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9C484 CERTIFICATE OF LABILITY INSURANCE GP ID RG <br />11ODST-2 09 08 09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Alliant Insurance Services, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(Lic-OC36861) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />735 Carnegie Drive, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92408 <br />Phone:909-886-9861 Pax:909-886-2013 INSURERS AFFORDING COVERAGE NAIC#INS- <br />INSVRlD INSURER Xvaa..t H Lj1 a1 [neuennea Cn <br />INSURER IL <br />Hoton i Harria pC9 Inc ;NWRERC: <br />21637, Harton Rpad INSURER D: <br />Grano Terrace CA 92313 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOING <br />ANY REOUIREMEN T, 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 SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />._—._—TYPEOFINSURANCE —�Y <br />ILA <br />SR <br />POLICY NUMBER <br />OA LVw" <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />f <br />�IrCOMMERCIAL GENERAL LIABILITY <br />1 CLAIM MADE _n OCCUR <br />1 <br />PREMISESEsoaar. <br />f' <br />MED EXP (MYone Perwn) <br />S <br />PER9ONPL&AOVIWURV <br />8 <br />GENERAL AGGREGATE <br />_ <br />3 <br />GENL AGGREGATE LIMIT APPLIES PER <br />POLICY SEC: i LOC <br />PRODUCTS-COMPAP AGG <br />5 <br />AUTOMOBILE <br />LABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea a dmtl <br />f <br />ALL OWNED AUTOS <br />SCHEDUtEDAUTOS <br />BODILY INJURY <br />(Par person) <br />E <br />HIRED AUTOS <br />NONowNEDAUTOS <br />-' <br />..-Appi <br />VED A5 <br />�y r, ,L <br />0 �OS�lYl <br />1 <br />BODILY 'INJURY <br />cP«e�;aem) <br />3 <br />PROPERTY DAMAGE <br />(ParPERTY) <br />S <br />GARAGE LIABILITY <br />S <br />Iced <br />AUTOONLY.EAACCIDENT <br />f <br />ANY AUTO <br />aura Stitt <br />'$IaLBIIt City <br />tNrney <br />AUTO TRAIN FA AGO <br />AUTOONLY: AGO <br />f <br />3 <br />EXCESSAIMBRELIA UA131UTY <br />OCCUR El CLAIMS WOE <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />5 <br />__ <br />f <br />S <br />DEDUCTIBLE <br />S <br />RETENTION f <br />WORKERS COMPENSATION AND <br />A ANY PRORIETORPm <br />ANY OMMEETOR EXCLUDED? UTIVE <br />OFFICEPoMEhIBER EXCLUDED? <br />tt yYm, Aunder <br />3PECWLPRO PROVISIONS DNaw <br />7600003267091 <br />09/02/09 <br />09/01/10 <br />X I TORYLIMRS ER <br />E.L. EACIL AcaDENr <br />sl 000, 000 <br />_ <br />El DISEASE -EA EMPLOYE <br />SS DOD, ODO <br />E.L DISEASE -POLICY LIMIT 15 <br />1 OOO OOO <br />i OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Operations pertaining to named insured for certholder- City of Santa Ana and <br />its officers, agents, representatives, volunteers, i employees; Work Comp <br />Waiver to follow. *30 days HOC for non-payment except 10 days NOC for <br />non-payment. CARRIER WILL NOT HODIBY CANCELLATION CLAVBE/NO xx OUT. Null i <br />Voids prior certificate issued 09/02/09. <br />aCa:I I I a Ltl_\I-1:u1 R N a: N,1: TN tl■ a\ i r,l! <br />CISANO6 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATIO <br />City of Santa Ana <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30• DAYSYMATEN <br />Public Works Agency <br />NOTICE TO THE CERTIFICATE HOLDP-N NAMED TO THE LEFT. BUr FAILURE TO 0050 SHALL <br />M-85 <br />220 S. Daisy Ave <br />IMPOSE NO OR LIASBITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana CA 92703 <br />REPRESENTATIVES. <br />AUTHO D EPRESENT <br />AGOR025 J20017091 — •' - ® ACORO CORPORATION 1950 <br />