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<br />Chapman
<br />License #0522024
<br />P. o. Box 5455
<br />Pasadena CA 91117-0455
<br />Phone: 626-405-8031
<br />
<br />Fax: 626-405-0585
<br />
<br />OP IOpc I OATEIMM.OONYYYl
<br />GRAIN-1 09/18/08
<br />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 />
<br />
<br />INSURERS AFFORDING COVERAGE I NAIC #
<br />I
<br />
<br />-.p.......... Inoyr,"",."Ul""~
<br />
<br />ACORD_
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />PRODUCEI<
<br />
<br />INSlJREO
<br />
<br />100SURERA
<br />
<br />100SURERB
<br />
<br />The Grain Project
<br />P.O. Box 572
<br />Santa Ana CA 92702
<br />
<br />INSURERC
<br />
<br />INSUREI'D
<br />
<br />INSlJRERE
<br />
<br />COVERAGES
<br />
<br /> THE POI.IC'ES O~ lNSURANCE LISTED BELOW HAVE BI'HIISSUE!J TO THE INSURED NAMED J\5OVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANOING
<br />AJ{'(REQUIREMENT,TERMORCONOITlONUFANYCONTRACTOROTHEROOGUMENTWITHRESPECTTO\VtiICHTHISCl;RTIFICATEMAYBEISSUEDOR
<br />W,YPERTAIN, THE'~SURANCEAFFDRDEOBYTHEPOLICIESDESCRlBEDfoEREiNISSUWECTTOAlL THETERMS,E<ClUSlONSAOlDCONO'TlotlSOFSUCH
<br />POl.ICIES,AGGREGATElIMJTSS>!O'NNM,o,YHAVEBEENREDUCEOBYPAIDCLAIMS
<br />"m ,., ---- IPOlICYEFl'ECTIVE POUCYEXPlRATION
<br />m "'~ TYPE Of INSURANCE POUCYtlUMBER DATE MIODll'Y) DATE LIMITS
<br /> ~ERA.LLIABl.lTY EACHOCCURRE>lCE . 1,000,000
<br /> DAMAGE TO RENTED
<br />A "- --=::'MMERC~LGE,,"RALl~BllITY 200821035NPO 05/16/08 05/16/09 ~~SES(Eoo<cur<<>ce) . 100,000
<br /> -- .~ClAlM$MADE ~OCCUR MEDEXP(Anyooope<>on) S 10,000
<br /> - PERSOWJ.&ACNINJURY , 1,000,000
<br /> ~
<br /> .~ GENERAL AGGREGATE . 1,000,000
<br /> ..
<br /> GEfI'l.AGGREGATEn~lIESPER PRODUCTS.COI.lP.OPAGG . 1,000,000
<br /> !POLICY i~;T 'ILOC
<br /> AUTONOlIILElLlBlllTY COMBINED SIOlGlE LIMIT
<br /> ~ANYAUTO (EoaeCK!en11 ,
<br /> I AlLOWNEDAUTOS BODllYNJURY
<br /> ~SCHEDUlEDAl1TOS (Pe,_) .
<br /> -....----.----- ---.---.-.
<br /> f--- HIRED AUTOS BODilY INJURY .
<br /> NON-oWNEDAltTOS (p.,aocilleol\
<br /> -
<br /> - ._...~~ PROPERTYDMlAGE .
<br /> (Per"",""ol)
<br /> i G.O.RAG~lIJ\81L1TY J\UTO ONLY. EAACCIDENt ,
<br /> "
<br /> ~AN\"AUTO OlHERTHAN EAACC ,
<br /> I AUTOOOLY ~ ,
<br /> EXCESSlUMBRElLAllABlllTY EACH OCCURRENCE ,
<br /> :::J "CO, D~LAIW;MADE AGGREGATE ,
<br /> , ,
<br /> ~OEDUCTlBLE ,
<br /> RETENTION , ,
<br /> WORKERSCOMPENSATICINAND I I ~~ ~~~~ I 10TH-
<br /> ElIIPlOYERS'llABlUTY "
<br /> ANYPROI'RIETOR/PARTNER.E<ECUTlVE ELEACHACCIDENT .
<br /> OFFICERJI,lEMBEREXCWDED? ELDISEASE EAEMPlOYEE .
<br /> Il,.....d.._uod'"
<br /> SPECIAlPROVISIONSb_ I ELOISEASE POllCYUMlT .
<br /> OTHER
<br /> i
<br /> , c. ,
<br />OESCRlPTIOtlOfOPEAATIONSllOCATIONSIVEHICLESJEXClUSIONSAOOEDIIYENOORSEMENTISPEClIll.PROVISIONS ~ "Vj(J\
<br />The City of Santa Ana, their officers, employees, agents and volunteers are
<br />named additional insured with respect to the operations of the named insured
<br />per the attached CG 2026 endorsement. 10 days notice of cancellation for ..'dJ
<br /> of "..y'
<br />non~paY1Jlent premium . \!i:']'-;c:?\
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br /> CITYSAT SHOLt.OANYOFTHEAIIOVEOESCRI8EDPOUCIES8ECANCEllE08EfORETHE~XPlRA.TIO'"
<br /> DATE THEREOF. THE ISSUlND INSURER WILL ENDEAYOR TO 1Ml. 30 DAYS WRITTEN
<br /> -
<br /> NOTlC~TOTH~CERT1F1CATEHOl..DEROlAMEOTOTHELEFT.BUTF.o.llUR~TOOOSOSHAll
<br />The City of Ana IMPOS~"'OOBl.K1ATIONOflLlA8lLITYOFANYK"DUPONTHEI"'SUR~R,ITSAG~NTSOR
<br />Santa
<br />20 Civic Center Plaza REPRESEOlfAl'l'IE5.
<br />Santa Ana, CA 92702 '"' , ,,~
<br /> <- CT v i'
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORD CORPORATION 1988
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