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<br />ACORO,. CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MM/ODNYYY) <br /> <br />PRODUCER <br /> <br />AU Insurance Services <br />PO Box 3646 <br />Omaha, NE 68103-0646 <br />(877)234-4420 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAG-, <br />AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURED <br />Prestige Striping Services, Inc. <br />dba Prestige Striping Services <br />353 North Cyperess Street <br />orange, CA 92866-7016 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURER A: California Insuranc~_CompanY <br />!NSURER 8' <br /> <br />NAIC # <br /> <br />INSURER C' <br />INSURER D: <br /> <br />INSURER E: <br /> <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRIAOD' POLICY EFFECTIVE POLICY EXPIRATION <br />lTR WSR TYPE OF INSURANCE POLICY NUMBER DATE'MMlDDIYYI DATE MMlDDIVY\ LIMITS <br />~ERAL LIABilITY <br />COMMERCIAL GENERAL LIABILITY <br />I CLAIMS MADE D OCCUR <br /> <br />A <br /> <br />~ESSlUMBRELLA L1ABIUTY <br />W OCCUR 0 CLAIMS MADE <br /> <br />h DEDUCTIBLE <br />H ~ETENTION $ <br />WORKERS COMPENSA nON AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PAATNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />II yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br /> <br />,'i,"::,j_;;t,;,l~ eilv /qtl. r'lG' <br /> <br />EACH OCCURRENCE $ <br />~~~~~~J9E~~J~?ence\ $ <br />MED EXP (Anv one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/O? AGG $ <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ <br />BODILY INJURY <br />(Per person) $ <br />BODILY INJURY <br />(Per accident) $ <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br /> $ <br /> <br />- <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PEA: <br />I POLICY nj:g: n LOC <br />~OMOBILE LIABILITY <br />_ ANY AUTO <br />_ ALL OWNED AUTOS <br />I--- SCHEDULED AUTOS <br />I---- HIRED AUTOS <br />I---- NON-OWNED AUTOS <br /> <br />l:'PR\)'.i~J AS 'T( FORi\'l <br /> <br />n~GE LIABILITY <br />n ANY AUTO <br /> <br />XI <br />_:-tc--)r-~~/!'- / <br />:----:7'i-i '. r" '.'" 1 (~l. c. j \l <br />. .,. u '., ..".". ,,1.1 <br /> <br />X I we STATU- I <br />. I TORY UMIT-" I <br /> <br />46-007016-01-01 <br /> <br />06/01/05 <br /> <br />06/01/06 <br /> <br />E.L EACH ACCIDENT <br /> <br />1.000.000 <br />1.000.000 <br />1,000,000 <br /> <br />E.L. DISEASE - EA EMPLOYEE $ <br />EL DISEASE. POLICY LIMIT $ <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS <br />Job: Pavement Markings <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana <br />20 Civic Center <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL-3D.... <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />THE INSURER, ITS AGENTS OR RE SENTATI ES. <br />AUTHORIZED REPRESENTATIVE <br /> <br /> <br />@ ACORD CORPORATION 19B8 <br /> <br />Attn; Rock Garcia <br /> <br />ACORD 25 (2001/08) <br />