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POhCY NUDIDBC A0924-75-24 UaLaoaeneu. a/o/euae <br />ACORD CERTIFICATt OF LIABILITY INSURANVE 8/25/""" 008 <br />PRODUCER Brad Bums Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />22921 Lake Forest Drive,(/115 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lake Forest,Ca 92630 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phom:(949)830-7970 <br />Fax: (949) 830-9746 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED SPECIALTY ENVIRONMENTAL CO, INC INSURERAPAr*d= INSURANCE EXCHANGE <br />2520 S BROADWAY <br />SANTA ANA, CA 92707 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, 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 />NSR <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />TYPE OF MURANCE <br />GENERAL UABATY <br />EACH OCCURRENCE <br />3 <br />PREMISES Ea occMence <br />3 <br />B <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP(AnYo <br />$ <br />CLAIMS MADE ®OCCUR <br />PERSONAL X ADV INJURY <br />E <br />GENERAL AGGREGATE <br />S <br />GENT AGGREGATE OMIT APPLIES PER: <br />PRODUCTS -COMP,OPAGG <br />E <br />POLICY PRO- LOC <br />A <br />AUTOMOaRE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea acw*e ) <br />$1,000,000 <br />BODILY INJURY <br />(Per Pelson) <br />E <br />ALLOYMEDAUTOS <br />602629428 <br />8/22/2008 <br />8/22/2009 <br />SCHEDILED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accl e ) <br />$ <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per actlderX) <br />$ <br />GARAGE LMBIURY <br />AUTO ONLY - EA ACCIDENT <br />$1,000,000 <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />3 <br />EXCEMLWBRELLA LIABILITY <br />EACH OCCURRENCE <br />3 <br />AGGREGATE <br />$ <br />OCCUR CLAIMS MADE <br />S <br />$ <br />DEDUCTIBLE <br />WC STATU- OTH- <br />FIR <br />$ <br />RETENTION 3 <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LNBUTY <br />ANY PROPRIETOR/PARTNER/FXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />H yea, describe uM <br />SPECIAL PROVISIONS Cebw <br />0924-75-24 <br />8/1/2007 <br />8/1/2008 <br />E.L. EACH ACCIDENT <br />51,000,000 <br />ELDISEASE-EAEMPLOYEE <br />E 1, 000,000 <br />E.L. DISEASE - POUCY LIMT <br />$1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />elf <br />CITY OF SANTA ANA <br />CobSIGNITY DEVELOPMENT AGENCY M-25 <br />20 CIVIC CENTER PLAZA P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />SNOIAD ANY OF THE ABOVE DESCRIBED POLICIES IE CANCELLED BEFORE THE EIlPIRAiION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FARIME TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABRJTY OF ANY KIND UPON THE NSUNER ITS AGENTS OR <br />ACORD 25 <br />Predated using Forms Boss Plus software. www.Fa SBoss.mm; Impressive PUNisJung BBC-2(IB-1977 1I <br />