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<br />SE~-30-~04 THU 11:43 AN
<br />
<br />FAX NO,
<br />
<br />p, 02
<br />
<br />ACORD",
<br />
<br />SANJOAQ-02 AYo,
<br />
<br />PRQO,,"" (558) 432-0222
<br />OiB..duo & DeFendilllnsurance Brokers, LLC
<br />License l#Oe02096
<br />P.O. Ball 6479
<br />Frtl4Ino, CA 83755-5479
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE I "";J:;;.;;vl
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONI'ERS NO RIGHTS UPON THE CERTIFICATj;
<br />HOLDeR, THIS CERTifiCATE DOES NOT AMEND, EXTEND OR
<br />ALTeR THE COVERAGI': AFFORDED BY THE POLICIES BELOW.
<br />
<br />tJ - dC(3 -D f4
<br />
<br />INSURERS AFFORDING COVERAGE
<br />INsu_A,American lnlarnationiii Specialty Lines
<br />IN......., Commerce & Industry !nsurance Com pan ......
<br />.!NS__ c, State Compens~on InlIurance Fund..
<br />IN$~RER c:
<br />
<br />NAle,
<br />
<br />1_.
<br />
<br />San Joaquin"Chemicals Inc.
<br />4&84 Enl Hedge, Ave
<br />Fresno, CA 93703-0000
<br />
<br />I
<br />
<br />COVE
<br />
<br />THE POLICIES OF INSURANCE LIST!D BELOW HAVE 8&EN ISSUEO TO "!liE INSURED NAM!DAIlOllI' FOR THE POlICV PERIOD INDICATED. NOTWlrHSTANDING
<br />Am REQUIRI:MENT, TERM OR CONCITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, "!liE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, exCLUSIONS AND CONDITIONS OF SUCH I
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RrnueED BY PAID ClAIMS.
<br />
<br />MWr '.. ... f10UCYNUMIER POucYI!!~CTlVE POIJ~exMRAllb'~ .'.'LJMITI ,~---
<br />
<br />~.'IW.L.WII"'TT ~.._' 1,0~~~
<br />
<br />A X CO""ERCIALG'N.AAll,..,LI1Y eG1115770e 4130/%004 4130/%005 ~~ $ 100,001
<br />
<br />'-0 ew........ [!] OCCUR MOlliJ<P/An,cno""".LI' ,~~
<br />
<br />PERSONAl. & AllV INJURY II l,OOO,Ooc
<br />
<br />~ .. -..- ... 2,000,00'
<br />r--:-: OM GENERAl- 4GGReGAT_E S _.
<br />
<br />GEN'LAGGR~,"'MITAPPLIESPER: PROcue!.~.co""IOPAGG I 2:000,~
<br />
<br />DpOLIC'(j_ ,~ill-OC
<br />
<br />~Le.1A8ll.I1Y
<br />
<br />..! ANY AUTO
<br />
<br />1_ AlL aWNEC A.lJTOS
<br />
<br />SC"'~OUL~D AU10$
<br />r--
<br />r- HIRED AUTOS
<br />
<br />I NON-QWNEDAUTOS
<br />
<br />--
<br />
<br />INSURER E:
<br />
<br />I
<br />
<br />9
<br />
<br />GMAGE UABIUTY
<br />I ANY AUTO
<br />--1
<br />
<br />EXCu:wMBREUA lIABilITY
<br />OCCUR 0 CWMSNACE.
<br />
<br />h/i
<br />~n...A
<br />J'S../' /
<br />..
<br />
<br />1/3
<br />
<br /> COM&INEO SINGLE LlMrr $ 1,000,001
<br />4130/2005 (EililOCjllenl)
<br /> -..... -
<br /> BODIL V INJURY $
<br /> IP<< P8~on)
<br /> r--' -..-
<br /> aoOIL v INJuA'r' $
<br /> (P....ecld!n[l
<br /> -
<br /> PROPeArY DAMAGE ,
<br /> fF'rtr.cci~enIJ
<br />
<br />CA50531117
<br />
<br />413012004
<br />
<br />A,UTOONL,(-EAACC'i:l~T Ii
<br />OTHER: THAN ~ ACC $
<br />AUTO ONL v; A.GG S
<br />
<br />.--
<br />
<br />II.
<br />
<br />EGU1B5n09
<br />
<br />4130/2004
<br />
<br />4130/2005
<br />
<br />~q~CURRENCE
<br />AGG~GATE
<br />
<br />.
<br />.
<br />.
<br />I
<br />
<br />l,OOO,DlIl
<br />........-=
<br />1,000,001
<br />
<br />=
<br />
<br />n DEDUCTIBLe
<br />:.!l~'t<NTlON s 10,000 N
<br />WORKeRS COMPEt4ATlDN AND
<br />EMPLCYUS'LIAIIUTY
<br />ANV r-AOPRI&TOfWARTNERlEXECUTlVE:
<br />, O"I"'CI!~MilEA: EXclU05:D?
<br />i lfYn,glSCl1tl8~!!~.~_
<br />I SPEC", Flp;jOV)SIUNS below
<br />OTHER
<br />
<br />r-"
<br />
<br />--
<br />
<br />1611187504
<br />
<br />8/29/2004
<br />
<br />1/2912005
<br />
<br />'..~
<br />1,000,001
<br />, ,000,001
<br />1,000,Ooc
<br />
<br />~PTION ap OPIERATI?NS / LQc:ATIONII VEHICLQ I EXCLIaON:I ADDID av IilNDDJilBENE-'lT I IPlCw. MOVtIIOHS
<br />Ity of Santa Ana, ,ts officers, Clllployees, agenta, voluntoere end r"preaentalive. ara namad as Addillonallneured, Such insurance
<br />J ia afforded by thill policy i. Primaty end i. not addilionallo or contributing with any other ineurance ".rri"d by Or for th. ben"fil of
<br />. additional insured.
<br />
<br />ERTIFICATE HOLDEI'{
<br />
<br />City of Santa Ana
<br />Building Maintenance Diviaion
<br />20 Civic Canter Plaza tIM.11
<br />Sanla Ana, CA 92702.
<br />
<br />CAHCI': TrON
<br />
<br />IIHOl.lLD AN'" DF THE ABOVE DUCNlUO POLICIES BE CANClllED 8EJ'O~ THE EXPlfII\no~
<br />DATE nwIEoF. THlISIUlNG INSURtiA WILL ~DfAVOR TO MAIL 3~ D.t.YS WRm'tN"
<br />Nance 10 TNIi ClOR1'lACATf: HC~!1Il: ~ TO THE l.eFr. IUT FA&LURI to 00:50 SMAU.
<br />IMflOSIE NO 08UGAnON OR UA8ILrrY OF Af!lY I<lND IJPON ~.. NK.IAI:R. ITS AGI!,,", OM
<br />REPRElJIiNT"'I1VES.
<br />AUTI1DIIlZEORE-'EIlTATM ~ ~ ~
<br />
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