PRESTIGE STRIPING SERVICES, INC. 3 (2)

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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDD/YYYY) 9 TM 05/01/200 PRODLV^.ER (909) 735-5335 FAX (909) 735-3758 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DFI Preferred Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2027 Hamner Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norco, CA 92860-2604 INSURERS AFFORDING COVERAGE NAIC # INSURED PRESTIGE STRIPING SERVICES INC. INSURER A: AMERICAN STATES INSURANCE COMPAN _ 1054 RAILROAD STREET INSURER B: MERCURY CASUALTY INSURANCE COMPA Y CORONA, CA 92882 INSURER C: CALIFORNIA INSURANCE COMPANY INSURER D: ~ INSl1RER E. Cfl\/FRA(~FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY O1 CG 768379-5 03/22/2009 03/22/2010 EACH OCCURRENCE i s 1,000,00 I I RAl LIABILITY X _ MME C O ---, I E t _ LAMA N E~ PREMISES (Ea occurrence) ~_ _ 1 r 000 s 00 ~ r I I. X ~ pGCl1R ! AIM MADE S MED EXP (Any one person) $ 10 , 00 A X ~ PER PROJECT ~I PeRSCr.,r~ a ADV .r.JURY ~ $ ___l. , 000 , 00 GENERAL AGGREGATE ~ _ 2 , 000 , OO --- GEN'LAGGREGATE LIMIT APPLIES PER: _ - -- PRODUCTS -COMP/OP AGG $ _ 2 000 , 00 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) 1, 000 , 00 ----- - ALL OWNED AUTOS I BODILY INJl1RY ~ T s sCHEDULEDAUTOS j AC11071675 04/29/2009 04/29/2010 (Per person) ---' ---- ------______ B - X HIRED AUTOS BODILY INJl1RY s NON-OWNED AUTOS (Per accident) __ -- -~ I ~~~ l~v PROPERTY DAMAGE $ A ~ 1"~ (Per accident) GARAGE LIABILITY `>P / f AUTO ONl Y - EA ACCIDF.N E ~n ANY Al1TO ~ + ~ .,,~I,i ~ OTHER THAN FA A(,C $ _._ _ __ __ I _. I - r V L' be . dy ~ AlITO ONLY. AC ( $ EXCESS /UMBRELLA LIABILITY .. -~ ~ " i I ! `~' `.t ~ ~, ~r At" nT EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE ~ ~ AGGREGATE $ _ __ I __ $ - -------- - DEDUCTIBLE ~ $ RETENTION $ $ N S O EN X ~IORYLIMIiS _;~._ER { ABILI AND EMP ERS OY Y I' XI ~" IVF 2 06/01/2008 46-006122-03 07 ~ 06/01/2009 f ACH ACCIDENT I E ~ s 1 000 QQ C .. D F XCI l1D ~~ ~ [ , . _ __ __ _ , , _ . r NH~ (Mandat ory m i ~ L.L. DISFASC- - k A E MPL.OYk E ~~ I $ _ I , OUO , OO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMfi ~ $ 1 , 000 , 00 OTHER O1 CH 600228-2 07/27/2008 07/27/2009 OFFICE CONTENTS-$120,000 A OMMERCIAL PROPERTY PERSONAL PROPERTY-$106,000 DEDUCTIBLE - $500. DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS 0 DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. COVERAGE IS PRIMARY & NON CONTRIBUTORY. OB: VARIOUS JOB LOCATIONS EVISING CERTIFICATE ISSUED 4/7/09 r~oririrnTr unr n~o CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~J61LD(ilb1~JtX MAIL 30 DAYS WRIT~iEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1'I(~LY~E~6X3(~'s~6)~X1XIX CITY OF SANTA ANA X3(dlr,Xd4~4Xd~frXcX~fXeYJ41(eYd4~t6)'QXJ~d4K~~fkY~~Xrl6~~E~1(X ATTN: ROCK GARCIA SUITE 201 4TH STREET 305 E 1(K~KI >'1XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX , . SANTA ANA, CA 92701 AUTHO E R~FPRESENT/A IV 4 ~L~ ~ `...~,.. ACORD 25 (2009/01) V l`J2f2S-LVUy HI.VKU I.VRI'VRH~ IVIY. wi rrynw rcacrvcu. The ACORD name and logo are registered marks of ACORD