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<br />Client#: 50589 <br /> <br />FRALAP1 <br /> <br />AßORDm ' CERTIFICATE OF LIABILITY INSURANCE <br /> <br />I DATE (MM/DDIYYYY) <br />11/03/04 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PRODUCER <br />VanBeurden Ins Svc - Kingsburg <br />1600 Draper St Tel#559-897-2975 <br />PO BOX 67 <br />Kingsburg, CA 93631 <br />INSURED <br /> <br />Frank LaPlaca Exterminating, Inc. /J \ <br />2206 S. Lyon SI. 1\ \ -- 2.Q)-, - Lf4 <br />Santa Ana, CA 92705 I v I <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURERA. Clarendon Natllns (KRR) <br />INSURER B: <br /> <br />NAIC# <br /> <br />INSURER c. <br />INSURER D: <br /> <br />INSURER E: <br /> <br />COVERAGES <br /> <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 /> <br />POLICY EFFECTIVE POLICY EXPIRATION <br />DATE MMfDDIYY DATE MMfDDIYY <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY NUMBER <br /> <br />LIMITS <br /> <br />L TR NSR <br /> <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLP.:MS MAD[ 0 OCCUR <br /> <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />P MI E E rr n e <br /> <br />. <br />. <br /> <br />MED [XP íAny OIl€ p€;'Son} <br /> <br />, <br /> <br /> <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br /> <br />LOC <br /> <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />COMBINED SINGLE LIMIT . <br />(Eaaccident) <br />BODILY INJURY . <br />{Per person) <br />BODILY INJURY S <br />{Peraccidenl) <br />PROPERTY DAMAGE . <br />(Peraccidenl) <br /> <br />SCHEDULED AUTOS <br />HIRED AUTOS <br /> <br />NON..QWNED AUTOS <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />AUTO ONLY - EA ACCIDENT $ <br />EA ACC $ <br />AGG $ <br /> <br />OTHER THAN <br />AUTO ONLY <br /> <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR 0 CLAIMS MADE <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />. <br />. <br />. <br />. <br />. <br />OTH- <br /> <br />DEDUCTIBLE <br />RETENTION <br /> <br />. <br /> <br />A <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />03KR0027118 <br /> <br />10/01/04 <br /> <br />10/01/05 <br /> <br /> <br />X <br /> <br />:"~'<)r - ,.~; \ft <br /> <br />E.L. DISEASE - EA EMPLOYE <br />E.L. DISEASE - POLICY LIMIT <br /> <br />.1,000,000 <br />.1,000,000 <br />.1,000,000 <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED"BYEND <br /> <br /> <br />VISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />P. O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---Í.O..- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />ACORD 25 (2001/08) 1 of 2 <br /> <br />#M95454 <br /> <br /> <br />GJ ACORD CORPORATION 1988 <br /> <br />