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-Vy AC090- CERTIFICATE OF LIABILITY INSURANCE 8/23 /12006 °"T`I"200'6 <br />" -OCR Pax (949) 851 -8802 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />A Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License No: OD15612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />30 Corporate Park 11307 <br />(Irvine CA 92606 INSURERS AFFORDING COVERAGE NAIC0 <br />ENSURED A I t INSURERA: Steadfast Insurance <br />ACurbside, Inc. -.2004 INsuREA&Zurich American Insurance <br />1160 N. Armando Street N - 2 v U� INyU�c <br />`I V� INSSUFMR Et <br />Anaheim CA 92806 INSUMI- <br />I:UVrKAL7tS <br />THE POLICIES OF INSURANCE LISTED BELOW WAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N0TWM4STANDING ANY <br />REQUREMENT. TERM OR CONDITION OF ANY CONTRACT OR CIVIER DOCUMENT WTH RESPECT TO %*11CH THM CERTIMCIATE MAY BE 1s=r;o OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDMONS OF SUCH POLICIES. <br />AGGREGATE LrAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />NSR POLICY EWOOME POLICY EXPIRAT167N <br />L7R IV>SR TYPE Of INSURANCE POLICY NUMBER OATEIMM'DDA'YI DATE IMMIDO/YY} UNIT! <br />A <br />GEJNERALLIARILITY <br />GPL 543 5554 -02 <br />08/23/2006 <br />08/23/2007 <br />EAt;fN OacURRENr,E <br />S 1,000,000 <br />%t COMMEROX GENIERkAI. LNBIUTY <br />DAMAGE TO R04U <br />PREMISES Es welsf� <br />100 0 <br />i . 00 <br />IM <br />CLANS MADE OCCUR <br />NEDEXP QkV arm <br />S 25,000 <br />PORSONALAADVENAW <br />S 1,000,000 <br />GENERAL AGGREGATE <br />S 1,000,000 <br />GENt AGGREGATEppL��Wyp "PLIES IES PENT: <br />POUCY JECT LOC <br />ODIJCTS- A00 <br />S 1,000,000 <br />8 <br />AUTONOMLELIA01JTY <br />X <br />ANY AUTO <br />R" 353 5553 -02 <br />08/2312006 <br />08/23/2007 <br />4;OWiNeD3ML6L rr <br />(E• ffcddwd) <br />s 1,000,000 <br />ALL OWNEO AUTOS <br />SCN EGU LED 1Q.I TOS <br />- <br />BOOIIY INJURY <br />0' w pwaon} <br />: <br />• <br />HIRED AUTM <br />NON -C%MD ALTrOS <br />$1,000 DED COHP <br />BOOILYINJURY <br />(PK wi ent) <br />S <br />$1,000 DLD COLL <br />PR.VFER TY DAMAGE <br />{Per nrelkn$ <br />s <br />OARAGl LLAEILrrY <br />AUTO oPLY• EA Ao=EM <br />d <br />ANY ALrrO <br />H <br />OTHER THAN EA ACC <br />t <br />Aum ONLY: AGO <br />f <br />"VUMl3A&l A UA=uTY <br />OCCUR CLAW MADE <br />CACH OCCUR ENCE <br />E <br />AGGREGATE <br />! <br />s <br />DEDUcnBLE <br />s <br />xr:rtnnoN s <br />s <br />WORKERS GOMPEN3ATiON AND <br />EwLOYMS LIAaIUTY <br />TWLIA <br />INTS <br />ANY PROPMETOR.PARTNEFWxtcumvE <br />OFFlCERNEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE- EA EMPLOY <br />S <br />U ym. daleft• ww" <br />A <br />SPEtZAI PROVCS10N5 wbW <br />orHeR <br />Contractor 'a <br />Pollution Liability <br />GPI. 543 5354 -02 <br />08/23/2006 <br />08/2312007 <br />E.L. DISEASE- POLICY LAST 3 <br />$1,000,000 Bach incident <br />$1,000,000 P*.UCy aggreg-atu <br />0E3CwhT701.Or OP EAATIONSILOCATIDXWVEW -LJ &IXCLUaONSAODW RY ENDORSEMENT/SPECIAL PROVISIONS <br />'171* general liability Polley inaludes the City of Santa Asa, its officers, wnployees, agenta,VOlunt*arm aril <br />representatives as acicLitionat insured with regard to work performed by or on behalf ofthe Hamad Insured vhare required <br />by written contract.rzxcapt 10 days for nonpayment of premium. <br />CERTIFICATE HOLOFa <br />SHOULD ANY Of THE AOCrn DEACRaw POUCHED EE CANCELLED NO ORE THE <br />City Of Santa Arid E"IRATION DATE THEMOF, THE IMSUMO YMAM WLL .nkW"&CyXMAE. <br />Department Of x pjiC Works l-2 30 DAYS WRITTEN NOTICE TO THE CERTIFICATEHOWERHAWEDTO THE LOFT, XXX <br />20 Civic Center Plaza, M -21 <br />Santa Ana, CA 92702 <br />AUTHORZED AEPREEENTATNE <br />rxlra DOdge/$ED <br />ACORD 23 (30011Dd) " <br />�� �' � - � -` - -" <br />luc *tee.....,..,,• wluc 0 ACORD CORPORATION 1908 <br />-- - vuP U.,n.w,.a,rw.M.1 in. +mncb7.nvS Peal t d2 <br />