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TE (MhIMDIYYYY) <br />ACORD CERTIFICATE OF LIABILITY INSURANCE ROP ED p Da02/28/07 <br />WAKED-1 02 28 07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Select Programs ins. Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />249 E. Ocean Blvd., Ste. 712 A-2WS-,2L12 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Long Beach CA 90802 <br />Phone: 562.216. 9016 Fax:562.216.9028 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED /I b-ZOD/ -Q'� INSURERA: American Int'1 Specialty <br />~ INSURER8: Commerce & Industry <br />Ware Disposal Company, Inc. INSURERC: Everest National Enaurance Co. <br />P.O. BOX 8206 INSURER D. <br />Newport Beach CA 92658 — <br />INSURER E. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P LI Y M <br />DATE MMETIV <br />IDD <br />P LI VEX IRATI N <br />DATE (MMA)DIYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1, 000,000 <br />PREMISES (Esoccurence) <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />EG2223762 <br />02/28/07 <br />02/28/09 <br />$300,000 <br />CLAIMS MADE OCCUR <br />MEDEXP(Anycnepersw) <br />$101000 <br />PERSONAL S ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMPIOP AGG <br />$1,000,000 <br />POLICY jEo LOC <br />1,000 000 <br />Emp Ben. <br />B <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />6531476 <br />02/28/07 <br />02/28/08 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1 r 000,000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OW NED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />ANYAUTO <br />$ <br />AUTO ONLY: AGG <br />$ <br />C <br />X <br />EXCESSIUMBRELLA LIABILITY <br />X1OCCUR DCLAIMSMADE <br />71G7000037072 <br />02/28/07 <br />02/28/08 <br />EACH OCCURRENCE <br />AGGREGATE <br />$10,000,000 <br />$10,000,000 <br />$ <br />_ <br />DEDUCTIBLE <br />!^ _ -�*a <br />[,;ORM <br />1Yl <br />$ <br />X RETENTION $NONE <br />$ <br />WORMERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOPJPARTNEPtEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />H yes, tlescdbe untler <br />SPECIAL PROVISIONS below <br />`" <br />t�S., <br />A n - _ g <br />iC-C <br />` <br />�1, ., i.l, <br />3 <br />..y <br />��` <br />TORV LIMRS ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />$ <br />—_ <br />$ <br />—. <br />E.L. DISEASE -POLICY LIMB <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. The <br />Certificate Holder is included as Additional Insured per attached Additional <br />Insured Endorsement for Commercial General Liability policy. <br />CSANTAA <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WALE ENDEAVOR TO MAIL * 30 DAYB WRITTEN <br />City of Santa Ana <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City Clerks Office <br />Attn: Teri Cable <br />IMPOSE NO OBLIGATION LIME O NY HIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />REPRESENTATIVE <br />Santa Ana CA 92702 <br />AUTHORREDREPRESENT V <br />Marc BeEgMn <br />ACORD 25 (ZUUTIUC) %_.f © ACORD CORPORATION 19 <br />