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<br />... <br /> <br />.. DATE (MM/DOIYYYY) <br />ACORD. CERTIFICA TE OF LIABILITY INSURANCE OP 10 2~ <br />CONSO-2 08/15/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Butwin Znsurance GroUp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Suite 414 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />60 cutter MiU. Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Great Neck NY 11021-3104 <br />Phone: 516-466-4200 rax:516-466-4213 INSURERS AFFORDING COVERAGE NAIC .. <br />IN8URED INSlRER A. JUG <br /> United Znspection & Testing INSrnER B: Houston Casua1ty CO. <br /> :IDC INSlFIER C <br /> 22620 <Jo1dencrest Drive A-.).{)OO txo1 <br /> suite 114 - INSlFIER D: <br /> Moreno va1ley CA 92553 /l-"",OOO-C4;>t/-Of INSlFIER E: <br /> //1/.. <br /> <br />COVERAGES <br /> <br />03 <br /> <br />1HE POliCIES OF INSURANCE LISTED BELOW Iil'lVE BEEN ISSUED TO 1HE INSURED NAMED ABOVE FOR 1HE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMErff WITH RESPECT TO WHIOi THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, 1l-E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI-E TERMS, EXCLUSIONS AND CONDrTlONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDlJCED BY PAID CLAIMS. <br />L 1R INSRI TYPE OF Nlt.ftANCE POLICY NUMBER DATE (MMIODIVY) DATeI~J UMITS <br /> GENERAL LIABIUTV EACH OCCURRENCE $1,000,000 <br /> ~ <br />A X X COMMERCiAl GENERAl LIABILITY 4022676 0'7/01/06 0'7/01/0'7 PREMISES (Ea occurence I $ 500 ,000 <br /> I CLAIMS Ml'DE ~ OCClFI MED EX? [Any one pen;on) $ 10,000 <br /> PERSONAl & I'DV I~RY $1,000,000 <br /> - <br /> GENERAl AGGREGATE $2,000,000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODiXTS - COMPfOP AGG $2,000,000 <br /> I POliCY n ~ n LOG <br /> AUTOM08ILE LIABlUTY COMBINED SINGLE LIMIT $1,000,000 <br /> - <br />A X ~ ANY AUTO 38539'74 0'7/01/06 0'7/01/0'7 (Ea acCident) <br /> AlL OWNED AUTOS BODILY INJURY <br /> - (Per pen;on) $ <br /> SCt-EDULED AUTOS ." . <br /> - 'rt0 PO' , <br /> HIRED AUTOS \fBt) :g..& BODILY INJURY <br /> - ~ $ <br /> NON-OWNED AUTOS --~~ ~ [Per accident) <br /> - ~'Z:r . <br /> - L--- PROPERTY DAMAGE $ <br /> '^"'" -_ C: :;;ORC,," [Per accident) <br /> GARAGE UABLITY ~ \..\~"" \-. , '1 p..ttOf\'"'' ) AUTO ONL Y - EA ACCIDErff $ <br /> ==1 ANY AUTO . nt C\ <br /> P.SS\sta.j,/ cD.f- 2- OTHER THAN EA ACC $ <br /> AUTO ONLY. AGG $ <br /> EXCESSIUMSRELLA LIABILITY L EACH OCCURRENCE $4,000,000 <br />A X ~ OCCUR D CLAIMS MADE BJJ:2963402 0'7/01/06 0'7/01/0'7 AGGREGATE $4,000,000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETErfflON $10000 $ <br /> WORI<IRS COMPENSATION AND I TORY LIMITS I IUER <br />A EMPLOYERS' LIABILITY WC'75'781'76 0'7/01/06 0'7/01/0'7 EL EACH ACCIDENT $ 1000000 <br />ANY PROPRIETORfPARTNERfEXECUTIVE <br /> OFFICERlMErvtlER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 1000000 <br /> If yes, describe under EL DISEASE - POliCY LIMIT $ 1000000 <br /> SPECiAl PROVISIONS below <br /> OTJoER <br />B PrOfessional Liab H'70516400 10/01/05 10/01/06 JJ:a OCcurr 1000000 <br /> Retro Date 9/1/85 ate 2000000 <br />DESCRIPTION OF OPERATIONS I L0CA11ONS I YBtCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROYlSlONS <br />THB CZ'1'Y or ~A ANA, ZTS orr:I:CZl\S, :DdPLOYJJ:JJ:S, AGZN!.'S, VOLtJNTURS AND <br />REPUSJ!:N'.rATJ:VZS ARE muam AS ADD:ITZONAL msUREDS WI:TH RESPJJ:CTS !OO THJJ: <br />OPDATZONS PZRI'ORNJJ:D BY Oil ON BBHALI' or THB muam nmSRJJ:D, '!rIIZS msUItANCJJ: ZS <br />PllDAllY AND NON CON'.rRl:BUTORY WI:'!rII ANY cnHBIl mstJRANCE CARRI:JJ:D BY OR rOll THJJ: <br />BJJ:NBrZT or THJJ: ADD:ITZONAL msUBKDS, 10 nAY NON PADmN!l' CANcz:LI.ATZON APPLZJJ:S <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SAN'RAAN SHOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1lE EXPlRAllON <br /> DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRI1"1EN <br />CZ'l'Y or SAN'J!A ANA - <br />NOnCE m THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />PUBL:I:C WORKS AGJJ:NCY <br />ROSS S'l'RJ!!:JJ:T ANNJJ:X-J!(-22 <br />20 CZVZC e&N':rBll l'LAD <br />SAN'J!A ANA CA 92'701 REPRESENTATlVE <br />r-r. <br /> <br />ACORD 25 (2001108) <br /> <br />CI ACORD CORPORATION 1988 <br />