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1 <br />ACORD CERTIFICATE OF LIABIL ITY INSURANCE °ATE,MM/ODIYYYY) <br /> 10/13/2006 <br />PRODUCER (626)275-3000 FAx (626)275- 0130 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Golden Pacific Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />181 W. Huntington Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Suite 200 <br />Monrovia CA 91016-34 94 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED IN3URER A:_G_Olden Ea le Ins Cor 10836 <br />Dekra-Cite Indus trigs, Inc. INSURER B~ <br />3102 W. Alton Avenue w3u RERc <br />Santa Ana, CA 92704 INSURER D~ <br /> INSURER E' <br />C(1VFRAf:FS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV <br />REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR AOD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR IN RO TYPE OFINSURANCE POLICY NUMBER DATE MbVDOM'I DATE MMIDO/YY LIMITS <br /> GENERAL LIABILRV EACH OCCURRENCE 3 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea occurrence 100,000 <br />S <br />A CLAIMS MADE ®OCCUR CBP8139450 4/9/2006 4/9/2007 MED EXP An one rson) 9 5,000 <br /> X deductible -0- PERSONALS ADV INJURY 9 1,000,000 <br /> <br /> GENERALAGGREGATE 5 2,000,000 <br /> <br /> GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG S 2,000,000 <br /> X POLICY jECT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />000 <br />000 <br />9 1 <br /> X ANY AUTO (Ea ecddmt) , <br />, <br />A ' AU OWNEDalrros CBP3139450 4/9/2006 4/9/2007 BODILYIwuaY <br /> SCHEDULED AUTOS (Per P~$O") 3 <br /> HIRED AUTOS BODILY INJURY <br /> NON-0WNED AUTOS (Per student) S <br /> PROPERTY DAMAGE <br /> S <br /> (Per acddenp <br /> GARAGE LIABILRY AUTO ONLY-EA ACCIDENT s <br /> ANY AUTO <br />OTHER THAN EA ACG <br />3 <br /> AUTO ONLY: <br /> AGG 3 <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE 3 2,000,000 <br /> X OCCUR CLAIMS MODE AGGREGATE 3 2,000,000 <br /> S <br />A DEDUCTIBLE cuB139660 4/9/2006 4/9/2007 3 <br /> X RETENT)ON $30,000 S <br /> WORKERS COMPENSATION AND <br />' pp TTUU <br />TORYTIMIT3 OER <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETOlLPARTNERIEXECUTIVE EL EACH ACCIDENT 3 <br /> OFFICER/MEMBER EXCLUDED? <br /> II EL DISEASE - EA EMPLOYEE 9 <br /> yes, de3pibe under <br /> SPECV~L PROVISIONS belay E.L. DISEA3E~POUCY LIMIT 6 <br />A OTHER Equipment Floater CBP8139450 4/9/2006 9/9/2007 teased/Rented Equip. 50,000 <br /> Hired Physical <br /> Damage Limit 50,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLU310N3 AOOED BY ENDORSEMENTI3PECIAL PROVISIONS <br />City of Santa Ana, Its officers, employees, agents, volunteers and representatives are included as additional insured <br />as re apacta to the insureds operations anfl ONLY if required by written contract per the attached endora errant. 30 days <br />NOC except 10 days for non-payment of premium. <br />City of Santa Ana <br />Attn: Danell Maxcado <br />20 Civic Center Playa, <br />Santa Ana, CA 92702 <br />ACORD 25 {2001108) <br />INS025 (Oioeyoo AMS <br />SHOULD ANY OF THE A80VE pESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING IN3URER WILL ~6~1J(c~€JC3F-C MVvAIVvL <br />3 D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, alYex <br />M- 2 5 ~)G~afrasl6~zlYa61YI~Bl6ksXl~4~'i,ZE~6MXrz~'iXA~5~i~4~4~CditdCll4YoKIY~MJ411't=7C <br />itz Mutter/MER ' <br />O ACORD CORPORATION'1988 <br />Ina (800)32].0545 Page t oft <br />