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<br />B'2/B6i~OOS .-H.: 22
<br />
<br />ADDITIONAL INSURED ENDORSEMENT
<br />17t46bQi6.26-. -- -------w-M-OC~...-. __, .^...
<br />
<br />PAGE
<br />
<br />a2lB3
<br />
<br /> - CERtIFICATE Of INSURANCE Oa,.: (MMlODIYY)
<br /> " 1213\/2004
<br />IlOOUCER H/5 CfRTlFICATE IS ISSU"" i>!J A MAT'TI!R OF INFORMATION
<br />~elc'lon Compatft$ of Houston ONLY AND CONFERS NO fllGHTll UPOI< THo, CEflTlFlCATE
<br />5647 San Fillipe, $uite 320 HOlDER. THIS CERTIFICATE DOES NOT AMEND, E)(TEND OR
<br />~~. TX 77067 AlTER THE CQVERA"'F AFFORDED BY THE POLICIES BELOW.
<br />8-260-3038Il'hon.)
<br />H6-l92-1D55(F3ll) INSURERS AFI'ORDlNC COIlER.lGE
<br />IIlSUREO' WASTE MANAGEMI:MT ami Insurer A: ACE Am.rICOn Insurance COl1'lllany
<br />Iwallle Ma"'gemoo' of Orange COunIY "'surer B: Irlaemnity Insuranc;l!) Company of North Ame,rtca
<br />1800 South Gr:al'lCf AveJ'luo Insurer C: Nallonal un10n "ire Il'ISlJRlnctl CDmDllny Di p""burgh, PA-
<br />Santa !\n., CA 92705
<br /> InSLlrerD: Allied world Assu...nee Company, Ltd.
<br /> Insure r E:
<br /> THe. POllClES Of INSlRANCE I.ISTED eeL.OW HAVe; BEEN I$$UEO TO THE lNSLREO NAMED /l800E FOR THE POl.lCY ~RIOO INlJKiATEO.
<br /> NQ1WITHST"NOIt.lG /\NV REOLMRIUENT, nRM OR CONDITION OF ANY CON'TRACT 00 OTHER DOeuMmf W1TH RESPECi TO WHlCH 1101IS
<br /> CERTIFICATE MAlt BE ISS:lJED OR MAY PERTAIN. Tf'Ii INSURANCil: 1.ffOROED BY THIii POL.IOES DESCRIBeD M!.RE1N iA ~h..JB..r;e'r TO All Tl-tE T6AUS,
<br /> EXOLusIONS....1oIO CON~I'I'IONS 011 SUD'I pouCIES. ~GAU LI\4ITa sHOWN MAY alii IiiO~HAUSTF.D fiY ~A'O CLAIMS .
<br />I.... TYPE o~ iN~URAIICE POLICY NUIIBER I!PR:cTNE DATE P"lRATIDN LIMITS
<br />m OAT<
<br /> GENERAL llABlLm' EAt.... OCCURRENCE $ 5,ooO,OOC
<br />A X cou~...... ~!IW.\.lf\Bl\.1lY ~IRE 0AMAtH: llIHI' CHt FIIti.l S 5.000.000
<br /> ~ """",,,lICE HOD G217\2910 111/2005 '1112006 MI!O EXP .e:Il:P'f~
<br />-- iGtJlf'lC;LUgIiP PE!RSl:NA.I-" JU)V INJLfN S 5.000.000
<br /> l<
<br /> OEN"LAGGREGATE llMlT ~Ie$ pEA; G'f.~~'FW.Mi11ioRlillAlt: ~ 8,000,000
<br /> X POOJEC' PROC~MP.OP.AOO $ 6,000,000
<br /> .- -
<br /> X Ll)~"iOt4 ,
<br /> IUI OMOIIIU! L1ABll,lJY COtJIDINED $iNGLE UtJn: $ 10.000,000
<br />A X Atl/YNfl'O ISA H07932704 '111201I' 11112006 ~MOClCEH1j'"..
