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<br />CERTIFICATE C'= LiABILITY INSURANCf . u";~/~~~~;'1 <br /> <br />Serial # 506062 THIS CERTIFICATE IS ISSU 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 />COMPANIES AFFORDING COVERAGE <br /> <br />COM~ANY AMERICAN CASUAL TV CO. OF READING PA (NAlC '20427) <br /> <br />~CORDno <br /> <br />:lDUCER <br /> <br />Aon Risk Services, Inc. of New York <br />199 Wllter Street <br />New York. NY 10038 <br />PHONE: 866-266-7475 <br />FAX: 866-467-7847 <br /> <br />lURED <br /> <br />PB AMERICAS, INC. <br />ONE PENN PLAZA <br />NEW YORK. NY 10119 <br /> <br />COMPANY <br />B <br /> <br />CO~ANY TRANSPORTATION INSURANCE COMPANY (NAlC 120494) <br /> <br />; COMPANY <br />D <br /> <br />JWlRAQEI . - . '-1 '. ....."'... ...., <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All. THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY EFFECTIVE POLICY IllCPlRATION <br />DATE IMMIllCl'VY) DATI! (MWllQIYV) <br /> <br />UMITS <br /> <br />POLICY NUMBER <br /> <br />GENERAL LIABILITY GL 2095788109 11/01/2007 11/0112008 : GENERAL AGGREGATE s <br />X COMMERCIAL GENERAL UABILITY GENERAL LIABILITY (A1S) PRODUCTS - COMPIOP AGG $ <br /> CLAIMS MADE IX] OCCUR ; GL 2095788093 PERSONAL & ADV INJURY $ <br /> OWNER'S & CONTRACTOR'S PROT GENERAL LIABILITY-STOP GAP EACH OCCURRENCE S <br /> ARE DAMAGE (Any one lite, S <br /> MED EXP (Any one person, S <br />AUTOMOBILE UABILITY BUA 2095788112 11/01/2007 11/0112008 <br /> COMBINED SINGLE LIMIT ,$ <br />X ANY AUTO COMMERCIAL AUTO <br /> ALL OWNED AUTOS BUA 2095788126 PO BOOIL Y INJURY <br /> SCHEDULED AUTOS AUTO PHYSICAL DAMAGE , (Per pef$QI\) <br /> HIRED AUTOS . $500 OED COMP BOOII. Y INJURY <br /> NQN-OWNED AUTOS ;$1,000 OED CalL (Per accident) <br /> PROPERl't DAMAGE S <br />GARAGE UABILITY AUTO ONLY. EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE ,$ <br />i EXCESS LIABILITY EACH OCCURRENCE '$ <br /> UMBR ELLA FORM AGGREGATE S <br /> r--------v-- <br /> OTHER THAN UMBRELLA FOAM $ <br />WORKER'S COMPENSATION AND : we 2095788059 AOS 11/01/2007 11/01/2008 <br />EMPLOYERS' LIABIUTY I we 2095788062 eA ONLY 11/01/2007 11/01/2008 <br /> s <br />THE PFlOPIllfTOf\' X ,INCL we 2095788076 RETRO (OR,VA,WI) 11/01/2007 11/0112008 EL DISEASE - POUCY LIMIT $ <br />PARTNEflS'EXECUTM: <br />a'ACERS ARE: ' EXCL EL DISEASE - EA EMPLOYEE $ <br />OTHER <br /> <br /> <br /> <br />5.000,000 <br />5,000,000 <br />1,000,000 <br />1,000,000 <br />300,000 <br />5,000 <br /> <br />2,000,000 <br /> <br />1 ,000,000 <br />1,000,000 <br />1 000,000 <br /> <br />SCIllPTlDN DF OPERATIONSILOCATIONSlYEHICl.ESISPECIAL ITEMS <br />B .11972) SARTC METROUNK EXTENSION STUDY <br />(CEPT FOR WORKERS COMPESATION, CITY OF SANTA ANA, ITS OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED: 1) FOR <br />ABILITY TO WHICH THEY MAY BE SUBJECT TO AS A RESULT OF PB'S NEGLIGENCE & 2)UP TO COVERAGE AMOUNTS HEREON. <br /> <br />.......~.-.~~~ <br />... .t' ~'~ ~ .... 10 , <br /> <br />~ ll'"~~;n:~~' 1l <br /> <br />, ::. " ~ 'l~~,~ ~:' <br /> <br />CITY OF SANTA ANA, M - 30 <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br /> <br />i~;' ~: .:i..1;'" <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELlED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~MAIL <br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />lGlUllCG)ll' <br /> <br />... . l:~ <br /> <br />. - .~ <br /> <br />. .~' ;;~; j~" , ;~ ;,;.' ~~~,~ . ~ <br /> <br />A~O~RESE~A~ <br />7)~..q.7~ <br />.1;._;t'_::'~'~'~J)!~>I~.[~~~~"'~' ~ '~L.j'\ii;;" "~~.::',l.. ...~.~ <br /> <br />'. <br /> <br />ARSON 2000 2/i'S.FP:-4PARSONS L1A81L1TY CI!I.()fl.FPIi <br /> <br />10242936 <br />. ~"- <br />Page 1 <br />