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<br />ACDBa, CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OOfYYYY)
<br />07/24/2008
<br />PRODUC~R t925)688-0733 FAX (925)688-0737 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Westport & Associates Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />license #OB84505 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />1390 Willow Pass Rd., #930
<br />Concord, CA 94520-5253 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED Downey Vendors, Inc. / Eagle Vending, Inc. INSURER A: Travelers Indemn Company of CT
<br />DBA: aka: Premier Vending Group INSURER B:
<br />6814 Suva Street INSURER c:
<br />Bell Gardens, CA 90201 INSURER 0:
<br /> INSURER E:
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<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 />I.t{~ ~~l!'! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PQ~.fo:::Y, EXPIRATION LIMITS
<br /> ~NERAl LIABILITY 660143OC75208 02/09/2008 02/09/2009 EACH OCCURRENCE , 1,000,000
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED , 100,OO(
<br /> l CLAIMS MADE "0 OCCUR MED EXP (Anyone person) , 5,000/
<br />A PERSCNAL &. AOV INJURY $ 1,000,000
<br /> GENERAl AGGREGATE $ 2,000,OOC
<br /> ~'~ AGG~nE,UMrT APf~~t, PER: PRODUCTS - COMPfOP AGG , 2,OOO,OOC
<br /> POLICY j~T LOC
<br /> ~TOMOBILE lIABIUTY BA3395C09508 02/09/2008 02/09/2009 COMBINED SINGLE LIMIT
<br /> (EaaCCldent) , l,OOO,OO(
<br /> - ANY AUTO
<br /> - ALL OWNED AUTOS BODILY INJURY
<br /> $
<br /> ~ SCHEDULED AUTOS (Per person}
<br />A
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> ,
<br /> ~ NON-DWNED AUTOS l.'( RM (Per accident)
<br /> ,..,......
<br /> :.../
<br /> - PROPERTY DAMAGE ,
<br /> (Per accident)
<br /> ==rGE LIABILITY /~ ~~?'"t,: .-l- AUTO ONLY. EA ACCIDENT $
<br /> ANY AUTO OTHER THAN EAACC ,
<br /> I AUTO QNl Y AGG $
<br /> . r~C
<br /> :J~SSIUMBRELLA LIABILITY CUP3619Y73608 02/09/2008 02/09/2009 EACH OCCURRENCE $ 5,000,OO~
<br /> OCCUR D CLAIMS MADE AGGREGATE .
<br />A $ 5,OOO,OO~
<br /> ~ ~EDUCTI8LE .
<br /> X RETENTION . lO,OO( $
<br /> WORKERS COMPENSATION AND IACRUB121Sl86708 04/01/2008 04/01/2009 x-l T'X~~T ~~U~ I IOJ,!;'-
<br /> EMPLOYERS' LIABILITY ~L..: EACH ACCIDENT ____ :-'- _ ..-.-h!!OQ,~o!
<br />A ANY PROPRIETQRlPARTNERlEXECUTIVl?
<br />OFFICERlMEMBER EXCLUDED? E l DISEASE - EA EMPLOYEE $ 1,000,000
<br /> If yes, desaibeunder E.l. DISEASE POLICY LIMIT , 1,000,001
<br /> SPECIAL PROVISIONS below
<br /> OTliER
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />ity of Santa Ana, its officers, employees, agents, representatives & volunteers are named as
<br />I;1dditional insured as respects to general liability subject to the conditions, limitations
<br />\:onditions, limitations and exclsuions of the policy.
<br />'10 Days notice for non-payment of premium.
<br />
<br />City of Santa Ana
<br />20 Civic Center Plaza, M-30
<br />Santa Ana, CA 92702
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil
<br />*30 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 />NSURER,ITS AGENTS OR REPRESENTATlVES.
<br />VE
<br />
<br />ACORD 25 (2001/08)
<br />
<br />
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