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<br />AC!JBl},. CERTIFICATE OF LIABILITY INSURANCE I OA IE (MMlDDlYY) <br />04/22/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />UnlonBanc Insurance Svcs, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />680 Langsdorf Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. Box 34009 <br />Fullerton, CA 92834-9409 INSURERS AFFORDING COVERAGE <br />--..-- -- -- - - ----- - <br />INSURED INSURER A: Federal Insurance Company <br /> Econollte Traffic Engineering & - -- - - ,-- - <br /> , INSURER B, American Gua~antee and Liability I~ <br /> Maintenance, Inc. INSURER c: <br /> 3360 E. La Palma Ave. ~ERD: ------ - - - <br /> Anaheim, CA 92806 - - -- -- ----- <br /> INSURER E: <br /> <br />Client#. 16427 <br /> <br />ECONOLGRO <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FDA THE POlley PERIOD INDICATED. NOTWlTHSTANDlNG <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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~--~PE OF INSUR~~-CE ---- ~ --~UCY NUMBER---- - ~.i.!fEY ~~~~EIP%~fl ~]'rtl~~~NT-- U~~TS-- <br />A fEENERAL LIABILITY 35818716 04/27/08 i 04/27/09 I EACH OCCURRENCE 1 $l,OOO,1I00 <br />I X -1,coMMEnCIAlGENE\-lAlllABllIlY f FIRE DAMAGE{A;~e fire) 151 000,.900- -- <br />~ 1 __ ' CLAIMS MADE LxJ OCCUR ' MEp_~XP (A~ one ~rson) -. $1.0.000 ___ <br />1L Ded/SIR:l 00,000 ! -"ERSONAL & ADV INJURY $l,OOO,OOll__ <br />__ _ ~RALAGGREGA:TE ~,QOO,OOO <br />~EN'LAGGREGAT~ L1MITAPP~SPER: ~CTS -COMP~<?P AG$" $2,000,000_ <br />\ - ipoLlcyl i~rg. : ILOC <br />A ~~UTOMOBILE LIABILITY 173215072 <br /> <br />! ~ ;~: :~:~D AUTOS <br /> <br />[ SCHEDULED AUTOS <br />! X-HIRED AUTOS <br />r~ NON-OWNED AUTOS <br /> <br />I <br />LGARAGE LIABILITY <br />ANY AUTO <br />'-I <br /> <br />! <br />!, <br /> <br />! 04/27/08 04/27/09 I COMBINED SINGLE LIMIT ! <br />I I (Eaaccldent) I $1,000,000 <br /> , ----- -- <br /> BODILY INJURY <br />I (Per person) $ <br /> r ------- I ---------- <br /> , <br /> ~D1L Y INJURY I. <br /> I (Per aCCld~~~____ <br /> ! <br /> PROPERlY DAMAGE ;s <br />, , (Per accident) <br /> <br />B ~~ESS LIABILITY <br />~X] OCCUR ~ <br /> <br />q DEDUCTIBLE <br />RETENTION :; <br />I WORKERS COMPENSATION AND <br />I EMPLOYERS' LIABILITY <br />! <br />I <br />I <br /> <br />IAUC534614103 <br /> <br />04/27/08 <br /> <br />04/27/09 <br /> <br />AUTO O~L Y - EA ACCIDE~T--1-L <br /> <br />OTHER THAN EA ACC i $_ _ ____ <br />AUTO ONLY: AGG 1$ <br /> <br />I EACH OCCURRENf.~_ ,.~OJOQ~ <br /> <br />I AGGREGATE _- ~ fOOO'OOO ___ <br /> <br /> <br /> <br /> <br />1$ <br />'I WC STATU- ----ro-i'H:1 <br />__ TORY LIMITS nnLEFi I <br />E.L EACH ACCIDENT ~ 5 __ <br />E,~.:.~ISE~E - EA EMPL qYE~~_~ <br />E.L DISEASE - POLICY LIMIT I S <br /> <br />, <br />CLAIMS MADE I <br />I <br /> <br />OTHER <br /> <br />, <br /> <br />I <br /> <br />I <br /> <br />DESCRIPTION OF OPERA nONSlLOCA TIONSNEHIClESlEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS <br />'10 Days Notice of Cancellation for Non Payment of Premium. Certificate Holder is added <br /> <br />as Additional Insured per policy form #80022305 (4-01); Waiver of Subrogation, Primary <br /> <br />and Non Contributory apply per policy form #80022000 (4-01) both a part of policy <br /> <br />#35818716. <br /> <br />(See Attached Descriptions) <br /> <br />~/I!f) <br /> <br />CERTIFICATE HOLDER <br /> <br />! <br /> <br />ADDITIONAL INSURED;INSURER LETTER: <br /> <br />CANCELLATION <br /> <br />City of Santa Ana <br />Alln: Vinh Nguyen <br />P.O. Box 1988/ M043 <br />Santa Ana, CA 92702-1988 <br /> <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLlCIESBECANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TOMAIL~O DAYS WRITTEN <br />NOTlCETOTHE CERTIFICATE HOLDER NAMED TOTHELEFT, BUT FAILURE TODOSOSHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENT ",nVE <br />N~ 4Jt./~ <br /> <br />ACORD 25-5 (7/97) 1 <br /> <br />of 3 <br /> <br />#S439003/M438969 <br /> <br />CLRAG @ ACORD CORPORATION 1988 <br />