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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />VA:rF INMVE)VtYYYY)
<br />1 6/24/2009
<br />PRODUCM
<br />Wells Far
<br />Fargo of California Insurance Services, Inc.
<br />45 Fremont Street, Suite 800
<br />San Francisco, CA 94105 CA 001 License #0352275
<br />415.541.7106 Fax: 415.495.6261
<br />0 c (K,
<br />THIS CERTIFICATE IS ISSUED AS A MNnTR OF INFORMATION ONLY AND CONFERS NO RIGHTS
<br />UPON THE CERTIFICATE HOLDER. DER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
<br />OTHER COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A.,
<br />?Mn UP 1')hsL#414@C64any
<br />Everest Indemnity
<br />tNSURFRB:
<br />Hartford Fire Insurance
<br />Company
<br />INSURED:
<br />Able Building Maintenance Company Inc.
<br />INSURER C
<br />CE _
<br />American ZuiibWlnsurance
<br />Company L
<br />3300 W. MacArthur Boulevard
<br />INSURER Tk
<br />Federal Insurance
<br />Santa Ana, CA 92704
<br />Company
<br />INSURER E
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAXIED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR
<br />CONDITION OF ANY CONTRAcr OR (yrHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY OF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
<br />I I KREIN IS SUBJECT TO ALT, THETERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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<br />GENERAL LIABILITY
<br />COkIMERCIAL GENERAL LIABILITY
<br />CLAIMS OCCURRENCE
<br />uu MADE F 7X
<br />$10,C00 DEDUCTIBLE
<br />51 GL000501-091
<br />A /V
<br />/Y�
<br />70
<br />R
<br />D ut"Ci
<br />4/1/2009
<br />TO FO
<br />4/1/2010
<br />ZM
<br />ey
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGETO RENTED
<br />PREMISES (Fwh Okcurrence)
<br />$50,000
<br />MEDICALFXP. (AnyOrw
<br />Peron)
<br />$5,000
<br />PERSONAL & ADV. INJURY
<br />$1,000,000
<br />D
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />n/ odge
<br />Attor
<br />i tt
<br />CF
<br />PRODUCTS- COMP /OP AGG.
<br />$1,000,000
<br />AUTOMOBILE LIABILITY
<br />ANY AU`T0
<br />F� ALLOWNEDAUT05
<br />57UENUP6665
<br />4/112009
<br />4/112010
<br />COMBINED StNGLE LIMIT
<br />(EAth Accident)
<br />$1,000,000
<br />BODILY INJURY (Per Person)
<br />l SCHEDULED ALTOS
<br />❑c
<br />BODILY INJURY (Per
<br />IIIRFDAUTOS
<br />Accident)
<br />PROPERTY DAMAGE (Per
<br />NON-OWNED At
<br />Accident)
<br />D
<br />FACrSSLIA"ll.fry
<br />79820671
<br />4/112009
<br />41112010
<br />EACH OCCURRENCE
<br />$1,000,000
<br />F-1 OCCURRENCE CLAIMS MADE
<br />Lnwj a
<br />AGGREGATE
<br />$1,000,000
<br />❑ DEDUCTIBLE
<br />RFITN'TION:
<br />C
<br />WORKERS COMPENSATION AND FMPLOYER'S
<br />LIABILITY
<br />CA:
<br />411/2009
<br />4/11/20110
<br />WC STATUTORY Umns
<br />CA: Sd5 M LARGE DEDUCTIBLE PROGRAM
<br />AOS: 5100,W0 RE, TRO PROGRAM
<br />WC8298257-06
<br />All Other States:
<br />EACH ACCIDENT
<br />$1,000,000
<br />DISEASE - POLICY LIkIrr
<br />$1,000,000
<br />WC8298258-06
<br />4/11/2009
<br />4/11/20110
<br />DISEASE - ILACH EMPLOYEE
<br />$1,000,000
<br />msc.RirrioN OroPFRATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
<br />The City of Santa Ana, it's officers, employees, agents, and representatives are named as additional insured are named as additional insured, as per
<br />attached policy form endorsement(s) CG 20 26 07 04; CG 20 37 07 04,
<br />This insurance is primary and non - contributory, as per attached policy form endorsement ECG 24 515 05 00.
<br />CERFIFICAFE HOIDER
<br />CANCELLATION:
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELED BEFORE TIIE
<br />FAPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAR. 30 DAYS WRrFTEN
<br />NO`rICFTO TIIE CERTIFICATE HOLDER NAMFDTOTHF I-FSr,.
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENrATIVE
<br />Santa Ana, CA 92701
<br />Sal Romano., Sr. Vice President
<br />
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