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ACORDM CERTIFICATE OF LIABILITY INSURANCE <br />osjiz%z0 s' <br />PRODUCER (925)688 -0733 FAX (925)688 -0737 <br />Westport & Associates Insurance Services, Inc. <br />License #0684505 N -axe_ (� <br />1390 Willow Pass Rd., #930 <br />Concord, CA 94520 -5253 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 />INSURERS AFFORDING COVERAGE <br />NAIC # <br />NSURED Downey Vendors, Inc. / Eagle Vending, Inc. <br />DBA: aka: Premier Vending Group <br />6814 Suva Street <br />Bell Gardens, CA 90201 <br />INSURERA: Travelers Indemn Company of CT <br />LIMITS <br />INSURER B: <br />NSURERC: <br />660143OC75208 <br />INSURER D: <br />02/09/2009 <br />NSURER E: <br />$ 1,000,00 <br />l VVC Ca <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 />INSR <br />DO' <br />sn,R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />660143OC75208 <br />02/09/2008 <br />02/09/2009 <br />EACHOCCURRENCE <br />$ 1,000,00 <br />DAMAGE TO RENTED <br />$ 100,00 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ 5,00 <br />CLAIMS MADE O OCCUR <br />PERSONAL & ADV INJURY <br />$ 1,000,00 <br />A <br />GENERALAGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,00 <br />POLICY PRO- LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA3395CO9509 <br />02/09/2008 <br />02/09/2009 <br />COMBINED SINGLE LIMIT <br />IEa accident) <br />$ 1,000,00 <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANVAUTO <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />CUP3619Y73608 <br />02/09/2008 <br />02/09/2009 <br />EACH OCCURRENCE <br />$ 5,000,005 <br />AGGREGATE <br />$ <br />OCCUR El CLAIMS MADE <br />$ 5,00-0,00-0- <br />A <br />$ <br />DEDUCTIBLE <br />$ <br />X RETENTION $ 10,00 <br />WORKERS COMPENSATION 4NO <br />IACRUB121SL86708 <br />04/01/2006 <br />04/01/2009 <br />X I WCSTATU- ER <br />ITS <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />A <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICEWMEM13ER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000 00 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />e: Santa Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard & Santa Ana Library <br />ity of Santa Ana, its officers, employees, agents, volunteers and representatives are named as <br />dditional insured per attached form CG20110196n & primary wording per attached form C000011001 page 11 <br />f 16. <br />10 days notice for non - payment.. " <br />City of Santa Ana <br />20 Civic Center, 8th Floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />*30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LI <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIo#fflgN OR LIABILITY <br />ACORD 25 (2001108) COACORD CORPORAI IDN !BBB <br />