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ACORO`" CERTIFICATE OF LIABILITY INSURANCE °a`e(mn,'dd'yY' <br /> <br />Producer 4/23/2008 <br />BettyTran THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER <br /> <br />Complete Insurance, InC. . <br />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 IN URER AFF RDIN OVERAGE <br />(949) 263-0606 <br />www.Completelnsurance <br />com INSURER ACE American Insurance Company <br />. c/o ACE USA <br /> INSURER <br />Insured <br />INSURER <br />Johnson-Frank & Associates, Inc. <br /> INSURER <br />5150 E <br />Hunter Avenue <br />. <br />Anaheim CA 92807 INSURER <br /> E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTFn RFI f1W unvF IzFFnI Icclirn rn rur ..~~~~.,~,..~,,..~........~ ___ _.._ __- ___ _ _ <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER~DOCUMENT WITH RESPECT TO WHICH TH S <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 />POLICY POLICY <br />INSR EFFECTIVE EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS <br />MM/DD YY MM DD YY <br />GENERAL LIABILITY EACH OCCURRENCE g <br />COMMERCIAL GENERAL LIAB FIRE DAMAGE (An one fire) $ <br />CLAIMS MADE OCCUR MED EXP (An one erson) $ <br />PERSONAL & ADV INJURY $ <br /> ANY AUTO t,-(~ j' COMBINED SINGLE LIMIT <br /> <br />ALL OWNED AUTOS <br />'b <br />~~/ $ <br /> <br />SCHEDULED AUTOS <br />HIRED AUTOS ~ <br />`~~ <br />y i+ BODILY INJURY <br />(Per person) <br />$ <br /> <br />NON-OWNED AUTOS 0 <br />.t'Q'Q'~ <br />x~i <br />ORCj~ e7 <br />r <br />'~ BODILY INJURY <br />(Per accident) <br />$ <br /> C * <br />F P,,~ot <br />5 PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY <br />ANY AUTO ~~, <br />St <br />a' AUTO ONLY - EA ACCIDENT $ <br /> S~ <br />' , OTHER T <br /> ~ ~ HAN EA ACC $ <br /> <br />EXCESS LIABILITY <br /> <br />^ AUTO ONLY: AGG $ <br /> <br />OCCUR ~ CLAIMS MADE % EACH OCCURRENCE $ <br /> J AGGREGATE x <br />wuKKtKS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br />STATUTORY LIMIT DTHER <br />EACH ACCIDENT <br />DISEASE - EA EMPLOYEE <br />DISEASE -POLICY LIMIT <br />1,0 ,0 per aim <br />2,000,000 Aggregate <br />of Termination Endt PF-14533 included <br />C <br />City of Santa Ana, <br />Its Officers, Employees, Agents, Volunteers <br />and Representatives <br />Attn.: David Ip <br />PO Box 1988 <br />Santa Ana CA 92702 <br />ACORD 25-S <br />$ <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E3POIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. * 10 Days for Non-Payment of Premium <br />AUTHORIZED <br />REPRESENTATIVE ? ~ i ~ "~ <br />Alicia K. Igram :~`~`r~E~'~~z...-~' f - (~~~ - z..v-, ---` <br />®ACORD CORPORATION 1988 <br />