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FF20M <br />(MON>MAR 2 2000 10:08/ST.10:0SZN0.7U2S10US07 P 2 <br />Clienct- 6605 nnrvaonc <br />ACORD,„ CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MN100NY") <br />8 <br />o3102ro9 <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#0624370(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 NAIIC B <br />INSURED <br />Doty Bros. Equipment Co. <br />11232 East Firestone Blvd. <br />Norwalk, CA 90650 <br />INSURER A: National Union Fire of PA <br />INSURER 0: <br />INSURER C: <br />INSURER o: <br />INSURER a *10 day notice nonpay <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 />LTRNSA <br />8 <br />TYPE OF INSURANCE <br />POLICY NUMBERDATE <br />POLICY EFFECTME <br />(MMMONVI <br />PO <br />OLVII;IR TION <br />LIMITS <br />A <br />GENERAL L"LITY <br />GL1894897 <br />10111108 <br />10131/09 <br />EACH OCCURRENCE 51 000 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />DAMAGE TO RENTED 511,000,000 <br />MED EXP ene S&000 <br />X BFD/XCU <br />PERSONAL& ADV INJURY S11,000,000 <br />x Contractual Liab <br />GENERAL AGGREGATE 52 <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />POLICY FIBER0 LOC <br />"000000 <br />PRODUCTS - COMPIOP AGG $2,;00:00D <br />BUPD SIR $500,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />CA8263138 <br />10/11108 <br />10/31/09 <br />COMBINED SDNGLALWIT <br />X <br />ANY AUTO <br />(Eaecodrll) _---• s1,O.0( 000 <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />BODILY INJURY <br />IPer Potion) .... S ','a• <br />X <br />X <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY-�...'! ....� <br />(Per M=ww) S -+— <br />x <br />Drive Other Car <br />x <br />Comp & Coll <br />Dad, $1,000 <br />(PPof a cKI") AMA6E 5 <br />GARAGE LIAOILITY <br />AUTO ONLY -EA AC`GDENT S <br />RANY AUTO <br />'J' ACC S <br />OTHER THAN en <br />AUTO ONLY:.... ;iJ AOG S <br />A <br />EXCE31IMMBRELLAUARILITY <br />X OCCUR F1 CLAIMS MADE <br />BE7550862 <br />10/11/08 <br />10/31109 <br />EACH OCCURRENCE S10,000,000 <br />AGGREGATE 51 O OOO OOO <br />5 <br />DEDUCTIBLE <br />S <br />X RETENTION S 1 O 000 <br />S <br />A <br />WORKERS COLIPENSATIO N AND <br />EMPLOYERS' LIABILITY <br />WC4990693 <br />10111/08 <br />10/31/09 <br />x WC STATLL DTH• <br />ER <br />E.L. EACH ACCIDENT S11,000,000 <br />ANY PROPRIE.TORIPARTNERIEXECUTIVE <br />OFFIGERrMEMBER EXCLUDED? <br />I s, dsscrae uWer <br />VI NS below <br />El. DISEASE -EA EMPLOYEE $1 000000 <br />E.L. DISEASE - POLICY LIrT S7 000000 <br />E1 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: City of Santa Ana on Cali Emergency Agreement. City of Santa Ana, Its AS .TO FO <br />officers, employees, agents, volunteers and representatives are Included <br />as � <br />an additional Insured on the General Liability policy per the attached f (� <br />�/i <br />Laura tt <br />(See Attached Descriptions) Sheedy <br />Assistan:.__ <br />City at 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 WSUING INSURER WtLLxK M. •-%n DAYS WRnTt!N <br />I OTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,jftK,ftW*X <br />/ %.Vmu AZ tAm-nUG) T Of 3 9111136202 SMA2 0 ACORD CORPORATION 1968 <br />