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r - <br />ACQRO.. CERTIFICATE OF LIABILITY INSURANCE <br />1017Sf20D9 <br />Edge ER TFfIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />dgeWood Partners Ing, Center ONLY AND CONFERS KO RIGHTS UPON THE CERTIFICATE <br />Doty Bros. Equipment Co. <br />17232 East Firestone Blvd. <br />Norwalk, CA 90650 <br />INS URERS AFFORDI NG COVERAGE I MAIC / <br />IN!-RER C <br />THE > OLICiES OF INSURANCE LISTED BELOW r VE BEEN I SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT- TERM OR CONDff1ON OF ANY CONTRACT OR OtryEri DOCUMENT WITH RESPECT TO WHIGi 71HIS CERTIFICATE MAY FIE ISSUED TOR <br />'-UAV PERTAIN, THE INSURANCE JIFFCaDE4 BYAT�i EPOuIC��E9 F]^E�SCWBEa H£RE1N I$ SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH. <br />P�OLICIES_AQGRFQATRIIAl1TC Cwf,wu .,...,...W _____ <br />LTR N <br />TYPE OF INsultR ce <br />POLJLY NUmaER <br />E <br />P ICY Eli1RATIDR <br />10131110 <br />Llr <br />A <br />U-SMITT <br />GP-"7'-- <br />GLA376236 <br />10137/09 <br />EAQ4pCL�X1RRENGE 161,800 000 <br />X,cRGIA!pENERALLLIEIITY <br />PMOETOREWM S1DDDOD <br />LAILIS BADE a] OCCUR <br />MED E%P rJyly one PNeonl f5 ODD <br />XOJICCU <br />PERSONAL6A`JYINJURT f1 UOQ OOO <br />icj Contractual Limb <br />GENERI AGGREGATE i2 ODD DDD <br />GEN! AGGREGATE LIaIIT ,gpPD?<3 F£R: <br />PRODUCTS-aONPlOP AGG s20D0000 <br />PCLI-Y S FRP LOC <br />BI1P0 31R $100 000 <br />A <br />A UPMOWII E LIAsamr <br />CA8263411 <br />70/'37!09 <br />10131110 <br />z A ADTo <br />COMBINED SINGLE lIMii <br />{Ea, aU.darn) 11,000,OOD <br />ALL C Y ED AUTOS <br />3CHEOLRFI]AUTOS <br />BOD6Y InUIiaY 5 - <br />SPer Paravl] <br />Z HIRED AUTOS <br />i HON'.OW NED AIrrO9 <br />- <br />90OL.Y INJURY 5 <br />XPr sxJeaN) <br />Jc Drives Other Car <br />Ded. $1,000 <br />[ wda.,I°] E <br />: <br />COMP A Coll <br />QAfaAOE LIABILrn <br />ALFTO pNLY - EA ACCIpEHT L <br />ANY AUTO <br />OTHER 72tA �• ACC f <br />AVTOONLY- AGG I <br />AEXCE <br />IwlBRELL.ALIASILITY <br />BF -24308345 <br />10131009 <br />10/31110 - <br />EAC+Qocukft n05 576008000 <br />"— <br />AE uAT 5,1{I 000 000 <br />x OCCUR CLAW$ F. C• - <br />5 <br />OEOLKTJ3LE <br />' <br />5 <br />X RETENTION 1-10,000 <br />6 <br />A woRH RSCCwImIwATIOH ARD <br />LNC699$8001 <br />10137109 <br />10131/10 <br />= YVC STATU- <br />E PLOYERV LIASaLTTY <br />Ei. EACH AC>GIDENr L1,COD OOo <br />A4Y PRCPRIETOR/PARTNE=xECUTIYE <br />pFFIGERlMEMf$=R EXGLVCEO? <br />cl- D$EASE - EA ETIIPLdYEE 51 OOD OOO <br />IrYBs.aserJfae..�eer <br />El DISEASE - POLICY LINK x7 006000 <br />SPECLLL PROVISIONS b-b,Ir <br />OTHER <br />b ElLORIPTapH OF OPERATONO f LOCAYIOr61 VEHICLES ! E]XCLV BIONS AOpm SY EMDOREEMEIrT! SPECIAL PROVISONS <br />Re: City arf Santa Ana on Call Emergency Agreement. City of Sar to Ana, its <br />officers, empieyees, agents, volunteass and representatives ars included <br />as <br />an additional insured on the General Liability policy per the attached Laur titt Sh-edy <br />(See Attached Descriptions) Assist, City Attorney <br />City of Santa Ana <br />Public Works Agency <br />220 S. Daisy Ave., MSS <br />Santa An a, CA 92702 <br />Ar -ORD 25 (2007105) 7 of 3 r11M46250 <br />SNOUiO ANY OF THEAODYE OESCRIem POLICIES eE CJWCElLED ss Fp sTHEEXpIRATION <br />HATE THEREOF, T MIS YIN% IN9URFJ2YNLL x� MAIL _Z3� pAYS WFKT <br />-OTICE TYJ 711E CERTinCATE HOLDER NAMED TO THE LEFT <br />Pt' It <br />T2 0 ACORD CORPORATION 198136 <br />