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<br />03/01/2007 12:15
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<br />131047(;2818
<br />
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<br />
<br />VAN DUZER & ASSOC.
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<br />PAGE 02/03
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<br />A CORD~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYYI
<br /> 02/28/2007
<br />PRODUCER (310) 476-6561 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Dick Van Duzer & Assoc., I:nc. HOLDER. THIS CERTIFICATE DOES NOT AMENDe EXTEND" OR
<br />3130 Wilshire Blvd. , gut te 390 ALTER THE COVERAGE AFFORDED BY THE POllCI S BElOlN
<br />Santa Monica CA 90403- INSURERJ AFFORDING COVERAGE NAIC#
<br />1l'48Llt:tED tJ -""OO),-I~ INSURER A: BAR.TFORD INSUllANCE CO
<br />HYGtENE TECHNOLOGIES XNTBUATXONALN /;JpOJ.-IJ,;J......c,?" IN5UR.€R s: I
<br />3625 DEL AMO BLVD f180 !J -~DD.;GJ J,v..-D3 INSURER c,'-I
<br /> A - ?t;;,r,~. C?)}, INSURER 0
<br />TORRANCE CA 90503- A- -";) 1"'5UR~R E'
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BEL.OW HAVE BEEN ISSUED TO THE INSURED NAMED Alsove FOR THE POLICY PERIOD INDICATED. 1II0lWlTHSTANOlfllG ANY
<br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT \MTH RESPECT TO WHICH T~IlS CERTIFICATE MAY BE Issueo OR MAY PERTAIN.
<br />THE INSURA.NCE AFFOR.DED 8Y THE POLICIES oeSCRIBEO HEREIN IS SUBJECT TO ALL'THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS.
<br />INSR ACP'l, '~l?~~:~~~~~ Pgi'$Jft.~~~~N
<br />cT' INSlltO lYPOIE OF INSURANce POLICY NUMllIER L.tlllITB
<br />A ~NI!RAL LIABILI'TY / / j / / EACH OCCURRENCE . 2,000,000
<br /> l\ COMMI;RCIAl.. GENl!RAL LlAIJILi'TV ~~~~~I9E~~J~o 0'" , 300,000
<br /> l C\..AIMS MAOE ~ OCCUR 72SBALGS574 0./15/2 06 0'/15/~007 MEO EXP IAnv 0"" 01)/"0,.,1 , 10,000
<br /> I- ! PERSONAl"' I\OV I~JURY , 1.,000.000
<br /> I- / / / / GENERAL AOGREGATl! . 4,000,000
<br /> ril'L ^GG~EnE LIMIT AnE~ PER. I='ROOUCTS . COMPIOP AGG ,
<br /> X POl.lCY ~r8r LOC / / I / /
<br />A ~TOIlllOBll,lE LiaBILITY 72S~5574 0./lS/2006 09/15/2007 COM81f\l~1) SINGLE LIMIT
<br /> I 1Ef1"oc~') . 2,000,000
<br /> - IINY AUTO
<br /> - ALL OWNED AUTOe / / / / 80DILY INJURY
<br /> (PerpefIOl"l\ ,
<br /> - ~CH'DUlc;D AUTOS
<br /> ..!. ~IIREO AUT08 / / / / 800lL Y INJURY
<br /> ..!. (PClI'C1Ccldenl) .
<br /> NON-owNED AUTOS I
<br /> I
<br /> / / I / / PROPERN DAMAGE
<br /> ! (P8I'eccldenl\ $
<br /> ==i~C' LOAOILITY AUTO ONLY .,^ACC'Ol!NT .
<br /> ANY AUTO / / / / OTH'ER THAN EAACC ,
<br /> I\UTO ONLY AGG ~
<br /> Sl!SSlUM8RELLA llADILI1'V / / / / EAC~ OC'" I RRENCE ,
<br /> OCCUR D CLAIMS MADE AGaREOA~ ,
<br /> ,
<br /> 1 C'CUCT"'. / / / / .
<br /> RETE NllON ., ,
<br /> WORkl:.RS COMPENSATION AND / / / / I we: STATU.; I lOlL<'
<br /> EM"1-OYI:.R~' LlAH1LlTY TORY LlMI1'S
<br /> ANY PROF'RIETORlPART~F.Rn;:XECUTIV'E e..1.. €I\CH ^CClOENT ,
<br /> Or.r.ICERIMEMeER EXCL1JCEI)? / / / /
<br /> IIv-e, delcr1t)1il,..nd"r E,L. DUjE~E. EA EMPLOYEe :II
<br /> SP'=-CIAL PROVISION8 b1low E,\... DI8EASF.. POLICY LIMIT ,
<br /> OTHER / / / /
<br /> / / I / /
<br /> / / i / /
<br />OE'9CRIPTION OF OPOERATlONSIlOCATlQNSlV6HICUi8lEXCLU810Na AIlDIOD BY IE"NOOlllSI!M'I!NT/SP6CIAL p~c>>tI8toN' IS ."ImRx.If!:s,P(iy ! /L
<br />CITY oS' SANTA ANA IS NAMED AS ADDXT,tONAL INSURED, HYGI!:N!: tzC:HNO~IE9 COV1:RAGE
<br /> I
<br /> I
<br />
<br />ELECTRONIC lASEA f'OR'VIS. lNC . (eOOiJ21'0S"'~
<br />
<br />CERTIFICATE tlOlDER
<br />( )
<br />
<br />CITY 011' SANT~ ANA
<br />RXSK HANAGEMBN'r
<br />~o CVIC CENTER PL~ZA K-28
<br />SANTA ANA CA 92701-
<br />ACORD 25 (2001/08)
<br />0<<,.... lNS025 (0100).05
<br />
<br />CANCElilATION
<br />
<br />'SHOULD ANY" OF T"~ ABOVE DE"&CIlUBI6D pOUCIEa BE CANCIElLED BIIf"O!ll!E THE
<br />l[X"'lIl"T1O~ DAlli TH1iiREOF, 'rn1O laSUING INSUtlllIA WILL 'NoEAVOR. TO MAil
<br />~ Dln WIltrTT1!N NonC6 TO 1l1G CER'TI"CA'TI: HOLDER NAMED 10 '04E LEfT, BUT
<br />f'AllURE -rb DO 80 INAllIYPOSl!! N AnON OR ltA81I.lTY OF ANY KIND U,"ON Tl4E
<br />INSURER 1~8 AO~NTS OR. FtEP"1iS1IE
<br />AUTWOR~lIEbREP"esENTATlV6
<br />!
<br />
<br />
<br />"ACORD CORPORA liON 1988
<br />
<br />P~gOJ 1 ('1'2
<br />
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