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CERTIFICATE OF LIABILITY INSURANCE <br />1AMb L <br />D 09/28/2009 ' <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DA MM DD <br />POLICY EXPIRATION <br />T MM D <br />PRODUCER714-685-3200 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />LEGENDS ENVIRONMENTAL INS.SVCS,LLC <br />ONLY AND CONFERS NO RIGHTS UPON THE <br />CERTIFICATE <br />2165 N GLASSELL STREET <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR <br />A <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. <br />ORANGE, CA 92865 <br />09-17-2009 <br />09-17-2010 <br />LICENSE #OC79875 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED WEST COAST LAND CLEARING a�. �� <br />INSURER A: AMERICAN SAFETY INDEMNITY COMPANY <br />25433 <br />R. V., THOMAS, INC. DBA: <br />INSURER B: REDLAND INSURANCE COMPANY <br />37303 <br />AA �Q <br />P O BOX 90126 — D ! 8INSURER <br />c: GREAT AMERICAN INSURANCE COMPANY <br />16691 <br />LONG BEACH, CA 90809 77- <br />INSURER D: <br />I <br />INSURER E: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />P(ll ICIFC A(]r RF(�ATF I IIAITC CLJf 1— LAAV LIA\/C GCCnI o 1'1 ev �w Il ,+wu c <br />LTR <br />1AMb L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DA MM DD <br />POLICY EXPIRATION <br />T MM D <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Fx--1 OCCUR <br />ENV023730-09-01 <br />09-17-2009 <br />09-17-2010 <br />DAMAGE TO RENTED EMISES (Ea n $ 50,000 <br />MED EXP An one person $ 5,000 <br />X CONTRACTOR'S <br />PERSONAL & ADV INJURY $ 1,000,000 <br />POLLUTION <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN•L AGGREGATE LIMIT APPLIES PER: <br />X I POLICY PROT LOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />B <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />RICTN0003482 <br />09-17-2009 <br />09-17-2010 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) $ <br />Q 1 <br />GARAGE <br />LIABILM[� <br />C1 <br />- <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />A OY <br />AUTO ONLY: AGG $ <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />L'but <br />�SS1SC'bD <br />i @e <br />C1 OS�='y <br />Ate' <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />RETENTION $ <br />$ <br />WORKER'S COMPENSATION AND <br />EMPLOYERS- LIABILITY Y / N <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />WC STATU- TH- <br />TORY LIMITSR <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />1 yas, describe under <br />E.L. DISEASE - POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />A <br />ENV023730-09-01 <br />09-17-2009 <br />09-17-2010 <br />JOTHER <br />PROFESSIONAL LIABILITY <br />1,000,000 EA OCC CLAIMS MADE <br />2,000,000 AGGR CLAIMS MADE <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />IT IS AGREED THE CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED AS <br />RESPECTS ALL OPERATIONS OF THE NAMED INSURED. <br />REFER TO ADDITIONAL INSURED & PRIMARY ENDORSEMENTS ATTACHED <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA M-36 <br />P O BOX 1988 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 1� MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />© 1988-2009 ACORD <br />The ACORD name and logo are r istered marks of ACORD <br />