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FREMONTINDEMNITY COMPANY ❑ LEMACAND ASSOCIATES, INC. <br />THE FREMONT BUILDING <br />1709 WEST EIGHTH STREET * LOS ANGELES, CALIFORNIA 9 017 + ( 1 ) 483-8731 <br />bMMORANDUM OF INSURANCE v fi`rt41 <br />THIS'B'TO CERTIFY that the insurance hereinafter described has been effected as follow <br />SADDLEBACK I NN r SANTA ANA o I C e a <br />Insur � , - -�. <br />Property cw Location Inured 1650 EAST FIRST STREET, SANTA ANA, CALIF* <br />GENES COVERAGE POLICY (EXCESS LIABILITY) <br />Kind of Insurance <br />Policy loo. <br />'farm: Effective <br />1 <br />Limits of Liability: See No. <br />months from - - - -- t o <br />11-26-76 <br />below <br />This document is furnished to you as a matter of information only. The issuance of this document does not make the person or organization <br />to whore it is issued an additional insured, nor does it modify in any manner the contract of insurance between the insured and the company. <br />Any amendment, change or extension of such contract can only be effected by specific endorsement or notice of cancellation. <br />Should the above mentioned contract of insurance be cancelled, assigned or changed during the above specified policy period in such <br />meaner as to effect this document, ire, the undersigned, will enceavor to give 30 days written notice to the holder of this docu- <br />ment, but failure to give such notice shah impose no obligation of any kind upon the undersigned or the company. <br />CITY OF SANTA ANA <br />c/o CITY ATTORNEY ❑ FREMONTINDEMNITY COMPANY <br />if 1 20 CIVIC CENTER PLAZA ❑ LEMA C SAND ASSOCIATES, INC. <br />Issued to SANTA ANA CA 13 <br />'0 (3/72) <br />By <br />AUTHORIZE REPRESENTATIVE <br />R <br />a BODILY INJURY <br />b ) PROPERTY DA? A <br />ONE PERSON <br />ONE OCCURRENCE <br />AGGRE ATE <br />ONE OCCURRENCE <br />AGGREGATE <br />$1r000r000* <br />CS <br />BODILY INJURY <br />ONE PERSON <br />BODILY TNJ(JRY <br />ONE OCCURRENCE <br />%1EAN O UPPORT <br />PROPERTY DAMAGE <br />BODILY INJURY <br />EXCESS of <br />each person <br />- - .....,, <br />each person <br />each occurrence <br />each occurrence <br />a ggregate <br />aggregate <br />PROPERTY DAMAGE <br />EXCESS OF <br />each occurrence <br />each occurrence <br />aggregate <br />aggregate <br />r <br />CITY OF SANTA ANA IS NOD AS ADDITIONAL INSURED WITH RESPECTS TO BRIDGE <br />.PEDESTRIAN RIDC AT SADDLEBACK <br />INN, SSA ANA r CA e <br />This document is furnished to you as a matter of information only. The issuance of this document does not make the person or organization <br />to whore it is issued an additional insured, nor does it modify in any manner the contract of insurance between the insured and the company. <br />Any amendment, change or extension of such contract can only be effected by specific endorsement or notice of cancellation. <br />Should the above mentioned contract of insurance be cancelled, assigned or changed during the above specified policy period in such <br />meaner as to effect this document, ire, the undersigned, will enceavor to give 30 days written notice to the holder of this docu- <br />ment, but failure to give such notice shah impose no obligation of any kind upon the undersigned or the company. <br />CITY OF SANTA ANA <br />c/o CITY ATTORNEY ❑ FREMONTINDEMNITY COMPANY <br />if 1 20 CIVIC CENTER PLAZA ❑ LEMA C SAND ASSOCIATES, INC. <br />Issued to SANTA ANA CA 13 <br />'0 (3/72) <br />By <br />AUTHORIZE REPRESENTATIVE <br />R <br />