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ACORD. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE[o O._, 3 <br /> <br />Lawson-Hawks Ins-Mountain View <br />Lic. #0401806 <br />883 N.Shoreline Blvd,PO Box 39 <br />Mountain View CA 94042 <br />Phone:650-964-8000 Fax=6§0-964-0816 <br /> <br />INSURED <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 /> <br /> INSURERS AFFORDING COVERAGE <br /> <br />INSURER B: <br /> <br />INSURER C: <br /> <br /> Downey Vendors, Inc. <br /> 6824 ~uva Street INSURERD: <br /> Bell Gardens CA 90210 <br /> ] INSURERE: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWJTHSTAN DING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 />INSR I POLICY EFFECTIVE [ POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE {MM/DD/YY) DATE (MM/DD[YY) I LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1. 000. 000 <br /> <br />A X COMMERCIAL GENERAL LIABILITY 02CE00370901 02/09/03 02/09/04 FIREDAMAGE(Anyoneflre) $ 50.000 <br /> __ I CLAIMS MADE [~ OCCUR M~ED EXP (Aoy one person)$ 8,000 <br /> PERSONAL &ADVINJURY $ 1. 000 ~, 000 <br /> GENERAL AGGREGATE $ 2 , 000., 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGG $ 1.000. 000 <br /> POL,C LOC <br /> AU~TOMOBIL E L lABILITY <br /> COMBINED SINGLE LIMIT ! $ l, 000, 000 <br />A ~X ANYAUTO 02CE00370901 02/09/03 02/09/04 __(Eaaccidetll) <br /> ___ ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS IPer person) <br /> ~- HIRED AUTOS BODILY INJURY <br /> X NON-OWNEDAUTOS (Per accident) ~ $ <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> ~ OCCUR ~ CLAIMS MADE A~GGREGATE [ $ <br />  DEDUCTIBLE [ __ $ <br /> RETENTION $ <br /> WOR ERS COMPENSATION I I$ <br /> EMPLOYERS' LIABILITY -- LIMITS. <br /> EL EACH ACCIDENT $ <br /> EL. DISEASE - EA EMPLOYEE$ <br /> EL DISEASE . POLICY LIMIT <br /> <br />*Except 10 days notice for non payment of premium. The City of Santa Ana, <br />It's officers, agents, employees, contractors, special Council and <br />representatives are named as additional insured with respect to General <br />Liability. <br /> <br />CERTIFICATE HOLDER I ~ I ADDITIONAL INSURED; INSURER LETTER: __ CANCELLATION <br /> <br /> Clerkof the City Council <br /> City of Santa Aha <br /> Attn: Pat Healy <br /> PO Box 1988 <br /> Santa ~a CA L ~ <br /> <br />ACORD 25-S (7197) <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA <br />DATE THEREOF, THE ISSUING INSURER WILL WIl~ MAIL * 30 DAYS WRITr <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~OT~ ~[~'~ SH <br />[~t~OSERE~ATiVEs.OBLIGATION O R_LIABILITYv t? DE. ANY KIND UPON/THE INSURER, ITS AGENTS OR <br /> AUT)~)RIZB~) RJ~RESENTATIVE ~ //--~ ~ <br /> <br />©ACORD CORPORATION 198 <br /> <br /> <br />