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<br /> <br />ACUKU CERTIFICATE OF LIABILITY INSURANCE 1//27/27/ DADDI20112 <br />2 <br />PRODUCER (562) 493-3521 FAX: (562) 430-5300 <br />Alandale Insurance Agency <br /> <br />11022 Winners circle, Ste. 100 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Los Alamitos CA 90720 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Sentinel Insurance Company 11000 <br />INFO SEND, INC. INSURER B:Hartford Underwriters Ins CO 30104 <br />4240 E LA PALMA AVE INSURER C. Twin City Fire Ins CO 002235 <br /> INSURER D. <br />ANAHEIM CA 92807 INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OFSUCH <br />, <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR DD'L <br />U21Q <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE (MMfDDIYYYY) POLICY EXPIRATION <br />DATE MMIDDIYYYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURPENCF $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY <br />D111 TO I) <br />P <br />REMISES Ea occurrence <br /> <br />$ 1 000 000 <br />A X CLAIMS MADE OCCUR 2SBAZB7916 2/24/2012 2/24/2013 MED EXP (Any one person) $ 10 000 <br /> PERSONAL & ADV INJURY $ 1 <br />000 <br />000 <br /> , <br />, <br /> GENERAL AGGREGATE $ 2 <br />000 <br />000 <br /> , <br />, <br /> GEN1 AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> X POLICY PRO- <br />7 LOC <br /> AUT OMOBILE LIABILITY <br /> <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br /> <br />B X ALL OMEDAUTOS 72UECPE3966 2/18/2012 2/18/2013 <br /> <br />X BODILY INJURY <br />$ <br /> 6CHEDULED ^.UT06 (Per person) <br /> X HIRED AUTOS <br /> <br />X BODILY INJURY <br />$ <br /> NON OWNED AUTOS (Per a cci dent) <br /> <br /> PROPERTY DAMAGE <br /> (Per aca dent) <br /> GARAGE LIABILITY ;'j [? ':; J •, , .. ,.., '?.; 1 - AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONL'YAGG $ <br /> EXCESSIUMBRELLALIABILITY <br />- - °--- EACH OCCURRENCE $ 5 000 000 <br /> X OCCUR F <br />1 CLAIMS MADE AGGREGATE $ 51000.000 <br /> ..,,.1.,..,. y.... $ <br />A DEDUCTIBLE 2SBAZB7916 2/24/2012 2/24/2013 $ <br /> X RETENTION $ 10,000 $ <br />C WORKERS COMPENSATION <br />' VLC STATU- 0TH- <br /> AND EMPLOYERS <br />LIABILITY YIN X Tnp LIMITS <br /> ANY PRO PR I ETORIPARTNER/EXECUTIVE ? <br />OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) <br />If yes, describe under 2WECLU6992 2/1/2012 2/1/2013 E.L. DISEASE-B4 EMPLOYEE $ 1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 <br />000 <br />000 <br /> OTHER , <br />, <br />DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />Certificate holder is named as additional insured as their interest may appear per when required by contract. *10 <br />days notice of cancellation for nonpayment of premium <br />/'CGT CI f?ATI`111 ??? <br />CITY OF SANTA ANA <br />PO BOX 1954 <br />SANTA ANA, CA 92702-1964 <br />ACARn 95 IonnO/n41 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />Stacy Marshall/STACYM ?_-??"??-.,. <br />'w I"aa-Luu`J ALLJKU ULJKPOKATIUN. All rights reserved. <br />INS025 (200901) The ACORD name and logo are registered marks of ACORD