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Ac©RD~. CERTIFICATE OF L[ABlLITY INSURANCE OP ID PC <br />ORANG-9 DATEIMMIDDIYYYYI <br />07/22/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Chapmar, 6 Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> THIS CERTIFICATE DOES NOT AMENb, EXTEND OR <br />HOLDER <br />License k0522D24 . <br />ALTER THE COVERAGE AFFORDED BY THE POLICfES BELOW. <br />F. 0. Box 5955 <br />Pasadena CE 91117-0955 <br />Phone: 626-9D5-8031 Pax: 626-405-0585 INSURERS AFFORDING COVERAGE j NAIC # <br />INBUREC' INSURER <. ~ 16 6 91 <br />IIJBURER E <br />Orange County Conserva tior, C.Or ~ IN'BURERC-__ _ __ _ _. _ __ _____`__ _ <br />SBSJ N. Raymond AVE. INBURERD <br />Anaheim CA 92801 <br />M'SURFR E <br /> <br />THE POLICIES OF INSURAI:CE LIBTEp pELON' NAVE BEEI.' ISBUEDTDTHE In'SUREG NAMEL A6DVE FDR THE POLICI' PERIOD IHpICATEL. NDM'ITHSTANpM1A'C~ <br />AI:Y REOUIREIAEIJ ~.. TERI.I DR CDNpITIDIJ OF ANY COIJiRACT CR OTHER pDCUMENT WITH RESPECT TD WHICH THIS CERTIFICATE M+\' BE IEBUED OF <br />MAl'PERTAIN.THE INSURNJLE AFFORDED B"THE POLICIES OESCRIBEp NfRF1A'IS SUBJf CT TO AL<THE TERME EXCLUSIONS WJD CDNDITI01.'G OF SULYI <br />POLILIEE. AGGREGATE LR.IITS SHDWIJ MAY HAVE BEEIJ REDUCED BY PAID CWME <br />INSF NDD'Y POLICY EFFECTIVE 'POLICY EXPIRATIOn' <br />IMITS <br />LTR INARC TYPE OP INSURANCE POLICY NVMBEF. PATE (MMIpp1YY, DATE INMIDDM'1 L <br />GENERAL LIABILITY <br />EALNDDLURREn'LE <br />1,DOO,ODC <br /> <br />A }; }. COMMERCIAL GENERA, LIABILITY PAC51546B0 07 /20/D8 D7~20~D9 ' DAM0.G. TO RENTEC' <br />I PREIAISEG IEa occurenrx, <br />I c 1DD, DDD <br />~ <br />CLAIMS MADE I }~ i GCCUF ~ ~ MED EXF IAPV oNe person" ! .~i , D D D <br />NO DEDUCTIBLE 'PEesowa-aAnvlNluA~ ~ 1,000,OOD <br /> <br />I GENERA AGGREGATE ' 2 ,DDD , DDD <br /> <br />GEIJL AGGREGATE LIMIT APPLIES PEF ~ ~ <br />PRODUCTS - COMPIO~ AGE ~ <br />I < 1 ,DDD , D D O <br />~ <br />r-1. PRO.. ~ <br />ROLILI ~ JELT LOL i <br />AUTOMOBILE LU:BILITI' ~ COMBINED SINGL LIMP <br />' ~' IE: ac,.oan.. <br />Arx auto <br />uI DwNED AUTnE ' <br />'. BODILY INJUR`, <br /> <br />i fFer person, 5 <br />BCHEOULEU AUTOS <br />I <br />I <br />HIRED AUTOS <br /> <br />' BODILY IIJ.IUR`~ <br />F ~ <br />' <br />S <br />Now-OWN~AUI'DS a{ <br />{^~\i <br />I ¢r arrloenl: <br />' I <br />~ <br />I ~ YK- - PROPFP.T\'ONAAGE <br />E <br />I ~~ <br />~ ~ IFel arclaan:. <br />~~~ <br />/ <br />'/ / <br />f <br />GARAGELIABILf1Y <br />~ ~ AUiO ONLY-EA ACOIp=NT ~~ <br />5 <br />L <br />~ <br />L{Y <br />~~ , <br />/ <br />(~' % <br />~ <br />W;Y AUTO ,^~ _ <br />0 <br />~ <br />J 11 EA ACL <br />0TH=. F. THA1~. i <br />~ <br />- <br />Y <br />~/ <br />pR ~ <br />~ FUTO ON!P <br />~ AGG <br />EXCESBNMBRELLA LIABItItt <br />'~~~y P '~~ <br />_ <br />~S~ 'I EACH OCCUkRENCE ~ E <br />} <br />L <br />' ~- O^_GUF I I CLAIMS MApE <br />~`~ ~` ~ ,( / / <br />/ AGGREGATE ~ S <br />~ <br />S / t <br />~~ ~ i c <br />pE000TIBLE <br />~ ~ <br />~ R_TENTIDI. I ~ y <br />' I 1"<L SiATL'~ IGi H~ <br />' WORKERS COMPENSATION ANp ~TOP.Y LIMITF <br />' EMPLOYERS' LIABILITI' <br />_ <br />I E L. EACH ACLIpENT <br />5. <br />ANl PROPRIETORIPARTNEk'E%ECUTIVE - <br />'~ DFFILER/MEMEER ESCLUpEO" ~ E L. DJG=ASF -EA EMPLOYEE ~ <br />U ves. Pesv.Pe Vnaee <br />S?ECIA! PROVISIONS DeIO. <br />:~ DISEASE-PULILI'LIIA I- <br />i OTHER <br />A :Sexual Misconduct PAC5154680 ~ 07/20/06 07/20/09 Per claim 250,000 <br />No Deductible ~ aggregate SOD,D00 <br />DESCRIPTION OF DPERADONS 1 LOCATIONB I VEHICLES I EXCLUSIONS ADpED 0Y EHDORAEMENT !SPECIAL PROVISIONS <br />City of Santa Anz, its officers, agents, employees and volunteers are named <br />additional insured with respect to the operations o£ the named insured per <br />the attached endorsement. 1D days notice of cancellation for non-payment of <br />premiu:r.. XX <br />CERTIFICATE H(ll nFR CANCELLATfON <br />COtMl'DEl liNOULD ANY OF 1NE ABOVE DESCRIBED POLJCIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL 3O DAYS WRITTEN <br /> NOTICE TD THE OEATIFKATE MOLDEA NAMED TO THE LEFT, <br />Community Development Agency K-25 <br />City o£ Santa Ana <br />P.O. Box 1988 ~ <br />Santa Ana, CA 92702 -i9BB Au E ES ,fITATIVE <br />AGORD 25 (20D1/DS) U AGUKU GUKYUKAI ION 1988 <br />