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Jun 30 OB 11:SSa Tllagl <br />--~ <br />p.2 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE eili~zo e' <br />PROOUCEN (866)544-8273 FAX: (666)544-3486 THtS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Elizabeth Souther Insuranae Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />29395 Agoura Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />Suite #202 <br />ours Hi 11a CA 91301 INSURERS AFFORDING COVERAGE NAIC# <br />INSVRED INSURERA'F1rSt i!1erCllry Insurance 10657 <br />Pacific Building Care, Inc., PHC Janico Inc., msuaeRB:Hartford Casualt 29424 <br />PBC SolutionOne Cleaning Systems, Inc. InsuRERC:Hart£ord Fire Insurance <br />3080-B Airway Avenue INURERD~,Westchester Fire Ina Co <br />Costa Mesa CA 92626 INSURER E. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOPMTHSTANDYNG ANY <br />REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT 4MTH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSVED OR MAY PERTAIN, <br />THE INSURANCE AFFOflDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />REGATE LIMIT MA Y _ <br />INSR ADD'L TypE OFINSURANCE POLICY NUMBER PpgTEYMMr-DIYYE DAITE MMNO/YY LIMITS <br /> ' GENERAL WBILITY R E I i$ 1, 000, OOD <br /> 'X COMMERCI0.L GENERAL LIABILITY DAMAGE TO RENT1Ere .E $0, D00 <br />A X CWMS MADEOCCUR FD84I016035 3/17/2008 3/17/2009 MED ExP orre arson E 5,000 <br /> x errors/emissions SONALS INJ RY $ 1.000, OOD <br /> N A'GRE TE $ 2, 000, OOO <br /> GEN'L AGGREGATE LIMITAPPLIES PER: CTSu L I 3 2,000,000 <br /> X POLICY PRU OC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT Y 1, 000, ODO <br /> X ANV AUTO (Ea accitlen0 <br />B ALL OYJNED AUTOS 44U&NIE:1966 3/25/2008 3/25/2009 BODILY INJVRY <br /> IPaf person) $ <br /> SCHEDULED Al1TOS <br /> <br /> HIRED AUTOS BODILY INJURY S <br /> NON~ONMED AUTOS (Par acutleM) <br /> <br /> PROPERTY DAMAGE <br /> <br />(Par eccitlenl) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AVTO OTHER TWIN EqA S <br /> AUTO ONLY qGG E <br />D EXCESSNMBRELLA LIABILITY S S~D00, OO0 <br /> X OCCUR ~ CLAIMS MADE 622016593-001 10/01/2007 10/Ol/2006 q GREGATE $ 5, 000 r 000 <br /> <br /> 3 <br /> DEDUCTIBLE S <br /> <br /> x T Nn N E10, aoD s <br /> WORKERS COMPENSATON AND STATU- 0TH. <br />V <br /> EMPLOYERS' LIABILITY <br /> ANV PROPRIETOP/PARTNERIEXECUTIVE EL EACHACCIDENT S <br /> OFFICEFUMEMSER EXCL'JOED? E L DISEASE -EA EMPLOYEE $ <br /> I' yes, tlescnpe antler <br /> SPECIAL PROVISIONS beWx E.L. DISEASE -POLICY LIMIT E <br />C OTHER Crime 72HODEa5059 3/17/2008 3/17/2009 limit 250,000 <br />DESLRIPTIDN OF OPERATIONEAACAl10NSNEHICLESIEXCLUSIONS ADDBD BY ENDORSENENTISPECIALPR0VISIONS <br />RH: Jab 10068 The Depot of Santa Ana <br />The City of Banta Ana (20 Civic Center Plata, Santa Ana, CA 92701), its oPPieera, almployeea, agents and <br />rapresentativea axe named Ae Additional Iaeureds t0 general liability but only if required by a written contrar•t with <br />the named insured prior to an occurrence per policy teems and conditions. <br />X30 Day Notic® of Cancellation for NOrt-Payment of Premium. <br />CERTIFICATE HOLDER CANCELLATION <br />CFullerton@santa-ana.org SHWLD ANY OF THE ABOVE pESCRIBFD POLICIES BE CANCELLED BEFORE THE <br />The C1ty of Santa Ana IRAwON GATE THEREOF, THE ISSUING INSURER WILL 4~~MAIL <br />E <br />X <br />P <br />The Depot of Santa Ana ~ ' . =1~` ~ /'-' ~: ' / /{,Y (~! ~ T <br />a <br />, <br />. <br />_'~L`j'Q~jV~AY3 WRITTEN NOTICE TO THE CERNFIGITE HOLDER NAMED TO THE LEFT. <br />Attn: Carolyn Fullerton ~ ~~l~~o~ <br />1000 E. Santa Ana Blvd. #108 ~ ~ ./ <br />~ <br />I h~'mYaKl~(,M~4~al~alfjfNli~ <br />$ant8 Ana, CA 927D1 - ._ IY..C_K~s <br />~ <br />~._... <br />~ .AUi/N)RItED REPRESENTATIVE <br />~ <br /> - "" I ~ ~ '~°`~I' <br />f . ?~~`- ~'~-~ ~ <br />Bruce Monteith/HEATHS <br />ACORD 26 (2001/OBI I - ®RI:V!(U C~n:rL/rcn laJn TSaa <br />