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<br />ACDRD~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DOf"fYYYl
<br /> 0~/~8/2007
<br />PROCUCER (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 AMEND!; EXTEND. OR
<br />3130 Wilshire Blvd. , Suite 390 ALTER THE COVERAGE AFFORDED BY THE POLlCI S BELOW
<br />Santa Monica CA 90403- INSURERJ AFFORDING COVERAGE NAIC#
<br />11'l8lJf'EO tJ ~",OO),-IJ,,;I INSURER A~ tuTFORD :tNSUltANCE CO
<br />HYGIENE TECHNOLOGIES J;NTSlQI'ATIONALN -.)I)oJ.-iJ.;J..--c/' IN5UR.~R B
<br />3625 DEL lIMO BLVD 11180 /J / .;lOC>,l- j.l ),--(;3 INSURER c.
<br /> A--~fn:~ INSLlRER tI
<br />'l'ORRANCE CA 90503- A- - i.;] IN6UR~R E' I
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BEL.OW HAVE BEEN ISSUED TO THE INSURED NAMED ~BOVE FOR THE POLICY PERIOD INDICATED. NOTW1THSTANOlfllG ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V\IITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IssueD OR MAY PERTAIN.
<br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLI THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POLICIES
<br />AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
<br />INSR AOD'L, P~~~~::~~g~"f Pgil~fi~~~~N t.IMITS
<br />,.... INSIlIO 'TYPE OF INSUMNCE; Poucv NUIIl8EII!
<br />A ~N8RA~ LIABILITY / / I / / EACH OCCURR~NCf , 2,000,000
<br /> , g~~~~~~9E~~~~~'~"oa\
<br /> X COMMIOJl:CIAL GENt:RAL t.rAIJIL.tTY , 300,000
<br /> 1 C\.AIM$ MAOI<: [!J OCCUR 72SBALG5574 09/l5/~d06 09/15/~007 MEO exp 'An" on."'l'lI"o~l , 10,000
<br /> - I PER60t-lAI." AOV INJURY , l.,OOO.OOO
<br /> ~ / / / I GENERALAGGREGATt: . 4,000,000
<br /> -il'l ^GG~fnEtltJIIT nES PER. ~ROOUCTS . COMPIOP Ace ,
<br /> X POCICY )r& ,OC / / i / /
<br />A ~TOIVI081l.1E lIABILITY 72BBALC;5574 09/15/2006 09/lS/2007 CQMBINI!O SINGLE LIMIT
<br /> I , 2,000.000
<br /> ^NY AUTO (E(> ~coldant)
<br /> I--
<br /> I- ALL O\M'llEO AUToa / / / / BODILY INJUR.Y
<br /> ,
<br /> I- SCHI:.OUL(;:O AUTOS (Par perlon)
<br /> I
<br /> ~ ~IIREO AUTOa I / / / 80ml Y INJURY
<br /> .
<br /> ~ ~ON'..oI,AJNEO AUTOS (Poroc;cldenll
<br /> / / / / PROPERTY DAMAGE
<br /> (PlII'lctlclenll S
<br /> ==iAGE "A.,Llty "UTO ONLY .I:.AM:CIOENT .
<br /> ANY AUTO / / I / / OHlER THAN EA ACe s
<br /> AUTO ONL'" AGG :I
<br /> 3~SSIUM8R6LLA 1.1AD11I'TV / / / / fACH OC~lIRRI:.NCE ,
<br /> OeCUR D CLAIMS MAOE "GOREGA'T"I: ,
<br /> ,
<br /> rl ~'OUGTIOC' / / i / / .
<br /> RETE NTIOf'J . . ,
<br /> WORKr.RS COMPENSATION AND / / / / I T~iIiUl~0 TUI,\"
<br /> E:MP~OYU5. LIABILITY
<br /> ANY PROFRI~TO"'PAFlTNr::RIE)(ECUTIvt: / I F..l., ,,,CI.I ^CClOENT ,
<br /> Or.r.ICEAIMEMBEf'. EXCLI,JDEI)? / / I
<br /> lIVlll,O'elcrlb4\jI'lMr e,L. DISEPoSE .I:.A EMPLOYEE'
<br /> SPECIAL PROVISIONS bollow E.L, OISEA5F.:. ,"OLICY LIMIT ..
<br /> O,....&:II: / / I / /
<br /> / / / /
<br /> / / / /
<br />oe,CR1PTION OF OPIERATlON$llOCATIONSlVI5MICLIiiBiEXCLU810t4S "DOlED 8'1' 91DOII!SIME!NTISPIiCI"~ PRc>>t!8toN8 IS PRIMAAX If!i~priy! /1-
<br />CITY Oi' SANTA ANA IS N>>mD AS AODITIONAL INSURED. UGnm: ....C"""I1<. COVERAGE
<br />
<br />ELI:.CTRONlC lASEA FORMS, INC - /8~)321.05"'5
<br />
<br />03/01/2007 12:15
<br />
<br />131047(;2818
<br />
<br />,
<br />
<br />CERTIFICATE ~OLDER
<br />( )
<br />
<br />CITY 01' SANTA ANA
<br />RISK MANAGEMENT
<br />.0 CVIC CENTER PLAZA M-28
<br />SANTA IUIA CA 92701-
<br />ACORD 25 (2001/08)
<br />rt....1NS025/o1001.05
<br />
<br />VAN DUZER & ASSOC.
<br />I
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<br />PAGE 02/03
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<br />CANCEL~ATION
<br />SHOULD AMV OF T..... A90VE DESiCJll:IB6D pOL.lclfa la5:: CANCUlED 8IlJlO'-'E TH6
<br />I
<br />U,...."TIO'N PAT5 THIiREO~, TWE la.UlNO INSUR8R WILL I'iNOf:AVOJi:. TO MAll
<br />] 0 DAn WRrTn!N NOTlC6 TO TH6 CItRT1F1CATIE HOlD"ER NAMED TO 1'M6 L6,T SUT
<br />I .
<br />FAIl.UR,E Tb PO 10 SHAll IMPOSe' N AnoN OR 1.1A81l.ITY O~ ANV MIND UPON THE
<br />INaURER I!r. AOENT1l OR. RIEPllESIE
<br />AUTNORIZlEb ......ESENTATlVE
<br />
<br />
<br />"ACORD CORPORA TlON 1988
<br />
<br />PIQIJ 1 r.of2
<br />
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