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ACO -RAN CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER D <br />BOWERMASTER & ASSC. INS AGNCY/PHS �03-11720INFORMATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />181918 P:(866)467-8730 F : (8 7 7) 9 0 5 - 04 5 7 ATR THE COV RAGE AFFORDED PON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO BOX 33015 <br />BY THE POLICI <br />SAN ANTONIO TX 78265 <br />INSURED INSURERS AFFORDING COVERAGE <br />INSURER A: Hartford Casuals Ins Co <br />"ANG LEE DBA K LEE GIFTS INSURER B: <br />PO BOX 4384 INSURER C: <br />SANTA ANA CA 9 2 7 0 2 -Mpg-,p9 INSURER D: <br />COVERAGES INSURER E: <br />Cu OtLUW HAVE BEIII: I'll ES 111 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER IDOCUMENT WITH RESPECT TO WHICH THIS CERTIF111,11, <br />ICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUS ONS AND CONDITIONS D SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R <br />R TYPE OF INSURANCE I POLICY EFFECTNE <br />POLICY qn TIO <br />GENERAL UABILITY I Oah WAIYYI I e,�uX. .A N <br />A COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE U OCCUR <br />X General Liah <br />G T AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO - <br />T X LOC <br />TXNON-OWNED <br />BILE UAIRI <br />AUTO <br />OWNED AUTOS <br />EDULED AUTOS <br />D AUTOS <br />AUTOS <br />SARAGE UAllul <br />u-1 ANY AUTO <br />EXCESS LIABILITY <br />J OCCUR U CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION g <br />WORKERS COMPENSATION All <br />EMPLOYE". UAIRLM <br />OTHER <br />72 SBA LQ7289 105/21/10105/21/11 EACH FIRE DAMAGEOCCUR1IC <br />72 SBA LQ7289 <br />""ROVED <br />f LaU14 <br />Assistant <br />MED EXP (Ariy one p <br />PERSONAL 6 ADV IN <br />GENERAL At,GREGAT <br />`PRODUCTS - Comm <br />05/21/10105/21/11 Eaa�ooNMentSINGLELIMIT <br />S TO FORM <br />r <br />tSheedy <br />Attorney <br />LIMITS <br />$1,000,000 <br />re) $300, 000 <br />! <br />1$10,000 <br />Y I's -1 , 000, 000 <br />g2, 000, 000 <br />.2-L ,000,000 <br />$1,000,000 <br />BODILY INJURY <br />(Per Penonl 1 $ <br />BODILY <br />PerkIl <br />IPW <br />PROPERTY I - <br />AUTO ONLY - EA ACCIp--ENT���..�IL�L$°... <br />OTHER THAN EA ACC $ <br />AUTO ONLY: <br />AGG $ <br />E.L. EACH ACCIDENT $ <br />E.L. DIS�gE _ Eq EMPLOYEE g <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF O�ERATIONSltACAT10"/VEHK:LES/EXCLUSIONS ADDED BY ENDORSEMENT/SFECIAL MROVIBIDNS <br />Those usual to the Insured's Operations.*** <br />for <br />wording.*** The Hartford will not amend the scancellationee covereclausedditional <br />-- �•...wsuR®• MISUREt <br />City of Santa Ana <br />The Depot at Santa Ana <br />Attn: Carolyn Fullerton <br />1000 E. Santa Ana Blvd. Ste 108 <br />Santa Ana, CA 92701 <br />ACORD 25-S (7/97) <br />UULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />NRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE <br />LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br />-IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />RESENTATIVES. <br />° ACORD CORPORATION 1988 <br />