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<br />,.. <br /> <br />..', <br /> <br />" DATE (MMIDDIYYYY) <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID~ <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 Nil.]. Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Great Neck NY 11021-3104 <br />~hone:516-466-4200 rax:516-466-4213 INSURERS AFFORDING COVERAGE NAIC t# <br />INSURED INSlJlER A AZG <br /> United Znspection & Testing INSrnER B: Houston Casual.ty Co. <br /> Znc I NSlJlER C <br /> 22~20 CIol.dencrest Drive A-,,).{JOO txtJ1 <br /> SU1te 114 - INSlJlER D: <br /> Moreno VaHey CA 92553 /kAOOO-C/Pi/-()( INSlJlER E: <br /> 0;1. <br /> <br />COVERAGES <br /> <br />o~ <br /> <br />THE POLICIES OF INSUF/JINCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED .ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />I>N( REQUIREMENT, TERM OR CONDITION OF /'NY GaIITRACT OR OTHER DOCUMEI'IT WITH RESPECT TO WHIQ-I THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. TIE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO,AlL TIE TERMS, EXQUSIONS AND CONDITIONS OF SUa-I <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />~~ lYPE OF INSURANCE POLICY NUMeER DATE (MMIOO/YY) .~'tETc UMITS <br /> ~NERAL LIABILlrY EACH OCCURRENCE $1,000,000 <br />A X X COMMERCI,Al GENERAL LIABILITY 4022676 07/01/06 07/01/07 PREMISES lEa occurence 1 $ 500,000 <br /> I a.AIMS MllDE ~ OCClJl !'.ED EXP (AfllI one person) $10,000 <br /> PERSON,Al & NJV INJURY $1,000,000 <br /> I-- <br /> GENERAL AGGREGATE $ 2 ,000,000 <br /> I-- <br /> GEN'L AGGREGATE LIMIT APPliES PER PRODOCTS - COMPIOP AGG $ 2 ,000,000 <br /> h POLICY n '1& n LOC <br /> AUTOM06ILE LIABILITY COMBINED SINGlE LIMIT <br /> I-- $1,000,000 <br />A X ~ I>N( AUTO 3853974 07/01/06 07/01/07 (Ea aecldentl <br /> ALL O\MIIED AUTOS BODILY INJURY <br /> - " " (Per person) $ <br /> - SCHEDULED AUTOS '.to fEr - <br /> - HIRED AUTOS \,t\J"6 8\.'0 BOOIL Y INJURY <br /> ~ ~ (Per accident) $ <br /> NQN..OWNED AUTOS h=?t\~ ( <br /> - <br /> PROPERTY DAMAGE <br /> - ~- (Per accident) $ <br /> ,.<--'f -_ C <br /> GARAGE UABLITY ~ \..\~I-\ 1,..' , 'J 1\ttoP ) AUTO ONLY - EA ACCIOEI'IT $ <br /> =J ANY AUTO t C\ <br /> P-SS\st3r-/ cD.f' 7- OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSlUMBRELLA UABILlTY ~, EACH OCCURRENCE $4,000,000 <br />A X ~ OCCUR D a.AIMS MADE BI:2963402 07/01/06 07/01/01 AGGREGATE $4,000,000 <br /> $ <br /> ~ DEDOCTIBLE $ <br /> X RETEI'ITION $10000 $ <br /> WORKERS COIiPENSATlON AN) I TORY LIMITS I IUEFt' <br />A EIotPLOYERS' LIABILITY 'H'C7578176 07/01/06 07/01/01 $ 1000000 <br />I>N( PROPRIETORJPARTNERIEXECUTIVE E L EACH ACCIDEm <br /> OfFICERlll.EWER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 1000000 <br /> If yes, describe under EL DISEASE - POLICY LIMIT $ 1000000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br />B Professional. Liab H70516400 10/01/05 10/01/06 I:a Occurr 1000000 <br /> Retro Date 9/1/85 ate 2000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I YEHCLES I EXCLUSIONS ADDEO BY E~ENT I SPECW. PROVISIONS <br />THll CZ'1'Y or SAN'l'A ANA, ITS orrzCERS, B:MPLOYB:B:S, AGB:N!:'S, VOLUNTEI:RS AND <br />BBPRBSl!:N'.l'.M!IVES ARJ!: NAHII:D AS ADDZTZOlQL msUREDS w:Ift BBSP~S TO '1'HJ: <br />OPERATZONS PBRI"ORMI:D BY OR ON BBHALI" or '.rIIJr. 1Q,MI:D INUS1U!:D, ftZS INSUBANCB: ZS <br />~I\DGU\Y AND NON CONTI\J:BUTORY w:Ift .AHY OTHBI\ msURANCE CAJUUB:D BY OR rOR TJU: <br />B:ENBI'ZT 01' '.rIIJr. ADDZTZONAL msURBDS, 10 DAY NON PA~ CANCI:LLA!I!ZON APPLZI:S <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />SANTAAN IHClULD AN'( OF TIlE ABO\IE DESCRIBED POLICIES BE CANCELLED BEFORE lIE EXPIRATION <br /> DATE llEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS~ <br />CZTY 01' SAN'1'A ANA - <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />PUBLZC MOlUtS AGENCY <br />ROSS STBBI:T ANNEX-M-22 <br />20 CJ:VJ:C CJl:N'.rBR PLAZA <br />SAN'l'A ANA CA 92701 REPRESENTATl\IE <br />~~ <br /> <br />ACORD 25 (2001108) <br /> <br />Cl ACORD CORPORATION 1988 <br /> <br />