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<br />ACORD'M CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) ;. ~
<br />4114/2005
<br />PRODUCER (858)541-2900 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION "-
<br />Vanarsdale Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND DR
<br />4909 Murphy Canyon Road, Suite 510 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Diego, CA 92123
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED American Rotary Broom Company, Inc. INSURER A Allied Insurance Company
<br /> 564 North Tulip Street INSURER 8 Republic Indemnity
<br /> Escondida, CA 92025-2533 /J,,-,),DUj -0/3 iNSURER C
<br /> INSURER D i
<br /> INSURER E I
<br />
<br />COVERAGES
<br />
<br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING
<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 />INSR ~~ "",.nF Pr?}+~~~~~~~~IE POLICY EXPIRATION
<br />LTR POLICY NUMBeR LIMITS
<br /> .LGENERAL LIABILITY EACH OCCURRENCE I, 1,000,000
<br />A X FMERCIAL GENERALlIABllIT( ACP7840784533 11112005 . 1/112006 PREMiSES lEa Occ~~encel.. $ '. 100,000
<br /> CLAIMS MADE 0 OCCUR MED EXP (Anyone person] $ 5,00C
<br /> =r PERSONAL & ADV INJURY $ 1,000,000
<br /> GENERAL AGGREGATE $ 2,000,00C
<br /> -5fl'~ AGGREGATE LIMIT APPn~ER PRODUCTS - COMPiOP AGG $ 2,000,000
<br /> X POliCY n P:/?-r LOe
<br /> ~Ot"'OB1LE LIABILITY COMBINED SINGLE LIMIT I 1,000,000
<br />A X ',ANY AUTO ACP7840784533 1/1/2005 1/1/2006 (Ea aCCident)
<br /> - I I
<br /> X ALL (JWNED AUTOS BODILY INJURY
<br /> , (per person) I
<br /> - SCHEDULED AUTOS I
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> ,
<br /> NOI\j~')WNED AUTOS (Perdccide(1t)
<br /> -
<br /> , PROPERTY DflMAGE
<br /> (Per accident) $
<br /> GARAGE LIABILITY '\PPRU\"'~.,; "\S TO FO 1<.;\, AUTO ONL Y - E4.. ACCIDENT I
<br /> -i ANY ,"'UTO ~, CTHERTHA!\J EAACC ,
<br /> pd , 1/' AUTO ONL f AGG $
<br /> 5~SSIUMSRELLA LIABILITY .--- - ~ I E.4..CH OCCURRENCE I
<br /> '='CCUR D CUl,lMS MADE .: Sheedy AGGREGATE I
<br /> f. ;I Attorney
<br /> I
<br /> ~ ~EDUCTIBLE I
<br /> RETE~~TION $ ,
<br /> I
<br /> WORKERS COMPENSATION AND 118446601 X ! {6~yS~iJI~s I I o~-
<br />B EMPlO'fE;RS' lIABILITY 1/112005 111/2006 1,000,00(
<br /> ANy PROPRIETORIPARnJERIEXECUTIVE EL EACH ACCIDENT I
<br /> OFFICERfMEMBER EXCLUDED? EL DISE.A.SE - EA EMPLOYEE , 1,000,000
<br /> I ~ yes, descri be under
<br /> SPECIAL PROVISIONS ll€ilow EL DISEASE POLICY LIMIT I 1,000,000
<br /> OTHER
<br /> I
<br />DESCRIPTION OF OPERATIONS j LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />'Except 10 days notice of cancellation for non-payment of premium.
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured per attached
<br />form CG 2026 11/85 with respect to General Liability only.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />The City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701-
<br />
<br />SHOULD Am OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL~~ieMAIL 3L- DAYS WRITTEN
<br />NOTICE TO ruE CERTIFICATE HOLDER NAMED TO THE LEFT, sr:lO'"XJ4M<<:KiltilC!)h'IU4:KJX.
<br />~Xj(ifIl(l!iXJltJl<illiK~Jil(~lIi~~iMsXl<~ll~XX
<br />Jt~Jt_JtIIIIl(:l(
<br />AUTHORIZEOREPRESENTATlVE ~ 6~_
<br />
<br />@ ACORD CORPORATION 1988
<br />
<br />.l!.("'(1Rn ?5 (?001fOBI
<br />
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