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Client#• 29955 <br />vvr�onv <br />ACORQ., CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/OD/YYYY) <br />kDO' <br />N R <br />10/06/06 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />USI Irvine - CIL <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lic# 0351162***949-790-9339(Suzan) <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P O Box 53310 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />10/11/06 <br />Irvine, CA 92619-3310 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Doty Bros. Equipment Co. <br />INSURERA: National Union Fire of PA AIG <br />INSURER B: <br />11232 E. Firestone Blvd. <br />rye Cq <br />Norwalk, CA 90650 A' d -w' - l / <br />INSURER C: <br />INSURER D: <br />DAMAGE TO RENTEDRES $50,000 <br />MED EXP (Any one person) $5.000 <br />INSURER E: *10 day notice nonpay <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 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 />FISH <br />LTR <br />kDO' <br />N R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICYEFFECnVE <br />ATE MMIDI <br />POLICY EXPIRATION <br />DATE (Mwppffn <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GL1791522 <br />10/11/06 <br />10/11/07 <br />EACH OCCURRENCE $1 00_0-00_0 <br />X COMMERCIAL GENERAL LIABILITY <br />CIAIMS MADE F_x ] OCCUR <br />DAMAGE TO RENTEDRES $50,000 <br />MED EXP (Any one person) $5.000 <br />x BFPD/XCU <br />PERSONAL& ADV INJURY $1000000 <br />x Contractual <br />GENERALAGGREGATE $2 00O oO0 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY X REOT LOG <br />PRODUCTS-COMP/OPAGG $2000000 <br />BUPD SIR $500,000 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />CA8262523 <br />10/11/06 <br />10/11/07 <br />COMBINED SINGLE LIMIT <br />(Ea aprlI $1,000,000 <br />X <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />(Per person) $ <br />X <br />HIRED AUTOS <br />X <br />NON -OWNED AUTOS <br />BODILY INJURY$ <br />(Par acdeenrn) U <br />x <br />Comp $1,000 <br />Applies to 2003 <br />x <br />and newer cars <br />(Pa acodent)AMAGE $ <br />Coll $1,000 <br />GARAGE LIABILITY <br />AUTOONLV-EAACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANYAUTO <br />AUTO ONLY: AGG $ <br />E%CESSIUMBRELLA <br />LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR FICLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC3725446 <br />10/11/06 <br />10/11/07 <br />X WC STATU- oTH- <br />E.L. EACH ACCIDENT $1000000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />untler <br />E.L. DISEASE - EA EMPLOYEE 1 000 000 <br />$ <br />E.L.DISEASE-POLICYLIMIT $1000000 <br />Syes, ALepnbe <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />RE: City of Santa Ana On Call Emergency Agreement <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional insureds as evidenced by <br />attached endorsement. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana / DATE THEREOF, THE ISSUING INSURER WILL taWBAInHuntMAIL *An DAYS WRITTEN <br />Public Works Agency ,,I ,:;�, C,l /y/ j NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,AjD[�K <br />220 S. Daisy Ave., M85 �/ / mmf itm*mmx7aata8x1amxxALVXXKNMMNNMMln®amx7nilW[OBMXx <br />Santa Ana, CA 92702 ` xtmnaumaaoaDLK <br />AUTHORIZED EPREESSENTATIVE <br />L . <br />ACORD 25 (2001/08) 1 Of 2 #1111388198 CM7 0 ACORD CORPORATInM IQ" <br />