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rNIRRAs•ZL•Lti <br />7ATeJCI-TAI <br />- 200(4 <br />F ACORV. CERTIFICATE OF LIABILITY <br />INSURANCE <br />10;;110 °""" <br />pMDUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />US) Irvine - CIL <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />' JLMI 0354162"'949.790-9339 Suzan <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />)Box 53310 <br />uNli3 <br />1 rvine, CA 92619.3310 <br />INSURERS AFFORDING COVERAGE NAIC 0 <br />INSwea <br />INSURERA: National Union Fire of PA AIG/Yes <br />Doty Bros. Equipment Co. <br />11232 E. Firestone Blvd. <br />Norwalk, CA 90650 <br />, <br />INSURERS: Hartford Fire Insurance TX <br />INSURER C: <br />INSURER 0: <br />INSURER E: •10 day notice nonpay <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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 />LTR <br />Sm <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXNRAnON <br />uNli3 <br />A <br />GENERAL LIABILITY <br />01-1617202 <br />10111107 <br />10/11/08 <br />EACH OCCURRENCE $1000000 <br />X COMMERCPLGENERALLIABILITY <br />DAMAGE TO RENTED ESOOOO <br />CLAIMS MADE OCCUR <br />MED EXfA,. pen.) $$000 <br />PERSONAL &ADV INJURY 31,000,000 <br />X 13FPDIXCU <br />X I Contractual Liab <br />GENERALAGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPAW AGG $2000000 <br />POLICY % JECTPRO- p LOC <br />BI/PD SIR $500,000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />CA8262882 <br />10111/07 <br />10111/08 <br />COMBINED SINGLE UNIT $7,009,000 <br />IEA Apdd.tO <br />ODDLY INJURY <br />(Per .n) E <br />X <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY $ <br />(Pe'ArsNenO <br />X <br />X <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE <br />JP Spdam) <br />X <br />Comp $1,000 <br />Applies to 2003 <br />and newer cars <br />X <br />Col151,000 <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCID <br />OTHER THAN EA <br />ANYAUTO <br />AUTO ONLY: <br />A <br />BE7227695 <br />10/11107 <br />10/11106 <br />EACHOCCURRENCEOCCUR <br />SS6 <br />CLAIMS MADE <br />AGGREGATE <br />NCES&LIMBRIIII-I.ALIABILITY <br />DEDUCTIBLE <br />RETENTION $10,000 <br />A <br />WORKERS CONPBJBATION AND <br />WC1593532 <br />10/11/07 <br />10111/08 <br />TH- <br />% TWO.1A1'1;oFR <br />EMPLDYERS'UABH.nV <br />ANY PROPRIETOWFARTNEWEXECUTIVE <br />EXCLUDED? <br />E.L. EACH ACCIDENT $11.000,00111OFFICEMMEMBER <br />E.L. DISEASE -EA EMPLOYE $1000000 <br />IIyes,ft=. VrMAr <br />SPECIAL PRONSIONS W. <br />E.L. DISEASE - POLICY LIMIT $ <br />B <br />OTHER Comm Prop <br />72UUMUM8513 <br />10111107 <br />10/11106 <br />$500,000 Max Per Nem <br />Equipment <br />1 <br />$10,000 Ded <br />Rented/Leased <br />$10,000 Ded for Cranes <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />RE: City of Santa Ana 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. <br />City of Santa Ana — - - <br />Public Works Agency /J <br />220 S. Daisy Ave., M85 i{',',�i�+ <br />Santa Ana, CA 92702 -- --,,�- <br />e <br />ACORD 25 (2001106) 1 of 2 #M447460 <br />ANY OF THE ABOVE OESCNBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />ER F, THE ISSUING INSURER WILLt jfI MAIL "In DAYSWRITrEN <br />JVY <br />'0 THE CERTIFMATE HOLDER NAMED TO THE LEFT,)rXxXaOORBpX100BOOIMxIL <br />SMZ © ACORD CORPORATION 1988 <br />