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<br />03/01/2007 12:15 <br /> <br />13104752818 <br /> <br />, <br /> <br />VAN DUZER & ASSOC. <br /> <br />PAGE 02/03 <br /> <br />ACDRD~ CERTIFICA TE OF LIABILITY INSURANCE DATE (MMfDDfVYYYl <br /> 02/28/2007 <br />PRODLlCER (310) 476-6561 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Dick Van Duzer & Assoc., :Inc. HOLDER. THIS CERTIFICATE DOES NOT AMENDE EXTEND OR <br />3130 Wilshire Blvd. . suite 390 ALTER THE COVERAGE AFFORDED BY THE POLICI S BELOW. <br />Santa Monica CA 90403- / INSURERS AFFORDING COVERAGE NAIC' <br />11'48LJ"ED tJ -';'Oo).-I);rJ '~U'" A 8ARTFORD INSURAllCE CO <br />HYGIENE TECHNO~OGIES l:NTERNATrONALN -;)po,J-IJ.;)..--dl' ,N5UI:\I;:RQ: <br />3625 DEL AMO B~VD 1180 /J -.;lOO,l- 1,2.),..-03 INSURER c. <br /> t:?::;L~:J INSuRER 0 <br />TORRANCE CA 90503- .f\lSUR"'R ,. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AlaoVE FO~ THE POLICY PERIOD INDICATED. NOTWlTHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MA.Y BE ISSUED OR MAV PERTAIN <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLfU4E. TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POLICIES <br />AGGREGATE LIMITS SHOWN MAY HAVE aEEN REOUCEO BY PAID CLAIMS. <br />INSR ADO'1.. "~l?i~:~~~~~ p~~(f,~'7&~,wN LIMIT! <br />"" INS~O TYI"E OF Il4SUMNCE f'OUCV NUMUER <br />A ~Nli!~AL LIABILITY / / ' / / EACH OCCURFl,"NCI< . ;Z,OOO,OOO <br /> X COMMIORCIN. GENC=RALI..IAIJ.I.IT'V g~~~~JCE~~~!~r~"oal , 300.000 <br /> I Cl.AIMS MAD," [!] OCCU'R 7:2SBALGS574 09/l5/2006 09/15/2007 MED EXP (Anlt ane 01)/"0111 , 10,000 <br /> f-- PER60NAt" a /l,OV I~JURY , ",000.000 <br /> / / I / / GE~ERALAaGREGATE . 4,000,000 <br /> l- I <br /> ri;'l AGC:nE LIMIT AnE~ PEn' I rRcoueTS - COMPIOP AGG :J, <br /> X POClCY \'r8r 'DC / / / / <br />A ~TO""OBIL.E lI.....L1TY 72 SQ.U.C;SS'14 09/15/20D6 D9/lS/20D7 CDMBINIEO SINGlt; llMIT <br /> I (Eflfloo~l) . 2.000.000 <br /> - ^NY AUTO I <br /> - All OWNED AUT08 / / / / BOOIl Y INJURY <br /> (PSI' perlon) , <br /> I- IiCHEOUll!D AUTOS <br /> .!. ~IIREO AUTOS / / i / / BOO1l Y INJURY <br /> , <br /> .!. NON..olNNt;O AUTOS (Poro"ICI&nI) <br /> / / / / PROPERTY OAt.1A~E <br /> (Per Icclclel'll) , <br /> ==i~DE LO."'''TY ! AuTO ONll( -~ACClOENT , <br /> ^NV AUTO / / / / onl"R THAN (;A ACe , <br /> i AUTO ONL 'y AGG ~ <br /> 3~SSlUM8RELl.A l.,IADlLl1Y / / I / / EACl-lOCCURRENCE , <br /> OCCUR 0 CLAIMS MADE AGOREOA'T'I: , <br /> . <br /> R CEOUCT"'. / / / / , <br /> AETENllON , . <br /> WOIiIKERS COMPENSATION AND / / / / [ T~~I~I~& I OJ&" <br /> eMPLOYEIiI!>- LlAElU.ITY <br /> ^NY PROFRIETORlPARTNI;;IiI/EXEC1.JTI\IE ~.I.. E^OI ^CC1OENT . <br /> on:ICliAIMEM8ER 'EXCLUDE!)? / / / / <br /> Ilyel. d8ler1C)<J~nd"r E.L. DISeASE - Eft. EMPLOYEE ,: <br /> SPr:CIAL PROVISIONS boJlow E.L. OISEA61';" POLICY LIMIT 11 <br /> OTHER / / / / <br /> / / / / <br /> / / / / <br />DE'9CRIPTIO~ OF OPEIiIATlONSIlOCATIONSlV6HICUiBlEXCLU810NIl ~DDED.'" o.OOll!SI!MI!NTISP&CIAL PR~8K>N8 IS PlUM).OY 1f!!~p(Ly IlL <br />CITY Oi' SANTA ANA IS N>>!ED AS ADDITIONAL INSURED_ BY"""'" rEC"'"'IIE9 C"""...."E <br /> <br />HECTRONIC lASEA !'"ORMS. INC - 1600/321-05'15 <br />! <br />I <br /> <br />CERTIFICATE t-lOLDER <br />( ) <br /> <br />crTY 011' SANT~ ANA <br />Rl:SK MANAGEMENT <br />20 cvrc CENTER PLAZA M-28 <br />SANTA ANA CA 9270~- <br />ACORD 25 (2001/08) <br />fl,..- INS025 (0100).OS <br /> <br />CANCELilATION <br />'SHOULD ~NY OF T~E <br /> <br />AIIOVE DESClltlB6D P<)UCIE8 BE CANCl&:llE'D 81!JII'Olll!IE THE <br />lEl(ptRATtO~ DATi TH6REOF, TI-IE ISSUlNa IN9UIUIR WILL liNOIOAVOR, TO MAIL <br />~ DAYS W'-rTlllN NOTlC6 TO 1116 CiERTlF1CATE HOLDER NAMI!O TO O4Ii I..lIifT, eUT <br />FAIL.UR.E -rb DO 80 SHALL lUPOSI! N AllON OR llAIlIL.ITY OF ANY kIND UPON THE <br />INBURER I~a AOENTlJ OR. REPR'E'SE ATlVII! <br />AUTWORIZEb REP"ESIlNTAnv6 <br /> <br /> <br />'" ACORD CORPORA TlON 1988 <br /> <br />PIMIOJ T ""2 <br />