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<br />ACORD OERmletGAw""OP, [lABILITY INSlJRAr '1E"""l';/{;;~\'-?;l'~ 04/30/2004
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<br />PRODUCER Serial # A14516 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ENVIRONMENTAL INS.SVCS,LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />LEGENDS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />1305 GENE AUTRY WAY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />ANAHEIM, CA 92805 COMPANIES AFFORDING COVERAGE
<br />LICENSE #OC79875 --~
<br /> COMPANY AMERICAN INT"L SPECIAL TV LINES A++XV
<br />(714) 634-2683 (714) 634-3704 A
<br />~_._------"--'-~-~.
<br />INSURED COMPANY
<br /> RINCON CONSULTANTS, INC. - B
<br /> 790 EAST SANTA CLARA STREET # 103 COMPANY
<br /> VENTURA, CA 93001 C
<br />
<br />COMPANY
<br />D
<br />
<br />~'71WÊr"""(3E§j
<br />~~,~ ,I.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y THE POLICIES DESCR/BED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POlICIES, LIMITS SHOWN MAY HAVE BEEN ReDUCeD BY PAID CLAIMS.
<br />
<br />
<br />;0
<br />TR
<br />
<br />TYPE Of INSURANCE
<br />GENERAL LIABILITY
<br />
<br />POLICY NUMBER
<br />
<br />POUCY EFFECTIVE
<br />DATE {MMIDDIYY}
<br />
<br />POUCY EXPIRATION
<br />DATE (MMlDOJYY
<br />
<br />LIMIT'S
<br />
<br />9341888
<br />
<br />12/17/03
<br />
<br />12/17/04
<br />
<br />GENERAl AGGREGI\TE $
<br />PRODUCTS. CQMPIOP AGG $
<br />PERSONAL- & ADV INJURY $
<br />EACH OCCURRENCE $
<br />FIRE DAMAGE (Anyone fire) $
<br />MED EX? (Anyone ¡>eI'Son) $
<br />
<br />3,000,000
<br />3,000,000
<br />3,000,000
<br />3,000,000
<br />100,000
<br />10,000
<br />
<br />A
<br />
<br />X COMME:-:RCIAL GENERAL LIABILITY
<br />CLAIMS MADE [8] OCCUR
<br />OWNER'S & CONTRACTOR'S PROT
<br />
<br />X CONTRACTORS POLL
<br />X PROF LlAB-CLMS MDE
<br />AUTOMOBl,lE LIABilITY
<br />ANY AUTO
<br />AlL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />
<br />COMBINED SINGLE LIMIT
<br />
<br />s
<br />
<br />BODILY INJURY
<br />(Pet"persoo)
<br />
<br />s
<br />
<br />BODIL- Y INJURY
<br />(Per accident)
<br />
<br />s
<br />
<br />MAY
<br />
<br />2004
<br />
<br />PROPERTY DAMAGE
<br />
<br />s
<br />
<br />GARAGE LIABILITY
<br />ANY AUTO
<br />
<br />AUTO ONLY. EA ACCIDENT
<br />OTHER THAN AUTO ONLY:
<br />
<br />s
<br />
<br />~-.." . ~_.~ .
<br />
<br />EACH ACCIDENT $
<br />AGGREGATE $
<br />EACH OCCURRENCE $
<br />AGGREGATE $
<br />S
<br />
<br />
<br />EXCESS LIABILITY
<br />UMBRELLA FORM
<br />
<br />THE PROPRIETQRf
<br />PARTNEf!SlEXECUTIVE
<br />OFFICERS ARE:
<br />
<br />INCl
<br />EXCl
<br />
<br />
<br />-','
<br />
<br />El EACH ACCIDENT $
<br />El OISEASE - POLICY LIMIT $
<br />EL DISEASE - EA EMPlOYEE $
<br />
<br />OTHER THAN UMBREUA FORM
<br />WORKER'S COMPENSATION AND
<br />EMPLOYERS' llABJUTY
<br />
<br />OTHER
<br />PROFESSIONAL LIABiLITY
<br />CLAIMS MADE
<br />
<br />9341888
<br />
<br />12/17/03
<br />
<br />12/17/04
<br />
<br />INCLUDED IN ABOVE LIMITS
<br />
<br />)CRlPTION OF OPERATIONSJLDCATIDNSNEHlClESlSPECIAL ITEMS
<br />oRTIFICA TE HOLDER is NAMED AS ADDITIONAL INSURED WITH RESPECTS TO WORK PERFORMED FOR THEM BY THE NAMED
<br />SURED,
<br />mORSEMENT ATTACHED
<br />
<br />
<br />CITY OF SANTA ANA
<br />ATTN: ARABELA SALDIVAR
<br />HOUSING AND NEIGHBORHOOD DEVELOPMENT
<br />P.O. BOX 1988 M-26
<br />SANTA ANA. CA 92701
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br />30 DAYS WRJTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
<br />BUT FAILURE TO MAIL SUCH NOTICE SHALl IMPOSE NO OBUGATlON OR UABIUTY
<br />OF ANY KIND UPON THg. .OMPANY. ITS AGENTS DR REPRESENTATIVES.
<br />AUTHORIZED REPRESENTATIVE" Of INDEa-eNDENT
<br />l' /' ,/'
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<br />
<br />
<br />.."J.PM9,~1
<br />
<br />=MPRO\CERTPROS WEB
<br />
<br />¡Wi}-
<br />
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