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FROM <br />CMON )MAR 2 200e 10: 00/ST. 10: 08 /No. 7623105607 P 2 <br />Clientlk 6805 nnTvo one <br />- - VV <br />ACORU., CERTIFICATE OF LIABILITY INSURANCEDATE( <br />INSFIDO <br />LTR <br />NS <br />9D°"""' <br />PRODUCER <br />Edgewood Partners Ins. Center <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LiC#0B29370(877)674-3742{Suzan) <br />One City Blvd., West #700 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />A <br />Orange, CA 92868 <br />INSURERS AFFORDING COVERAGE NAIC M <br />INSURED <br />Doty Bros. Equipment Co. <br />11232 East Firestone Blvd. <br />INSURER A' National Union Fire of PA <br />INSURER B: <br />INSURER C: <br />Norwalk, CA 90650 <br />wsURER D: <br />MMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Q OCCUR <br />k.FxD/Xcu <br />INSURER E: •10 day notice nonpay <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENT. 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 />INSFIDO <br />LTR <br />NS <br />TYPE OF INSURANCE <br />POLICY NUMBERTHY <br />EFFECTIVE <br />P Y XPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />GLIS94897 <br />10/11108 <br />10/31/09 <br />EACH OCCURRENCE 51 000 000 <br />MMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Q OCCUR <br />k.FxD/Xcu <br />DAMAGE TO RENTED 51 00:000 <br />OO <br />MEDEXP eM S5,000 <br />PERSONAL& ADV INJURY 51 0 0 000 <br />ntractual Liab <br />GENERALAGGREGATE s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY x �"T 7 LOC <br />PRODUCTS - COMPIOP AGG S2,000,000 <br />BVPD SIR $500,000 <br />A <br />AWOMOBILE <br />LIABILITY <br />CA8263138 <br />10/11108 <br />10/31109 <br />COMBINED SIi. <br />NGLA LIMIT ryN <br />% <br />ANY AUTO <br />(ER oCfalMrll) . -^^- s1,0WU <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />to <br />X <br />% <br />HIRED AUTOS <br />NON-01MEDAUT09 <br />SODLYINAIRY..`.� ..... <br />(Per seexwm) 5 .+- <br />x 1 <br />Drive Other Car <br />ped, 51,000 <br />( PROPERTY s <br />x <br />Comp Coll <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT S <br />OTHER THAN ACC S <br />ANYAUTO <br />AUTOONLY. ...,ice AGG S i".. <br />A <br />EXCESSIUMBRELLALIABILITY <br />X OCCUR F1 CLAIMS MADE <br />BE7660802 <br />10/11/08 <br />10131/09 <br />EACHOCCURRENCE $10,000,000 <br />AGGREGATE s10 000 000 <br />S <br />5 <br />DEDUCTIBLE <br />X RETENTION S10,000 <br />5 <br />A <br />WORKERS COMPENSATION ANO <br />EMPLOYERS' LIABILITY <br />WC4990693 <br />10/11/08 <br />10/31/09 <br />X F ET:W OTH- <br />E.L. EACH ACCIDENT S1 000,000 <br />ANY PROPRIETORIPARTNERIEX£CUTIVE <br />OF FK:ERIMEMBER EXCLUDED? <br />Ir stlefcrrl», urr0er <br />VISIONS NO— <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />E.L.DISEASE-POLICYL*A51000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS 1 LOCATKM I VEHICLES f EXCLUSNNIS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: City of Santa Ana on Cali Emergency Agreement. City of Santa Ana, its ASTO FO <br />officers, employees, agents, volunteers and representatives are Included <br />as , <br />an additional Insured an the General Liability policy per the attached Laura ' tt Sheedy <br />(Sae Attached Descriptions) Assista, <br />City of Santa Ana <br />Public Works Agency <br />220 S. Daisy Ave.. M85 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE 133UM INSURER WI"%KMftM=NMoi- *30_ DAYS WRrrTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTMK <br />....v...+ -- %w '—I I OT 3 iRWJ0ZU9 SMA2 0 ACORD CORPORATION 1988 <br />