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`V <br />Client#: 6605 <br />DOTYBROS <br />ACORD- CERTIFICATE OF LIABILITY <br />INSURANCE . <br />loizel 0 0 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Edgewood Partners Ins. Center <br />Llc#0029370 877, 674.3742 Suzan <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />19000 MacArthur Blvd. Penthse FI. <br />Irvine, CA 92612 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA; National Union Fire of PA <br />Doty Bros. Equipment Co. <br />dba Doty Bros. Construction Co. <br />East Firestone Blvd. <br />Norwalk, CA 90650 <br />INSURER B: <br />INSURER C.,11232 <br />NSURER q; <br />V <br />INSURER E. <br />SpeC10 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />N <br />7R <br />g <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFE TIVE <br />DD <br />POLICY E%PILtgTION. <br />DATE MID <br />LIMITS <br />A <br />GENERAL LIABILITY <br />OL4581632 <br />10/31110 <br />10/31/11 <br />EACH OCCURRENCE <br />$1 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE aOCCUR <br />DAMAGE TO RENTED <br />$1 QQQQ <br />MED EXPAnY we person) <br />'M000 <br />PERSONAL AADVINJURY <br />$1000090 <br />X BFPDIXCU _ <br />X <br />Contractual Liabtilt <br />GENERA AGGREGATE <br />$2 000 0Q0 <br />QEN'L AGGREGATE UMIT APPLIES PER: <br />PRODUCTS - CPMNOP AGO <br />12oOO 0Q0 <br />POLICY X %EO LOC <br />I <br />SIR <br />$50000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />CAS263707 <br />10/31/10 <br />10/31/11 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />11,000,000 <br />BODILY INJURY <br />IPWpe On) <br />$ <br />ALL OWNED AUTOS <br />SCHEOULEDAUTOS <br />X <br />BODILY INJURY <br />IPer scdont) <br />$ <br />HIREOAUTGS <br />NON -OWNED AUTOS <br />X <br />X <br />PROPERTY DAMAGE <br />lPar aapaant) <br />$ <br />Drive other Car <br />$i 000 2005 & <br />newer <br />X <br />CO—M—p & Coll <br />GARAGE UABIUTY <br />AUTO ONLY• EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGO <br />$ <br />ANY AUTO <br />5 <br />A <br />EXCEaSIUMBRELLALIABILITY <br />X1 OCCUR CLAIMS MADE <br />SE86308462 <br />10/31/10 <br />10/31111 <br />EACH OCCURRENCE <br />$10000L008 <br />AGGREGATE <br />$1000O 000 <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10,000 <br />A <br />WORKERS COMPENSATION AND <br />WC20635019 <br />10131110 <br />10/31111 <br />% IWC STA TH- <br />EMPLOMII' LIADUATY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />GFFICEFUMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />0,000000 <br />EL.DISEASE-EAEMPLOYEE <br />$1,000000 <br />IPEGIALSPR0010110NS balaw <br />EL.DISEASE •POLICY LIMIT <br />$1,000 QQQ <br />OTHER <br />APPROVED <br />AS TO FORK, <br />DESCRIPTION OF OPERATIONS 1 LOCATICASJVEHICL83 / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: City of Santa Ana on Call Emergency Agreement City of Santa Ana, its <br />officers, employees, agents, volunteers and representatives are included ` <br />as Laura S ' t ShGOdy <br />an additional insured on the General Liability policy per the attached AssistaD City A I IUTi W y <br />(See Attached Descriptions) <br />City of Santa Ana <br />Public Works Agency <br />220 S. Daisy Ave., M85 <br />Santa Ana, CA 92702 <br />ANY OF <br />EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL %$L MAJL _20__ DAYswRnTEN <br />E TO THR CERTIFICATO HOLDER NAMED TO THE LEPT, <br />ACORD 25 (2001108) 1 of 3 '#SR23611M77959 <br />IN ACORD <br />