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<br /> ONLY ANU ¡;UN""K" NU KII.,"'" U~U" '"~ "~~"nVM'~ <br />Woods & Grooms, Ino. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />529 Washington street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Columbus IN 47201 <br />Phone: 812-373-4435 Fax: 812-373-4445 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED .' ¡./-.),tc-,/ ~ {[if INSURER A' Ce.".."l '.'~ce Com,..., 19909 <br /> INSURER a, '" ^,l=ho ~,~, '_a.,.. 19895 <br /> Cummins Cal Pacific LLC INSURERC <br /> 1939 Deere Avenue INSURER D. <br /> Irvine CA 92606 <br /> INSURER E, <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BelOW HAVE BEEN ISSUEOTO THE INSUREO NAMED ABOVE mR THE POLICY PERIOO INDICATED. NOTWITHSTANDING <br />ANY REOUIREMFNT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OCCUMENTWITH RESPECTTO w,nCH THIS CERTIFICATE MAY BE ISSUEOOR <br />MAY PERTAIN, THE INSURANCE AFFORDED aYTHE POLICIES DESCRIBED HEREIN IS SUOJECTTO ALL THE "RMS, EXCLUSIONSANO CONDITIONS OF suell <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />LTIt NSR TYPE OF INSURANCE POLICY NUMBER DATE MMICDÍVY DATE "MID LIMITS <br /> GENERALUABI~ITY EACH OCCURRENCE $1,000,000 <br />A X X COMMERCIAL GENERAL LIABILITY 743008128 08/01/03 08/01/04 PREMISES lEa "'",ence $ Included <br /> CLAIMS MAOE ŒJ OCCUR MEO EX? (Any cne pe~cn) 05,000 <br />A X Broad Form LiaJ:> PERSONAL' AOV INJURY 11 000 000 <br />A X Contractual Liab GENERAl AGGREGATE 01,000,000 <br /> PRODUCTS - COMP/op AGG '1,000,000 <br /> L COMBINEDSINOLE LIMIT Sl,OOO,OOO <br />A X X ANY AUTO (Ea'co"enl) <br /> ALL aWNEO AUTOS BOallYINJURY <br /> SCHEOULED AUTOS (P"pe"'n) <br />A X HIREOAUTOS 743008128 08/01/03 08/01/04 BOOILY INJURY <br />A X NON.oWNEO AUTOS (P""'"denl) <br />A X Auto Phys Damage PROPERTY DAMAGE <br /> (P"ace""I) <br /> AUTO ONLY - EAACCIDENT 01,000,000 <br /> 743008128 08/01/03 08/01/04 OTHER THAN EAACC 0 <br /> AUTO ONLY' AGG , <br /> EXCESS'UMBRELLA LIABILITY EACH OCCURRENCE '5 000 000 <br /> 0 GLAIMSMADE 743008128 08/01/03 08/01/04 AGGREGATE 55 000,000 <br /> 0 <br /> DEDUCTIBLE 0 <br /> X RETENTION no 000 0 <br /> WORKE.B COMPENSATION ANO X TORYLlMIT8 <br />B EMP~OYERS' LIABIlITY 400532114 08/01/03 08/01/04 H.EACHACCIDENT 0500,000 <br />ANY PROPRIETORiPARTNERlEXECUTJVE E.L DISEASE-EAEMPLOY.. ,5ÒÒ , 000 <br /> OF"CERiMEMEeREXCLUOED7 <br /> ~m~'~~~J:~16~s MI~ E.L alSEASE - POLICY LIMIT 0500 000 <br /> OTHER <br /> Property Insurance 743008128 08/01/03 08/01/04 Spec Form A <br />A <br /> RC <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS' ~OCAT10NS' VEHIC~ES I EXCLUSIONS ADDED BY ENDORSEMENT' SPEI;!AL PRaVI~'aNS . <br />Diesel engine sales and service. The City of Santa Ana, J.ts offJ.oers, <br />emmp10yees, agents, volunteers, and representatives are added as add~t~onal <br />insureds for work performed, but only as respects tc> Cummins Cal PacJ.fJ.c, <br />LLC's sole negligence. fax323-869-7499 Susan Moral..s <br /> <br />The Depot as Santa Ana <br />Carolyn I!'ullerton <br />1000 East Santa Ana Blvd. #108 <br />Santa Ana CA 92701 <br /> <br />CANCELLATION <br />DE POTSA SHaULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />OATE THEREOF, THE ISSUING INSURER WlLL_a MAIL ~ OAYS WAlnEN <br />NOTICETOTHE CERT1FICATE HOLDER NAMED TO THE LEFT. D'" .." "D'~ MM ,-, <br />_SE"BBB"'.".'S"'.""'.' I KIt"UP.,'TII'It""P"""'~" fHP <br /> <br />CERTIFICATE HOLDER <br /> <br />ACORD 2S (2001/08) <br /> <br /> <br />w~ <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />2'd <br /> <br />1:1e111 <br /> <br />e10'SO vO E~ u~C <br />