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<br />7/23/20~9 4:28:40 PM
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<br />..Acoj:iii:.....~!~$IIIJ~III!I~I.IJ.IIII.lilli~.iF.......... DATE(MM/OO!YYYY)
<br /> ".'.,:;-",.: 07/23/2009
<br /> ...'.........w.'w...-.,-...,...-.
<br />Pl/,ODUCER THIS CERnFlCA TE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br /> Aon Risk Insu ranee services west, Inc,
<br /> fka Aon Risk servi ces, Inc. of S CA AND CONFERS NO RIGHTS UPON THE CERTIPICA TE HOLDER. THIS
<br /> 1901 Main St reet CERTIPICA TE DOES NOT AMEND, EXTEND OR ALTER THE
<br /> Suite 300 COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> Irvine CA 92614 USA
<br />,"0NE'(94~) li08-6300 FAX. C~4~) 608-6451 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED lNSUPJlJtA: United States Fi re Insurance co, 211B ..
<br /> -
<br /> YMCA of orange county Granite State Insurance Company 2~809 "
<br /> 13821 Newport Avenue,su;te 200 lNSUF.ERB: ~
<br /> Tustin CA 92780 USA New Hampshire Ins Co 23841 0
<br /> lNSURl!.kC: .
<br /> '0
<br /> ~
<br /> INSUlU!Jl..D: -
<br /> .
<br /> '0
<br /> lN9UlllUll:: ..
<br />I'~PO~CIES OF lNSURANCEUSlED BELOW HAVE BEEN ISSUED TO TIlBINSURED NAMED ABOVE FOR TIlBPOUCY PERIOD INDICATED. NOTWITHSTAI"D1NG :=
<br />ANYREQUlR1MENT, TERM ORCONDmON OF ANY CONrnAcr OR OTHER DOCUMENt WmI RESl'ECTTO WHICHnns CERTIFICATE MAY BBISSUED OR MAY
<br />PERTAIN, TIm rnSURANCE AFFORDED BY THE POUCIES DESCRIBED HHRB!N IS SUBJECT TO AlL TIlE TERMS, ExCWSrONS AND CONDITIONS OF SUCH poucrns
<br />AGGREGATBLDMrS SHOWN MAY HAVE BEBN R.BDUCBD BY PAID ct..A1Ms. LIMITS SHOWN ARE AS REQUESTED
<br />~ POlJCV~D. POLl'" J'OUC'!t' EXPIR.A110N'
<br />LTR TYPE OF INSURANCE DA'n(MM\IlDlY'Y) DATJ:.(MM'.DDlY\') LIMIT>
<br />C LlAIIlLl'lY 01LXOO32347282 03/01/09 03/01/10 EACH OCCUJt.RENCE $1,000,000
<br /> X OOMME.RC3AL OI!NERAL UABIllTV DAMAOE TOJl.ENI'ED 5100,000
<br /> I- [l:] PJlP.MJSES (b.oeam.nec)
<br /> CL'JMS "^"" OCCUF. CllICllCl"IQIl -'-"'"
<br /> ?- m
<br /> I- PERSONAl.&I\DVlNmJty 51,000,000 m
<br /> ~
<br /> ro
<br /> '- GENEJV.L AaaRlWATE 12,000,000 ro
<br /> ~
<br /> Ol!N'LACJ(]]l,EOATE IJMIT Al'PlJES PER: ~
<br /> [!I POUCY PRODUCTs. COMJ'IOJ' Aao $1,000,000 2;
<br /> 0 ~DLOC 0
<br /> "-
<br /> ~
<br /> 0200055453492 03/01109 03/01/10 "
<br />. AUTOMOBlLE LlABWTY COMB1NJ!.D SINOU UMlT 0
<br /> r:: !.NY AUro (I!a.loeldUll') $1.000,000 Z
<br /> ~
<br /> AU O\VNED Amos BODlL Y INJURY "
<br /> I- (PcrprnOll) '"
<br /> SCHBDUlJ!.DAuros L7 TO 1:
<br /> I- HiRED Amos aRM BODIl YJN1Ulty U
<br /> I- NON OWNED AUTOS A~~"i, (l'uaeeldellt)
<br /> I- P!l.OJ'EItT'Y DAMAQE
<br /> I- (f'enoeidcnl)
<br /> .JllL ,]I'
<br /> GARAGE UABJLlTI' ~~ ~ORNE Iv A'l.'TOONLY.EAACClIlE!'."l'
<br /> 18 ~WAvtO otHmt "THAN EA~cC
<br /> AurO ONLY :
<br /> AOO
<br /> v.::CD91'OMD.ELLA LIABILIlY EACH OCCOMENCE
<br /> DOCClJJ>. 0 ClAlMS MADE AOaJI.EGAT.I!.
<br /> 8~EOUCITBU
<br /> RP:WmON
<br />A WORKERSC~AnONAND "'/V,/v, X ("e lIT',,:" I I;;:"
<br /> EMPLOYERS' LJABll.rrv EJ..llAC'l AcaDENT 51,000,0001:;;;
<br /> A'NV PROP.R.lETO:R/I"AlU'NERI EXECUTl\IF. P.L DJSEASE-EAEMPLOVEE n,ooo,ooo~
<br /> OFFJCl!MdEMIIER EXCLUDED?
<br /> lfyn, dc)Cfbe under SPEC1.AL I"ROVlSIONS E.L. DJSEASlW'OUCY LIMIT n,ooo,OOO
<br /> below ~
<br /> ~
<br /> cmml ~
<br /> ~
<br />-----------.- ~
<br />RE: Branch: AO, Contract Date: 7-21~2009 to 3-1-2010, A~tiVit~: Contrac~ ~ana~er for santa Ana Pool. C~ty of _;
<br />Santa Ana, its officers, employees, a ents and representat1ves s all be Addlt10na Insure~ to the General. .
<br />liability policy in accordance with a~l the tenns, conditions, and ',imitations of the POllCY a.nd then only 'tilth
<br />.- ,- ':..:' '.::.; ,: '. .~. ." -' ::;:~:::;~~:::::::::~;::~:::Y:r:~::@;:mit:;~%#~~*~~'\$;M::~t;;W~:~~Hj* ':: : . ':.. ;:. .-,C.: . -., - ;
<br /> city of Santa Ana SllOULD ANYOI'TImABOVllDl!SCJUa""l'OUc",,.a"""CEW.llDB1lFo,", TIlF.BX>lRAnON i
<br /> 20 Clinic Center Plaza ~~~~riM~~~~.f:~~~~RJz.m~iOTHEI.EPT,_
<br /> Santa Ana CA 92701 USA Bur PAJl.URE TO DO so SHAU..IMPOSENOOWGATtONOJl.UABlLlTY :!!:
<br /> OF ANY KIND UPON 'l"HE INSllRBR.l"!'S AOE.."fl'S OR RPl'R.ESEN'l' A'!TVES. r;..s:
<br /> AU'mOJJZEDUl'RESIlNTA1!VE ~~J__~..... ~..Y.:. ~
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