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rll—ffi- 900RS <br />nnr aRn <br />Fat (�tG�.G-Cwt-� <br />CORD- CERTIFICATE OF LIABILITY <br />INSURANCE <br />1011107UCER <br />J <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Irvine - CIL <br />C 0351162"`949.790-9339 Suzan <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 />I Box 53310 <br />POUCYEFFECTNE <br />DATE IMINDOP,Y] <br />I rvine, CA 92 61 9-3310 <br />INSURERS AFFORDING COVERAGE MAIC C <br />INSURED <br />INSURERA: National Union Fire Of PA AIG/Yes <br />Doty Bros. Equipment Co. <br />11232 E. Firestone Blvd. <br />w <br />Norwalk, CA 90650 <br />INSURER H: Hartford Fire Insurance TX <br />INSURER C. <br />INSURER D: <br />EACH OCCURRENCE $1000000 <br />INSURER E: `10 day notice nonpay <br />COVERAGES <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 PND CLAIMS. <br />INSRLTR <br />OD <br />SR <br />TYPE OF wSURANCE <br />PONCY NUMBER <br />POUCYEFFECTNE <br />DATE IMINDOP,Y] <br />POLICYEXPIRATION <br />DATE MHUDD)YY1 <br />LAMITS <br />AGBIERAL—BIU- <br />GLIG17202 <br />10111107 <br />10111/06 <br />EACH OCCURRENCE $1000000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$50,000 <br />CLAIMS MADE 51OCCUR <br />MED EXP (Aryan. Parson) $5,000 <br />PERSONAL 6 ADV INJURY $1,00111.000 <br />X 13FPDIXCU <br />X I Contractual Liab <br />GENERAL AGGREGATE 32000000 <br />GE.T AGGREGATE LIMT APPLIES PER: <br />PRODUCTS - COMP/OP PGG 3200D000 <br />BUPD SIR $500000 <br />POLICY x M LOG <br />A <br />AUTOMOBILE <br />LIABILITY <br />CA8262882 <br />10/11/07 <br />10/11/06 <br />COMBINED SINGLE LIMIT <br />IEA AWdentl $1,000,OOD <br />% <br />ANY AUTO <br />BODILYWJURY <br />$ <br />X <br />ALLOWNEDAUTOS <br />SCHEDULEDAUTOS <br />(INF".oT <br />BODILY INJURY $ <br />X <br />HIREDAUT03 <br />X <br />NON-OWNE°AUTOS <br />(P.rx Ann <br />X <br />Comp $1,000 <br />Applies to 2003 <br />PROPERTY DAMAGE 3 <br />X <br />Coll $1,000 <br />and newer cars <br />(P.r..Nd.M) <br />GARAGE LUTBILRY <br />AUTOONLY-EAACCIDENT 3 <br />OTHER THAN A ACC 3 <br />ANY AUTO <br />AUTO ONLY: AGG 3 <br />A <br />EX CESB?UMERELLALUUMUTT <br />BE7227695 <br />10/11107 <br />10111/09 <br />EACH OCCURRENCE $10000000 <br />X OCCUR FICLAIMS MADE <br />AGGREGATE $10000000 <br />3 <br />$ <br />DEDUCTIBLE <br />3 <br />X RETENTION $10000 <br />A <br />WDRXERS COMPENSATION AND <br />WC1593532 <br />10111)07 <br />10/11/08 <br />X we srU.ATu MIT <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT 31,000,ODO <br />ANY PROPRIETORIPARTNEWCXECUTIVE <br />OFFICEMMEM89R EXCLUDED'? <br />E.L. DISEASE -EA EMPLOYE 51000000 <br />1X5$, iAI—be Und.r <br />SPECIAL PROVISIONS ba.n <br />E.L. DISEASE -POLICY LIMIT I S <br />B <br />OTHER Comm Prop <br />72UUMUMB513 <br />10111107 <br />10111/08 <br />$500,000 Max Per Rem <br />Equipment <br />$10,000 Ded <br />Rented/Leased <br />$10,000 Ded for Cranes <br />°ESCWPTION OF OPERATIONS I LOCATIONS I VEHICLES f 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 />N SHOULD ANY OF THE ABOVE OESCMEED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana - , - „ OATPTNEI ?F, THE ISSUING INSURER WILL IOROBrAR%e MAIL 11n DAYS WRITTEN <br />Public Works Agency �� �/ NOTICE TO <br />iO T THE CERTIFICATE HOLDER NAMED TO THE LEFT,1MXIdI1dBBWL1DOeDCUaLx <br />220 S. Daisy Ave., M85`�{', �, � xrjvjmNxlmoaoMKRA%N MOWxx <br />Santa Ana, CA 92702 - - <br />I( AIRHORIZ EPRESENTATNE <br />�M <br />ACORD 25 (2DDI/DB) 1 of 2 #M447460 <br />SMZ © ACORD CORPORATION 1988 <br />