AUTOMATED VENDING TECHNOLOGIES (AVT), INC. f/k/a AMERICAN HOT FOOD SYSTEMS 1 - 2005

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, p" -,jc c,Co -OO'i N - :J-wS o'tfu ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) TM 0512912008 PRODUCER Phone' (626) 300 9000 Fax: 626-570-090B 'mIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NEW CENTURY INS SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON 'mE CERTIFICATE 16 N. 2ND ST. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AlHAMBRA CA 91801 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAlC# Aaencv UC#: 08070135 INSURED INSURER A GOLDEN EAGLE INSURANCE CORP. AUTOMATED VENDING TECHNOLOGIES INC. INSURER B: SAFECO INSURANCE COMPANIES 341 BONNIE CIRCLE, SUITE 102 INSURER C: Endurance Workers Compensation Ins. Co. CORONA, CA 92880 INSURER D: INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDltfG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THtS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREiN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR = TYPE Of' INSURANCE POLICY NUMBER ~\'i"fM~ ~i~~~ LIMITS "" ~ERAL LlABIUTY CBP8283936 05131108 05131109 EACH OCCURRENCE $ 1,000,000 DAMA.GE TO RENTED $ 500,000 X COMMERCIAL GENERAL L.IABILITY PRENISES (Ell Oa;uu'lCe) I CLAIMS MADE [!] OCCUR t.ED. EXP (Ally one person) $ 10,000 A PERSONAL & ArN INJURY $ 1,000,000 - 2,000,000 GENERAL AGGREGATE $ e- 2,000.000 ~'L AGGREGATE LIMIT APPliES PER: PRODUCT5-COMPfOP AGG. $ .nPRO- n, POLICY JEcr LOG ~OMOBH...E LIABILITY 24CC17231610 02122108 02122109 COMBINED SINGL.E LIMIT 1.000,000 X ANY AUTO (Ea acddent) $ - ALL OWNED AUTOS BODilY INJURY - (Per person) . SCHEDULED AUTOS B - HIRED AUTOS BOOIL Y INJURY , - (Peraccid8l1t) $ Ncm-oWNED AUTOS I - f-- -, - -- PROPERTY DAMAGE $ , (Per accident) GARAGE LIABIUTV AUTO ONLY. EA ACCIDENT $ ==i ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: -.-. AGG $ EXCESS / UMBRELLA UABLlTY EACH OCCURRENCE $ ::5" OCCUR 0 CLAIMS MADE AGGREGATE $ is =l DEDUCTIBlE , $ RETENTION S $ WORKERS COMPENSATION AND WEN001538002 02106108 02106/09 1~~Y~~s I IOTI'ER EMPLOYERS' LIA8IUTY 1,000,000 AN'( PROPRIETOfWARTIEltI1:XEWTIVE E.L. EACH ACCIDENT $ C OFFICERlMEMBER EXCLUDED? E.L. DISEASE-EA EMPlOYEE $ 1,000,000 1fyq;.ClHatGelOnder E.L. DlSEASE-POLICY LIMIT $ 1,000,000 SPECIAL PROVmOHS below OTHER: DESCRIPTION OF OPERA TIONSILOCA TlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEM ENTI SPECIAL PROVISIONS THE CITY OF SANTA ANA, THEIR RESPECTIVE OFFICERS, EMPLOYEES. AGENTS. VOLUNTEERS AND REPRESENTATTVES' ARE NAMED AS ADDlTIONAlINSURED.VENDOR PER POLICY FORM NUMBER: GECG602 09-02. THIS CERTIFICATE IS VAliD ONLY IF THE CERTIFICATE HOLDER REQUIRES IN A WRITTEN CONTRACT TO BE NAMED AS ADDITIONAL INSURED. THIS POLICY IS PRIMARY & NON- CONTRIBUTORY. 10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. 30 DAYS OTHERWISE_ CERTIFICATE HOLDER CITY OF SANTA ANA PARKS, RECREATION & COMMUNITY SERVICES AGENCY 888W. SANTA ANA BLVD., #200 SANTA ANA CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE l11E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO l11E CERTIFICATE HOLDER NAMEO TO THE lEFT. BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON l11E INSURER, Irs AGENTS OR REPRESENTATIVES. " , 'J. TO l-'OR!',,"l AUTHORIZED REPRESENTATIVE @ACORD CORPORATION 1988 Attention: CARLA THOMPKINS ACORD 25 (2001/08) 56000 Cltv At;,