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<br />ACORD. <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP 10 M DATE (MMIDDNYYY) <br />WARED-l 07/27/06 <br />THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />PROOUCER <br /> <br />Select Programs Ins. Services <br />249 E. Ocean Blvd., Ste. 712 <br />Long Beach CA 90802 <br />Phone:562.216.9016 Fax:562.216.9028 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br />36463 <br /> <br />Madison Materials <br />P.O. Box 8206 <br />Newport Beach CA 92658 <br /> <br />A~d..fXJ5 .-::liS <br />A-~O'1e <br /> <br />INSURE~ _~~s~v8r Fr.oparty .. c~u!"lty <br /> <br />INSURED <br /> <br />INSURER B <br />INSURERC <br />INSURER 0 <br /> <br />Liberty Insuranc~U_rl?_",,:"'ri ters <br /> <br />INSURER E <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW!THSTANDING <br />ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 />INSR)A.DW <br />L TR INSR TYPE OF INSURANCE <br /> <br />l GENERAL lIABILITY <br /> <br />A X I-XJ.- C,?_MMERCIAL GEN..ERAL LIABILITY D225P00084 <br /> <br />J CLAIMS MADE L~_ OCCUR <br /> <br />------- <br /> <br />POLICY NUMBER <br /> <br />:'J5D<1.~~YJ~rJ~mE-!pgk~EYij~mfJ?N r LIMITS <br />I EACH OCCURRENCE i $ 1,000,000 <br /> <br />02/28/071~:~!~:ir:}~ ~~%~OOO <br /> <br />I.~E~_~'?_NAL&__~~~IN_~~RY_---,---., $_~! 000,000 <br />c.;~_N~~ALAGG~,?-,,~~_~_2_, 000, O~Q <br />i PRODUCTS. COMPIOP AGG I $ 1,000,000 <br />1'----.- _".,________________n__ <br /> <br />02/28/06 <br /> <br />A <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />~-I POLICY I~- :;r8-i : LOC <br />AUTOMOBILE LIABILITY <br />X1 ANY AUTO <br />, ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />; HIRED AUTOS <br />I NON-OWNED AUTOS <br /> <br />D225AOOOB8 <br /> <br />02/28/06 <br /> <br />I' COMBINED SINGLE LIMIT <br />02/28/07 ,(Eaaccldenl) <br /> <br />$1,000,000 <br /> <br />BODILY INJURY <br />{pe'person) <br /> <br />BDDIL Y INJURY <br />{per accident) <br />1--- <br />; PROPERTY DAMAGE <br />(perac('.ident) <br /> <br />GARAGE LIABILITY <br /> <br />AUTO ONLY - EA ACCIDENl <br /> <br />02/28/06 <br /> <br />OTHER THAN <br />i AUTO ONLY <br />EACH OCCURRENCE <br />02/28/07 AGGREGATE <br /> <br />EAACC'S <br /> <br />ANY AUTO <br /> <br />EXCESS/UMBRELLA LIABILITY <br />A X iI OCCUR CLAIMS MADE LQ1B71183717025 <br /> <br />AGG $ <br />. ~4LOOO,OOO <br />.;-'-.!.c 000,000 <br /> <br />DEDUCTIBLE <br />X RETENTION <br /> <br />$None <br /> <br /> <br />$ <br />$ <br /> <br />WORKERS COMPENSATION A.ND <br />EMPLOYERS' LIA.BILlTY <br />ANY PROPRIETOR/PARTNERlEXECUTIVE <br />OFFICERiMEMBER EXCLUDED? <br />lfyes,d,,"scribeunder <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />I <br />1(,0' <br /> <br />~I.QI3Y L1_M.ITS L!'.R <br />~_~,l EACH ACC_II?~_NT <br /> <br />I-::-~- :::::::: :~-~:~;~;~~, <br /> <br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CSANTAA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT10N <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR L1ABI <br /> <br /> <br />City of Santa Ana <br />Attn: Teri Cable <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br /> <br />Marc Ber n <br /> <br />ACORD 25 (2001/08) <br /> <br />~ <br />.... <br />