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<br />03/01/2007 12:15
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<br />13104752818
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<br />VAN DUZER & ASSOC.
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<br />PAGE 02/03
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<br />AC(JRD~ CERTIFICA TE OF LIABILITY INSURANCE DATE (MMItIDNYYYI
<br /> 0:2/2812007
<br />PROOlJC...R (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. , Sui te 390 ALTER THE COVERAGE AFFORDED BY THE POLlCI S BElOW
<br />Santa Monica CA 9040]- / 'NSURERl AFFORDING COVERAGE NAIC.
<br />,~81J~ED tV -';'00).-1;);)." INSURER A' :8.ARTFORD INSURANCE CO
<br />HYGXENE TECHNOMOGIES J:NTSRNATrONAMN / ~J.-i ).,)..--6'1 IN5U~~A: Il: I
<br />3625 OEM AMO BMVD tl180 /J -.;joc>~- 1;1.;'4'3 INSuRER c. I
<br /> ~~?t~r-.~. INSuRER D :
<br />'l'ORRANCE CA 9050]- A - In- :.J INSUR~R~' I
<br />COVERAGES I
<br />THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED pJeoVE FOR THE POLICY PERIOD INDICATED. N0TVv1THS1ANOING ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VV1TH RESPECT TO WHICH n.lIs CERTIFICATE MAY SE ISSUED OR MAV PERTAIN
<br />THE INSURANCE AFFORDED BY THE POLICIES OeSCRIBEO HEREIN IS SUBJECT TO ALL; THE TERMS, EXCLUSIONS AND CONDITIONS OF sue... POLICIES
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR ADD'I., '~l?i~:~~5&'v~ P~~,i~~~~N
<br />cT' INSAO tv"E 01" INSUMNce; POUCV NUMBER LlI\IIITB
<br />A ~NI!".A1.1.IABILlTV / / I / / EACH OCCURRENCE . 2,000,000
<br /> X COMM"-RCIAL GENERAL 1.IA'J11..i'TV g~~~~~;9E:~~~~'~"O"l , 300,000
<br /> l C\.AIMS Milar;: W OCCUR '72SS1\LG.5574 09/15/2006 09/15/2007 MeD !:XP (Anll one CI)I"0l11 , 10,000
<br /> I ",000.000
<br /> '-- PER60f'OAI.1 AOV INJURY ,
<br /> '-- / / / / GEIIlEAAL AOGRr;:CATE . 4,000,000
<br /> ~'L ^GG~EnE LIMIT ArlES PEA rRooueTS . COMPIOP AGG ,
<br /> X 'O"Cy )r.?r LOC / / / /
<br />A ~TOIWIOBll.E "lABILITY 12894LG55'14 09/15/2006 09/15/2007 COMBI~Ii:O SINGlE LIMIT
<br /> (E(ltlc:oidOO1) . 2,000,000
<br /> - ANY AUTO
<br /> - ALL O\MllED AUToe / / / / BODILY INJURY
<br /> (Pflfper.on\ ,
<br /> - 'CHEOUL~O AUTOS
<br /> ~ ~IIREO AuTOS / / / I 80l)lL Y INJURY
<br /> ~ (POI'oc;c;I(lenl) ,
<br /> rIlON-OlNNEO AUTOS !
<br /> / / / / PROPERTY DAMAGE
<br /> (Perlccldent\ S
<br /> ==iAC. "A.'L'TY A.UTO ONLY .f.AACClOENT ,
<br /> ANY AUTO / / / / onlfR THAN EAACC ,
<br /> AUTO ONL 'f AGG :I
<br /> 5~SSflJMBR6LI..A llAIIIl.l'IV / / / / EA.C.... OC~lIRR'NCE ,
<br /> OCCUR D CLAIMS MA.OE AGOREOA1l: s
<br /> ,
<br /> R ~EDUCT"," / / / / ,
<br /> RETEN'TION . ,
<br /> WORKIORS COMPENSATION AMD / / I / / I T~iI~~N0 TOIII.
<br /> I eMPl-oyl:A:>'U.o.gll.lTY
<br /> ANY PROFRIETO"'f'ARTt'~RfEXECUTlVE F..t., "'AeN ^CCIOENT ,
<br /> OHICERIMEM8ER EXCLUDE"? / / / /
<br /> Ifye., (I8.cr1b1~mlll1lr E,L. OltiEIlS!;:. ~ EMPLOyeE'
<br /> SP~ClAL PROVISIONS b1low E,I... OI8EASI;. POLICY LIMIT "
<br /> OTH&'R / ~ I / /
<br /> / / /
<br /> / / /
<br />oe,CRIPTION OF OPERATlONS/LOC" TIONSN6HICLli8lEXCLU810...a .ADDED 8Y IOlDOlIIlSl!illIl!NTI'SPIiCIAL pROVl81ONB IS PRIMARY 1f1~P(iy I/L
<br />CITY OJ;' SANTA ANA IS NAHl!:D AS ADDIT;J:ONJU.. INSt.1R.ED, HYGIENE :rBCHNO:LO&IJi~.S COVERAGE
<br /> I
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<br />CERTIFICATE HOLDER
<br />( )
<br />
<br />CANCEL~ATION
<br />
<br />CITY 01' SANTA ANA
<br />RISK Kl\NAGElOlm
<br />'-0 CVIC CENTER PLAZA M-28
<br />SANTA ANA CA 9270J.-
<br />ACORD 25 (2001/08)
<br />tl,,,,- lNS025/0100105
<br />
<br />'HOULP ~"'f OF Tt4iE AeOYE DE5C..IBED pOucre8 BE CANC&:lLED .1!1I01l:1E Tt16
<br />1EIC,...."no~ DATi 1H6..EOF, THE IlIaUINa INSU"BR WILL 6NoI'AVOA. TO MAIL
<br />I
<br />~ DAn WJtIT1l!N NonCIi TO Tl46 Cr::RTtFlCATE HOLDER NAMI!D TO ll46 LEiFT, eUT
<br />f'AII.,UlIIlE.,b DO SO S1-lAlL IMPose N AnON OR llABllltv 01" ANV KIND UII'ON ~f
<br />INSURER 1~8 AGeNTS OR. REP'IIIESE
<br />AUTMOR~EbREP"esENTA~1i
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<br />"ACORD CORPORA TlON 1988
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<br />ELECTRONIC lASEA FOAMS, INC. (eOo)321-05"5
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