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ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br />6/11'7"/2' 20"00"9"" <br />PRODUCER (818)224-6100 FAX: (818)224-6099 <br />C. M. Meiars Co>ol�any, Inc. <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 />21045 Califs St. #100 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Woodland Hills CA 91367 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INsuRERA Hartford Casualty <br />INSURER B: Hartford Fire Insurance <br />LaBelle Marvin, Inc. <br />INSURER c: Houston Casualty <br />2700 So. Grand Ave <br />INSURER D: <br />INSURER E: <br />Santa Ana CA 92705 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />kTE LIMITS SHOWN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS, <br />MNSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EWDO/ YE <br />PDA EXPIRATION <br />LRMRS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 11000,000 <br />DA <br />PREMI ETORENTED <br />$ 300,000 <br />A <br />X COMMERCIAL GENERALLIAITY <br />BL <br />CIAUMSMADE F OCCUR <br />729BMU6283 <br />6/16/2009 <br />6/16/2010 <br />ams S 10,000 <br />PERSONAL & ADV INJURY S 11000,000 <br />GENEFVLAGGREGATE $ 21000,000 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />S 2,000,000 <br />X SPERR F-1 Loc <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Es acadetd) $ 11000,000 <br />BODILY INJURY <br />(Per pew n) $ <br />B <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />72UZCAR0364 <br />6/16/2009 <br />6/16/2010 <br />BODILY INJURY $ <br />(Per eaadent) <br />X HIRED AUTOS <br />X NON-0WNED AUTOS <br />PROPERTY DAMAGE S <br />(Per amt) <br />GARAGE LIABILITY <br />AUTO ONLY. EA ACCIDENT S <br />OTHER THAN <br />ANY AUTO <br />AUTO ONLY AGG.S <br />EXCESSMMRRiELLA Lu4BILITr <br />X OCCUR FiCLAIMSMADE <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 3,000,000 <br />S <br />S <br />A <br />DEDUCTIBLE <br />728DAMU6283 <br />6/16/2009 <br />6/16/2010 <br />B <br />WORKERS COMPENSATION AND <br />A 0TH• <br />ER <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERUMVJTIVE <br />EL EACH ACCIDENT $ 1,000,000 <br />EL OYES $ 11000,000 <br />OFFICEWMEMBEREXCLUDED? <br />I Yes, deeaibe urdw <br />SPECIAL PROVISIONS bakm <br />72WEC'RQ5643 <br />6/16/2009 <br />6/16/2010 <br />POLICY Uw is 1,000,000 <br />C <br />OTHER PROFFESSINAL <br />1WO91008405 <br />6/16/2009 <br />6/16/2010 <br />EACu CLLw a $1,000,000 <br />LIABILITY <br />I <br />ACImsGATZ <br />CLAXIIlS-11ME <br />DESCRIPTION OF OPERATIONSILOCATWNBNEHMLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Certificate Holder is named as an Additional Insured re: General Liability- respects to the operations of the Named <br />Insured. - See attached. <br />10 days notice of cancellaton for non-payment of premium applies. <br />sbarkleyftanta-ana.orq <br />City of Santa Ana <br />Attn: Sheri Barkely, Sr. Office Asst. <br />20 Civic Center Plaza <br />Santa Ana, CA 92R RROVEi) AS ") FO <br />ACORD 25 2001/08) ` r <br />INS025(me).osa _• Laura tit, <br />-�Q}7T7f i�• <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL 00 -OSE NO OBLIGATION OR LIABILITY OF ANY MNO UPON THE <br />AUTHORIZED REPRESENTATIVE <br />H Rothman/RZIRNI <br />_ A ACORD CORPORATION 1988 <br />Paye I of 2 <br />