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DATE <br />ACORD,N CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 06/17/2006 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER 877-9°5-7 78 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Willie North America, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2E Century Blvd. NAIC# <br />F. C. box. 305191 INSURERS AFFORDING COVERAGE <br />Na6hvc--e, TN 37230519-i -- —. <br />-- INSUR^Rk Hartford ford Insurance Compaq of the N!i dwest 37478-001 <br />INSURED 7a11er Sar. Jose <br />BL1 N. Broaaway INSURERS <br />Santa Ana, CP, 92701 INSURER-. <br />INSURER'- <br />INSrIREP.E _ <br />NC <br />COVERAGES <br />�C INDICATED <br />MA BE ISSUED IOF, <br />T TC <br />THE OLICI S D-- INSURANCELISTED <br />WHICH THIS <br />ANC'g ONTRACE OF OTHER DO UM ENT WITHREFOR <br />EXCLUSIONS AND, CONDITIONS OF SUCH <br />DIBTELL 0~ <br />BYTHE PO-ICIES D DESCRIBE HEREIN IS SUEJE,T TC AL_ HE TERMS <br />IJAF,1' PERTAIN THE INSURANCE AFFORDED <br />AGGREGt-TE LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CM <br />POLICIES. <br />POLICY EFFECTIVE !POLICY EXPIRATION <br />LIMITS <br />INSR IADD'L rypE OF INSURANCE <br />POLICY NUMBER DATE(MMIDD", DATE JMMIDD,R'Y' <br />PAC- OCCURRENCE <br />LTF. NSIR <br />GENERA: LIABILITY <br />— <br />DAMAGE T1'RENTED t <br />PR^ IV,I S1Ea DLLpfenC2 <br />COIdMERC;A'. GENERA_ LIABI'_IT) <br />MED EXP (A(,v one Person' c <br />C-AIIdS MAD= CCCUF <br />.. <br />­5 <br />_RSONALbADV WJURY <br />—. <br />GENERAL AGGREGATE <br />-RODUCTS-COMPIC)'AGC-' c <br />GEN'LAGGREGATE LIMI-APoLIcc PEr,. <br />P7_ICI JET <br />_jR <br />COMBINE- SINGLE LIMIT <br />AUTOMOBILE LIABILITY <br />L` <br />�O <br />!Ea acaDen: <br />Are` AL'TC <br />�® I <br />BODIL')' IIJJURI 1 c <br />'.� ALL OWNED AUTOS <br />11 V <br />(Per person <br />c r DJ'_ED AUTOS <br />1,INJURI <br />�- HIRED AJTOL <br />"?Qk`„/ oA t �r�T <br />r- <br />(pe• a Id nl; <br />NUN-0JJNED AUTOS <br />Gt <br />I; 7\ <br />g <br />ROFT•,' DAMAGE <br />1 <br />016 <br />6 <br />T` 7 <br />f�er ccitlenl: <br />a <br />- <br />TO ONLY -EA ACCIDENT <br />GARAGE LIABILIT' <br />Ar " A.V1_C, <br />EXCESSIUMBRE-LA LIABILITY <br />OCC'J F. C,-AI MS MAD <br />DEDUCTIB'_E <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />AN" PROPRIETOR/PARTNERIEXECUTIVE <br />pPFICERIMEMBER EXCLUDED` <br />It ve_. oescrioe unoe <br />SPECIA_PRDVISIONS oelov <br />OTHER <br />172WNC93300 <br />-------------- <br />5/31/2006 5/31/2009 <br />DESCRIPTION OF DPERATIONSILOCATIONS,NEH I CLESIEX C LUS IONS ADDED BY ENDUKstmtn roro.. r..� •� <br />CERTIFICATE HOLDER <br />City of Santa Ana, its officers, employees, <br />agents, and volunteers <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />HU <br />CTHEF THAN - <br />A'JTO ONLY. <br />AC- c <br />AGG <br />ETCH OCCURRENCE <br />AGGREGATE �c <br />Ic <br />5 <br />WC STATJ- IOTn- <br />}; TOR`: LIMITS - <br />E.L EACH ACCIDENT <br />1 0 0 0 0 0 0 <br />DISEASE - EA EMPLOYEE c <br />1 000 000 <br />E.L. DISEASE -PO'..ICYLIMI- S <br />1 00D 000 <br />CANCELLAIIUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,. BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED RE (�RES.�,E�NNT�pATIVE <br />© ACORD CORPORATION 1988 <br />Arnan95l9of)lMR) Coll:2388016 Tpl•779662 Cert:108 947 <br />