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M,ar 10 06 09:12a Tllagl <br />p.2 <br />AcoRD- CERTIFICATE OF LIABILITY INSURANCE DP ID <br />CASTL-2 GATE IMM/DDM'YVI <br />03 06/06 <br />PRODUCER THIS CERTIFICATE 7S ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Associated Insurance Services, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />600 Hampshire Rd. , N210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Westlake Village CA 91361 <br />PhonE+:605-371-3611 Fax: 805-371-3609 INSURERS AFFORDING COVERAGE NAIC# <br />IRSUReo A `} ~ ~~/~ , l //;~ <br />v ~ <br />y`LN~_v~+~ INSURER A: North AmerlcaR Capacity _25038_ _ <br />! <br />( INSURERS: <br />Castle MaSOnry INSURERC ___ _ <br />4062_Mornin44 Star Dr. <br />Huntington Seach CA 92649 <br />INSURER D. _ <br /> INSURER P <br />COVERAGES <br />THE POLICIES OP IN9URANGE UJ I tU tltLUW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOTW ITH$TANDING <br />ANY REOVIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMPNI' WITH RESPECT TO WHICH THIS CER TIFICATE MAYBE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POUGES DESCRIBED HEREIN IS fiVBJEGT TO ALL THE TERMS, E%CLU$IONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />RlSR NBR TYPE OF INSURANCE POLICY NUMBER OATS MMIpD~ DATE MMlDOM( LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO _ <br />_ <br />A }( X COMMERCIA! GENERALLIABIUTV PNG0002646-00 02/28(06 02/ 28/07 PR[M~ISESEaocwrnncel _ <br />6 50000 <br />____.. <br />I <br />IOCCUR <br />~CLAIMSNIADE r <br />][ MEDEXPIAfyeneperson! $5000 <br />` <br />_ <br />} <br />~IJ.~ _ <br /> <br />l -.._ ._ ~-. PERSONAL&AUV INJURY <br />_.-_ $1DDDDDQ <br />_- _.__ <br /> GENERAL AGGREGATE $2000000 <br />CEN'L AGGRCGATC LIMIT gPPLIES PER: PRODUCTS-COMPIOP AbG 52000000 <br />POLICY JPERC ~ LOC ~~ ~ ~ ~~~ <br />AUTOMOBILE LIABILITY <br /> <br />~ <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO (Ea aacitlenQ <br />ALL OWNED AU?09 BODILY IN.llIRY <br />$ <br />SCHEDULED AUT09 (Per person) <br />HIRED AUTOS BOCEYINJURY <br />$ <br />I ~~ NON~OINNED aUT09 (Per accident) - <br />___ _ PROFCRTY DAMAGE $ <br />1 (Per acci~enU <br />GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ <br />"ANY AUTO OTHER TITAN ,EA ACG ~R ,_ <br /> AUTO ONLY AGG $ <br />E%CPSAUMBRELLA LIABILITY _ EACH OCCURRCNCE 4 <br />J OCCUR ~ CLAIMS MADE , <br />:, , -~ AGGREGATE S <br />-_. <br /> 8 <br /> <br />uL <br />~ <br />.~neoucT -, r <br />~ <br />~ <br />' ._ .._.- .__ <br />E <br />~ <br />l <br />e <br />-- <br />I ...c ~i <br />, ~i ~ <br />- <br />,_-.- .-~- _ _ ___..__ <br />RETENTION S -- _ <br />~ ~ $ <br />'WORKERS COMPENSATION AND <br />~' TORY LIMITS EH <br />~ EMPLOYERfi'LIABILITY - '~- <br />~ - - -"- <br />E. L. EACMACCiDENT -'-- -- ~-~ <br />8 <br />MANY YHOPRIETOR/PARTNEPoE%ECUTIVC <br />'DFTI CcJ dEMBER EXGLUDEDp EL DISEASE-EA EMPLOYEE S <br />Inv d ,roe „ader -- _. _. <br />SPECIAL PROVISIONS below E1 D'SEASE POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPFRATiON61LOCATIONS I VEHICLES / EXCLUBION6 ADDED BY ENDORSEMENT i SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, agents and employees are named as <br />addditional insured. 10 day notice of cancellation may apply for non-payment <br />of premium. Job:Masonry Repair. This cextificate superceeds previously <br />issued certificate. <br />sANTAAt~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED6EFORETHEE%PIRATIOI <br />The Depot at Santa Ana <br />1000 E. Santa Ana Slvd. <br />Suite 108 <br />OATS THEREOF, THE I6SUING INSURER W7LLFMBfiAMBLFTO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,iYFFa6HAEi9~G~i6HiHA~k <br />Santa Ana LA 92'101 <br />