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ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY,r) <br />01/28/2010 <br />PRODUCER (925)934-0505 FAX (925)977-1591 <br />Insurance Associates of Northern CA <br />1550 Parkside Drive, Suite 120 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 />Walnut Creek, CA 94596 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Downey Vendors, Inc. INSURER A: Travelers Indemnity Company <br />6814 Suva Street N-2006-106 INSURER B <br />Bell Gardens, CA 90201 N.2008~~ INSURER C: <br />N-200$-OJ7-00'I INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <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 />INSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY I6601430C752TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 1 ~ 000 ~ o0 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ loo' ooo <br /> CLAIMS MADE a OCCUR MED EXP <br />A <br /> ( <br />ny one person) $ 5 , 00 <br />A PERSONAL 8 ADV INJUiZY $ 1 <br />oOO <br />OO <br /> , <br />, <br /> GENERAL AGGREGATE $ 2 <br />OOO <br />OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- PRODUCTS -COMP/OP AGG , <br />, <br />$ 2 ,ooo , OO <br /> POLICY <br />JECT LOC <br /> AU TOMOBILE LIABILITY BA3395C09510SEL 02/09/2010 02/09/2011 <br /> <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />1 <br />000 <br />00 <br /> , <br />, <br /> ALL OWNED AUTOS <br /> <br />A <br />X <br />SCHEDULED AUTOS T <br />~ <br />r BODILY INJURY <br />(Per person) $ <br /> APPRO VEll C <br />l o i~ (~ <br />S ~ <br /> X HIRED AUTOS <br /> <br />X <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) $ <br /> / ~ <br /> ' ~ <br />~ <br /> <br />LaUT' t <br />tt Sheerly PROPERTY DAMAGE <br />(per accident) <br />$ <br /> GARAGE LIABILITY ~SSISY.IIC C Ly /AtTOTTIey AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: qGG $ <br /> EXCESSlUMBRELLA LIABILITY ISMCUP3619Y736TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 5 ,ooo, 00 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 5 ,ooo , OO <br />A <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ lO,OO <br /> $ <br /> WORKERS COMPENSATION AND IACRUB1215 L86710 04/01/2010 04/01/2011 X we sTATU- oTH- <br /> EMPLOYERS' LIABILITY <br />A ANY PROPRIETORlPARTNER,~EXFCUTIVE <br />OFFICER/MEM°ER <br />S E.L. EACH ACCIDENT <br />- $ 1, ooo, ooo <br /> EX^!_UD <br />-D? <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 , OOO , OO <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 ,ooo <br />00 <br /> OTHER , <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />ertTficate holder is included as additional insur <br />d <br />e <br />as respects to General Liability subject to the <br />onditions, limitations and exclusions of the policy. <br />r10 Day for payment non-payment of premium <br />f.C~T~r1A ~~~ .,~• wow <br />City of Santa Ana <br />20 Civic Center Plaza, M-30 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />~' 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INS <br />AUTHORIZED REPRESENTATIVE <br />ITS AGENTS OR REPRESENTATIVES. <br />rrie Lazaro/CHERNE <br /> <br />©ACORD CORPORATION 1988 <br />