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<br />"I <br /> <br />-- <br /> <br />e <br /> <br />ACORD", CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) <br /> 7/3/2007 <br />PRobuCER (714)905-1923 FAX: (714) 905-1910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hayward Tilton & Rolapp Insurance Associates, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0614365 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />888 S. Disneyland Dr. STE 400 <br />Anaheim CA 92802 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Ace Property & Casual tv <br />Hernandez Cart Service, Inc. A-~OOJ4-/3.y INSURER B: <br />1808 Lincoln Blvd. INSURER C: <br /> INSURER D: <br />Venice CA 90291 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE B~EN REDIIC~D BY PAID CLAIMS. <br />l~~: ADD'L P~}+~~ri~~68,wlE Pg~W(~~~~N LIMITS <br />,..."I>n TYPE OF INSURANCE POLICY NUMBER <br /> ~ERAL LIABILITY EA"H OCC"RREN"E $ <br /> 3MERCIAL GENERAL LIABILITY ~~~~H9E~~~JJ,~nce\ $ <br /> r-- CLAIMS MADE 0 OCCUR <br /> MED EXP IAnv one Dersonl $ <br /> r-- <br /> PER"ONAI & ADV INJURY $ <br /> r-- <br /> GENERAL AGGREGATE $ <br /> r-- <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODlICTS - "OMP/OP AC~r, $ <br /> n POLICY -n P'f}R-i Ii LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - (Ea accident) $ <br /> - ANY AUTO <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> =j ANY AUTO OTHER THAN EA AC" $ <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LIABILITY 'nnn'~~ $ <br /> ~ OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> I $ <br /> ==i DEDUCTIBLE $ <br /> RETENTION ~ 1$ <br />A WORKERS COMPENSATION AND V X 1 WC STATU- r OJ~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? 070120072008TBD 7/1/2007 7/1/2008 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br /> II yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />*10 Day Notice May be Given in the event of non.payment of premium <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />(714) 647-3345 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />The City of Santa Ana EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~~~ MAIL <br />Attn: Dave Urbin * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~ <br />220 S. Daisy Avenue, Bldg A X ~~~1l\=X <br />Santa Ana, CA 92703 ~~X*~ <br /> AUTHORIZED REPRESENTATIVE ~~ ~ <br /> Triny Abreu/MTA <br /> <br />ACORD 25 (2001/08) <br />INS025 (0108)08a <br /> <br />k1"4Ju/ 4 - t.CJ(.'~- -/'BI <br /> <br />@ACORD CORPORATION 1988 <br /> <br />Page 1 012 <br />