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34933E3 ACORD CERTIFICATE OF LIABILITY INSURANCE 1 °ATE 7/14/2IMIRMonl1Y)008 PRODUCER Complete Insurance, Inc. 19000 MacArthur Blvd. PH Floor Irvine, CA 92612 (949)263-0606 w .Completelnsurance.com INSURED Ortco, Inc. 2163 N. Glassell Avenue Orange CA 92186 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL N INSURER A: Admiral i�rano omoanv __ NSURER B: The Netherlands Insurance Company _- INsuRER ¢Oak River Insurance Company "SURERD: _ INSURERS _ nveeAGES V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 'L L41POLICY NUMBER POLICY EFFECTNE POLICYEXPIMTION DAM HIMOMD LIMITS A GENERALLIABILITY EACHOCCURRENCE S 1,000,000 DAMAGETORENT PROMISES(Ea.rcarence _ E 50,000 11 COMMERCIAL GENERAL LIABILITY CA000005173-05 612U2008 6/21/2009 s Excluded CIAIMSMACE OCCUR, MEDEXP(MyUno;*a PERSONAL A AM INJURY S_ , 1000, DOO_ f GENERAL AGGREGATE ',s 2,000,000 i I GEN'LAGGREGATE LIMIT APPLIESPER '. PROCUCTS-COMPIOPAGG S 2,000.000 POLICY' T% PHO LOG" B L AUTO MOBILELIABILITY COMBINED SINGLE LIMIT S ANY AUTO BA9830185 6/21/2008 6/21/2009 IEaaommt) 1,000,000 BODILY INJURY ALL OWNED AUTOS IS (Per SCHEDULEDAUTOS BODILY INJURY f HIREDAUTOS E /NON -OWNED AUTOS (PeramdanO PROPERTY DAMAGE Is '.1,"Z �,` E.: .. GARAGE LIABILITY - (AUTO ONLY-FAACCIOEN' S OTHER EAACC S ANY AUTO / � S AUTO ONLY AGG E%CEBSIUNBRELLA LIABILITY - J •il EACH OCCURRENCE E OCCUR CLAIMS MADE ''-' I Y IV/ AGGREGATE_—� S ., DEDUCTIBLE RETENTION S E WC S1AN- OTH- WORKERS COMPENSATgNAND C EMPLOYERS'LIABILITY 22880008099071 101112oD7 10/1/2008 E LETI. EACH ACCIDENT f 1.000.000 O�FIDERMEIM EREXCLUDEOVAN DRIPINER(EXECUTIVE EL. DISEASE -EA EMPLOYEE E 1,OD0 DDD E.L. DISEASE- POLICY LIMIT _ E 1 D 0-000 IryaA deamhe under SPECAL PROVISIONS W. OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Job#164666- Logan Park equipment installation Certificate Holder is additional insured as respects General Liability per forms CG20100704 and CG20370704, and Auto Liability per form GECA7010107, but onlyy if required byy written contract with Named Insured prior to an Wording form AD06571203, Blanket Waiver of Subrogation occurrence. Blanket Primary and form CG24041093 apply to General Liability. Subject to all policy terms and conditions. RE. Job#164666- Logan Park equipment installation City of Santa Ana Logan Park 20 Civic Center Plaza Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUINO INSURER WILL ENDEAVOR TO MAIL ,30* DAYS WRITTEN HOME TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR --------- 10 Days for Non -Payment of Premium CA 92701 AUTHORMEDREPRESENTATIVE / _ aAJ ACORD 25 (2001108) `-' """^" ""^E"^^ """ .—