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.dun -26 -02 01:01P LIFESIGINS„INC.wa <br />323 - 550 -4215 P,02 <br />No'C abt V insurance Sorviccs <br />-® ®ER~THIa UUNFIZKO O Ro9E$ PT AM! p 0a�IFICA E <br />P,C1, HoY 2$75 <br />EMNO OR <br />ALTER TNa COYEtcAGE AFFUNpEO WY 7011 POLICIES 99LOW. <br />Camarllla,CA 913011 -0000 <br />COMPANIE8 AFFURpIfJd COVERAGE <br />802487 -9727 <br />DCNBANY -- <br />A Irbiladelphis insurance C.ompaay <br />INSURED 033457 <br />Lifesl`as,iae, <br />COMrANV <br />9 StAteCompeas$tioainsurnoecFund <br />22R2 Laverasl Avenue <br />Loa Agtl4s, CA 90041 -2615 <br />COMPANY <br />COMPANY•" �� <br />0 <br />Y� <br />Cr1W , ".NS $ �i Ili ry a;� . k nIII 1� „�i nl •:jP l 6 ,1 gyp.' + 6 v„ V III; y +'I „ .r•ni , <br />d <br />THIS V% TO CPiRTIFY TN A7 THE POLICIES OF INSURANCE LISTED HAVE WNI(4yyfOiC,1HE fNSUREO NAMeb ABOVE FOR THE <br />INDICATED, NOTIMTNSTANDINC <br />POLICY PERT: <br />ANY REOWIRIIIIII , TERM OR CONDITION OF ANY CONTRACT OR O'hlaR OOOUMENT NTH RESPECT TO "(CM T411$u <br />CERI MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE ►0001115 DESCRIBED HEREIN <br />akCLUS1QN5__ AND CONDITIONS OF SUCH (I tIM1TS <br />I$ SUBJEOi' TO A4'L THE TERMS, <br />SHOWN MAY NAVE pF.EN ROpUCEO BY PAID CWMS, <br />L R TTP9 OFINSURANCCE pOUCr HUMMER PtxICY EFMGTNE Po00T rxnRATgN — ^� - <br />— ���mm� <br />bATrIMM/UIxTYI OATS IMMIbtM/l UMRS <br />OtPARAl <br />41OU11.lRT <br />' <br />✓ <br />CO' GEMFML LlAneerY <br />BENERAL AGORltAAT$ <br />I 3000,000 <br />rROOVCYR.CDMPR?P A+ IS <br />E 3,000,000 <br />- -- <br />A <br />! , bwMa NT.ne �occuR <br />PHP[COi ?078 <br />PEnaoNAI mH�ty <br />, 1,000,000 <br />oAasas A corrtP„cT�Rs aROT <br />d212?!Ol <br />12!27102 <br />EACH OcC RSMCE <br />- <br />a 1000,000 <br />r1aEISAM,MRtt Rlwrro <br />E i00,00G <br />MYDeCP o�rrrse�l <br />s _ 3.0W <br />i <br />AMroubax.PlualLm <br />- -- <br />..aW <br />ANYAUTO <br />CtaAeINEO $INULE LIMIT <br />E <br />ALL OYMED AUTOS <br />A <br />$CREDUU:O AUTbe <br />p]jpi(Q17Q ?g <br />13/27 A11 <br />127/02 <br />ISPIr �'EEN1NRr <br />t <br />✓' <br />HueO AUTOS <br />tDG�IteWURY <br />L^ <br />NCN•OYPIED AUT08 <br />' <br />441 <br />PROPER7YONM0r <br />— <br />ANYAUW <br />aY9$$$ UAWLIT <br />Ai UMBRULAFORM <br />DINER THAN VNAIRELM rC <br />West”" COMP$N$AHCN AND <br />rEPVLOYARN• LIAa1LITY <br />PHA$Q%943 <br />imm 159335401 <br />12137/01 12117/02 <br />08/01/01 1 08/01/02 <br />E <br />CITY of Santa Alm its officers, emplayees, agaatt> volnoteers and rapraEentativat art named aE Additional 9BSnisd uodar HIS Gencrat LiaDiiltp <br />respects 10 the work perfbrmea Dy the named insured for the Additional Insured. <br />City of $Asia ma � YNOMP ANY OF THE AanWE 5WAinav PoL " ee CAKI"EO ess O g TNt .. <br />20 Civic Ceater Plana WIRATION OATE THE, 04E MUIW caiMANT M,, EEpeAWOR To MAN <br />P -0. sox 19$$ 30 d N17TIC£ TO TMe CIapTlrie,ATn 16CLOER RAML'A To THE LAFI. <br />Santa Ann, CA 92701- BUT FAILURE TO MAM. SUCH NbAbE MALI IMP®$a NO CaLtAATION OR >Aaeatrr <br />APPROVED AS 'TO NORM <br />L/aura Sheedy <br />Deputy City Attorney <br />