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20(0 _ ►�°� <br />ACORD,N CERTIFICATE OF LIABILITY INSURANCE <br />101110 <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBXCTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />°'�Y"' <br />PRODUCER <br />TYPE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />US) Irvine - CIL <br />Y N <br />POLICDATE <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />' 'C# 0354 162"'949.790-9339 Suzan <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />) Box 53310 A-2QQ$_213 <br />10111/07 <br />10/11/08 <br />1 rvine, CA 92619-3310 <br />INSURERS AFFORDING COVERAGE NAIC e <br />INSURED <br />INSURER A: National Union Fire of PA AIGIYBs <br />Doty Bros. Equipment Co. <br />DAMA TO RENTED 1150,000 <br />INSURERS: Hartford Fire Insurance TX <br />11232 E Firestone Blvd. <br />CLAIMS MADE Q OCCUR <br />INSURERC: <br />Norwalk, CA 90650 <br />XBFPD/XCU <br />INSURER O: <br />GENERAL AGGREGATE s2,000,00 <br />INSURER E *10 day notice nonpay <br />COVERAC.FA <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBXCTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />5 <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EF CTIVE <br />MMIUMM <br />Y N <br />POLICDATE <br />UNITS <br />A <br />GENERAL LIABILITY <br />GL1617202 <br />10111/07 <br />10/11/08 <br />EACH OCCURRENCE $11,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMA TO RENTED 1150,000 <br />CLAIMS MADE Q OCCUR <br />MED EXP (Anyo p--) $5,000-- <br />5 000X <br />PERSONAL b AOV INJURY 31.000000 <br />XBFPD/XCU <br />GENERAL AGGREGATE s2,000,00 <br />X Contractual Uab <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS • COMPA.1p AGG s2,000.00.0 <br />BI/PD SIR $500 000 <br />POLICY X jRC LOC <br />A <br />AUTOMOBILE LIABILITY <br />CA8262882 <br />10/11/07 <br />1011/08 <br />COMBNED SINGLE LIMIT <br />$1,000,000 <br />X ANY AUTO <br />IF, soodent) <br />BOOILYNJURY S <br />X ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />(P'pwxon) <br />BODILY INJURY <br />X HIREDAUTOS <br />X NON4vVNEDAUTOS <br />(Per accident)S <br />PROPERTY DAMAGE <br />x Comp $1,000 <br />Applies to 2003 <br />and newer cars <br />(Per■cdclent) $ <br />X <br />Coll $1,000 <br />GARAGE LIABILRY <br />AUTDO14LY-EA ACCIDENT 3 <br />OTHER THAN EA ACC 3 <br />ANY AUTO <br />AUTO ONLY: AGG S <br />A <br />EXCE33ANISRSLLALIABILITY <br />BE7227695 <br />10/11107 <br />10/11108 <br />EACHOCCURRENCE $10000000 <br />X OCCUR O CLAIMS MADE <br />AGGREGATE $10,000,000 <br />S <br />$ <br />DEDUCTIBLE <br />S <br />X RETENTIQN S10.000 <br />A <br />WONXERs COMPENSATION AND <br />WC1593532 <br />10/11107 <br />10/11108 <br />x WC t lk*T OTH- <br />FAPLOYERS' LIABR.FTY <br />E.L. EACH ACCIDENT $1,000,000 <br />ANY PROOPRIETOWPARTNERfEXECVrIVE <br />OFFICERUMEMBER EXCLUDED] <br />E.L. DISEASE -EA EMPLOYFE $1,000.M <br />r H, de bf under <br />SPECIAL PROVISIONS belay <br />E.L. DISEASE -POLICY LIMIT 3 <br />B <br />OTHER Comm Prop <br />72UUMUMS513 <br />10111107 <br />10111106 <br />$500,000 Max Per Item <br />Equipment <br />$10,000 Ded <br />Rented/Leased <br />$10,000 Bed for Cranes <br />DESCRIPTION OF OPERATIONS I LOCATIONS U VEHICLES I EXCLUSIONS ADDED BY ENDOR3EMENT U SPECIAL PROVISION5 <br />RE: City of Santa Ana On Call Emergency Agreement <br />City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional Insureds as evidenced by <br />attached endorsement. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 6EFORE THE EXPIRATION <br />1 <br />City of Santa Ana naTLTHEJ IF, THE ISSUING INSURER WILLXa ] AWL •7A DAY3WRITTEN <br />V:�J <br />Public Works Agency �� NOTICE TO THE CERTIFICATE HOLDER NAMED TO THELEFT, <br />220 S. Daisy Ave-, M85 /X{'/%/� ��L/ a(�NUNXINaen[I[IXBIQLODpIi(XX <br />Santa Ana, CA 92702 <br />i- A`U�,f••tN'O EPRESENTAirv�E/��,,,�.{ <br />.•l•�-�%. e, <br />ACORD 25 (2001/DS) 1 of 2 #M447460 <br />SMZ a ACORD CORPORATION 1968 <br />