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AtE�!Ri:y® CERTIFICATE OF LIABILITY INSURANCE OP IDPK DATE(MfNDD/YYYY) WAKED-1 03/04/10 DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aliant ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Specialty Ins Svcs HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ?.0. sox 609015 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego CA 92160 Phone: 858-541-1900 Fax: 858-277-4519 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A', Continental Casualty (CNA) INSURER B: Hudson Insurance Company 25054 Ware Disposal, Inc. Lucille Aguilar INSURERC: Everest National Ins. Co. INSURERD: Valley Forge (C.N.A.) 1035 E. 4th Street Santa Ana CA 92701-4750 f --i� 006 r--0'7 INSURER E: clluDb cyebom xm a cc�arrY :OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DDT NSRD TYPE OF INSURANCE POLICY NUMBER ATE (' DDNYIVE DATE (MMIDD/YYY1/) DATEPOLI( EXPIRATION DATE (MM'DDIYYYY) 'LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY 4015806303 02/28/10 02/28/11 DAMAGE TO RENTED PREMISES (E. a¢urerce> S 300, 000 MED UP (Arty ene person) $ 5,000 CLAIMS MADE [X ] OCCUR PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO E 1,000,000 PRO POLICY JECT LOC Empl Ben 1,000,000 AUTOMOBILE LIABILITY B X ANY AUTO HAS00033000CA 02/28/10 02/28/11 COMBINED SINGLE LIMIT (Ea a¢aem) E 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) $ HIRED AUTOS NON VANED AUTOS APPROVED AS TO FORM BODILY INJURY (Per a=W&M) S PROPERTY DAMAGE (Pere W.N) E a �`T.,/ ra L t Sheed GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANYAUTO Assistant City Attorney OTHER THAN EA ACC $ $ AUTO ONLY: AGO EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE E 4,000,000 C 7C OCCUR CLAIMS MADE 71G7000037101 02/28/10 02/28/11 AGGREGATE E 4,000,000 S $ DEDUCTIBLE $ RETENTION S WORKERSCOMPENSAigN AND EMPLOYERS' LIABILITY YIN STATU- x I TORY LIMITS M TS OER E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICEPMEMBER EXCLUDED? 4016793729 08/01/09 08/01/10 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, dii—be — E.L. DISEASE - POLICY LIMIT I S 1 , 000 , 000 SPECIAL PROVISIONS bebw OTHER E Pollution 37312830 02/28/10 02/28/11 Each Loss 1,000,000 $25,000 Ded. Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVSIONS *10 days notice of cancellation if cancelled for non-payment of premium. The City of Santa Ana its officers, employees, agents, volunteers and representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. laK I INUA It MULUtK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYS07 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana REPRESENTATIVES. 20 Civic Center Plaza Santa Ana CA 92803 AUTNORIED REPRESENTATIVE Marc Bergman ACORD 25 (2009/01) ©1988-2009 ACORD CO RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD