ <br /> ANY AUTO / AUTO ONLY - EA ACCIDENT $ <br /> if ~ OTHER THAN EA ACC <br />AUTO ONLY $ <br /> <br />EX <br />CESS LIABILITY : AGG $ <br /> <br />B <br />OCCUR CLAIMS MADE <br />CUP7915Y817 <br />12/1/2007 <br />12/1/2008 EACH OCCURRENCE <br />nr:r:vrr_eTr $ 4 000 O 0 <br />. nn., ., .... <br />RETENTION $ O I I I I I~ <br />WORKERS' COMPENSATION & $ <br />EMPLOYERS' LIABILITY STATUTORY LIMIT THER' <br />EL EACH ACCIDENT $ <br />EL DISEASE - EA FMPI HYPE c <br />Certificate Holder is Additional Insured as respects General Liability but only if required by written agreement with <br />the Named Insured pprior to an occurrence and as per coverage form #CGD3820906. Auto Liability Designated Insured <br />included per form #CA20480299. General Liability includes Severability & Contractual Liability per limitations in <br />liability coverage form #CG00011001. Coverage subject to all policy terms, conditions, limitations and exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City Of Santa Ana, EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL I~~~ MAIL <br />Its Officers, Employees, Agents Volunteers 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />and Representatives LEFT, X~1~X{~AYL'~~X~',~ya(,~(~~~gp(g~y~g~~~~ <br />Attn: David Ip pg~c~~q~~(y~p~~~~x~~~~~~ <br />PO Box 1988 ~~~ ' 10 Days for Non-Payment of Premium <br />Santa Ana CA 92702 AUTHORIZED <br />REPRESENTATIVE i <br />/J r.... ~' , <br />f ,~ . , <br />Alicia K. Igram <br />©ACORD CORPORATION 1988 <br />