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Frim: <br />Client&- 29ILSS <br />02/24/2065 16:44 #3n7 P.nnvom <br />nntveon <br />ACORD_ CERTIFICATE OF LIABILITY <br />INSURANCE <br />Mull <br />;/04°"YYY' <br />PRODUCER <br />THIS CERTIFICATE is ISSUED AS A NATTER OF INFORMATION <br />USI Irvine - CIL <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />L.ic# 035/ 162'•'949-7909339(Suzan) <br />1 O Box 53310 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EMEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />- - <br />Irvine, CA 926193310 <br />INSURERS AFFORDING COVERAGE NAIC R <br />MsuREo <br />Doty Bros. Equipment <br />11232 E. Firestone Blvd. <br />wmREnx American Int'I Specialty <br />_ _ <br />MwR Re. National Union Fire of PA <br />INSURER <br />Nomalks CA 90650 <br />MwREgD- <br />M I`4ERE "10 day notice nonpay <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />MY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRIT 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 UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. <br />LTR <br />Mull <br />POUCYE <br />WTE <br />PpIDYExPI11A <br />Y}8 <br />A <br />GITERAL UAHIUTY <br />GLO333478 <br />10/11/04 <br />10/11/0.5 <br />EACH OCCURRENCE 31000000 <br />CBMMFAGML.cENER�AL UABIULV <br />GAE MADE . X 1 0(X]lw <br />41IBFPD;CU <br />MW1GEm REN1F➢ S506DDD <br />MED EXP PA -OIC Pv'xpl S5,000 <br />I <br />PEA$ONP1sADVINRIRV s1 000 <br />x I Contractual <br />GENFAAL AGGREGATE 82,000,000 <br />GENT AGGREGATE <br />UMITAPPIJES PER: <br />PwOg1I:TS-O]M%DP $2900000 <br />PDuaL-1 <br />PRa Loc <br />B <br />ADTDNOBILL <br />x <br />U^114 Y <br />ANY AUTO <br />CA8261867 <br />10/11/04 <br />10/11/05 <br />COMeMED SINGLE LIMIT <br />lea as Q 31,000,000 <br />X <br />AL MAUTOS <br />X <br />9014 TED AUTOS <br />BODILY INAAIY S <br />We, Peevnl <br />x <br />X <br />HmmA s <br />NON{tWNFp AUT05 <br />WDILYIN w S <br />(PO xtUM) <br />It <br />$1,000 Comp <br />X <br />PROPERrvpANAGE <br />twv Menem) S <br />$1,000 Colt <br />GAD16E LIABILITY <br />AUTO DNLY EAACCIDENT S <br />OTHERILY FA ACC $ <br />ANY AUTO <br />MRO aNLY <br />IXCESBAeIARFJIJl uAwuw <br />OCCUN ❑GMN$MAf1E <br />I <br />EACH OCGIRRENGF E <br />AGGRECdT[ S <br />__ <br />E <br />DEDUCTIxIE <br />S <br />s <br />flETENnON 3 <br />B <br />WOflxERS CDYPENSAIpN AMD <br />EYPIDYER^' UABIUW <br />WCT165969 <br />10/11/04 <br />X wesraga OTH <br />EL FACHACCO 11 ,000 <br />ANYPROWtlETONPARTNERIFkECNTIVE <br />(10/11/05 <br />OFFCERMIFMBER E%CWDED} <br />It f'�, pelvis PWM <br />SP PROVISIDNS eelox <br />EL DISEASE -Eq ENROYFF El DDD <br />EL DISEASE -POLICY uma 1 $1000,000 <br />OTTER <br />RM <br />DE9CRIPLgN OF OPERATgxiS l L00111NINS I VENKAES I IXClll&OMS ADDm BY EMDOIISEIIEM /SPECW_ moveeDN$ <br />RE: City of Santa Arta On Call Emergency Agreement <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional insureds as evidenced by - <br />attached endorsement. v Laura itt Sheedy <br />Assista City Attorney <br />City of Santa Ana <br />,J Public Works Agency <br />220 S. Daisy Ave., III <br />Santa Ana, CA 92702 <br />25(2001/08)1 of 2 NU258909 <br />IAMV OFTNE ABOVE DescaBm POLIGES BE OANOELIED 9EfORE THE F]Q'IRATION <br />IEREOP THE BSUIMO MISURER WILL�e1�eMNL � DAYS WnII"IQ1 <br />TOTHE GERIaILATE xOLIfER NAYm TDTHE LEFT,AIxedee�r <br />SM2 0 <br />1986 <br />