<br />'-'- ~ ~';Rai^U'l'OS --
<br /> -
<br /> X NQ~N"OAUTOS
<br /> .-
<br /> X MC$-!kI
<br /> EXCESS U,ulUTV/UMBREllA ~H OCC\J~RENCE S 100,000,000
<br />A X OC~~ XODG22082:l34 1111200. 1J'l12OO6 A,GGREGATE $ 100,000,000
<br />C CLAIIID fMDt: 8763289 1/1/2005 1/1/2006
<br />D c001J!l\lfl)03 1/112005 1/112006
<br />-
<br /> IWll KiRS' C""PENSA'hON WORK~ OOMrCHM.1'lQN STA,UTOIlY
<br />B and EMPLOYERS U....LnY WlR C4417380J (AOS) '/1(2000 1ft/20M E\. EA,C11 ACCIDENT $ 1,000.000
<br />A I WLR C44181090 (CA) "112005 1/11201J6 EL DISv.s&.EA.EMPL6YU $ 1.oo0JlOO
<br />A '1 -- ,--- SCF CH1810iXl(W1l ,I1I2DD5 1I112D1lB EL DISCASI!!.1IOI.1CV lIWlT 5 1,OOO,Olii
<br />A;;t,WiI(!k t'ESCR_TION ~ OfEIUI11ONiS/l...or.AlIOJ'1$IVEHICLl:~Cl.USIONSADOEO 1'1' ENoollSE~T PRCM$IONS.
<br />1::=": ~ ~",--'-"'OF ~..,.... ~Fft;'~\IOIl OFCI!!t~TEIH(>>.DER~M.L POUOlllS ~.lNOTOnlI!I!XTI!If1'UQtJlItlDJ'1I1d1IT19C0'6RIICT.
<br /> ~ CI!RftJICATii HalMA I$IiI>>I!O AS AtUODl1lOIllAL.1HStJItfO (lilC:ll'T faR WORKIlW' ctI....L)VM!!M AND TO tlEEIllENT flEQUIII\m In'WlUtfIti CONTRACT.
<br /> Re: salf IMlfid tor auto phy!oIcaI damage..
<br /> . ~IIOI"IIIIMwed In Iwor of CIty of s.nIa Ana, its ofIIcH'S .gMrts lIInd em,lo,Mt (an all poPci.'Halpt W0rker3'
<br /> ~='.lQnlEL) w..... 1111~ ~ -:-. -;c..;.; *' requlrnl by _itmn QVmr:tet. Th.. ~ AulD. liabilitY DOllev 0ftWIdn NabJIIY
<br /> C otothUl'cIIs ownod .... of SontoAna um.... ...._ ........,ntolnod bvW_.... '.to?o1'l- Countv.
<br />CERTifiCATE HOLDER: CANCELLATION: ,
<br /> St10lILDNfY Of Trt~ADQVi ~II.D POLII:l1iii9.. CAt,lC~ 81i!FORe THE
<br /> UI"l_IIUN.....'e:Trt~~,THI!!;SMJtHlQ lw.iUIll!;;"WILL_n.'.\l(lelA_~Io4~'f1Cr.
<br /> rO,...CF."'flFlC.'.Tf ~QU)GA"'''''I>TOTHelU'T.
<br /> City nf S::ln~ Ana
<br /> 2D Civic CeM~r P1I!9 AUTHOK"'tU KEP"II:~t:NT^TIVC.: <::9-.--~ ~-<
<br /> P,O. Bc>>c 1988 I.
<br /> Santa AI1Il, CA 92701 A~PF.O~ED A~ TW "Ii r
<br /> i\ lh \/ J v.. --...
<br /> Michael ViglioUR J
<br /> '"
<br />
<br />Depllt) CIty ^lfflTney
<br />
<br />1'01
<br />
<br />6905-Lt.9-t.IL
<br />
<br />~Md eu~ e~ues jQ R~l~
<br />
<br />oIZE'EO 50 II ~0I~
<br />
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