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i <br /> ACa~~TM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmmr) <br /> 11/19/2009 <br /> PRODUCER THIS CERTIFICATE IS ISSSUED AS A MATTER OF INFORMATION <br /> AUTO INSURANCE SPECIALISTS, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> PO BOX 6507 HOLDER. THIS CERFICIATE DOES NOT AMEND, EXTEND OR <br /> ARTESIA, CA 90702-6507 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> CA INSURANCE LIC. 0524784 <br /> INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED <br /> Platinum Pools ~ ~ INSURER A: MERCURY CASUALTY COMPANY 11908 <br /> 401 Hummingbird Drive INSURER 8'•, <br /> Brea, CA 92823 , <br /> INSURER C: <br /> _ _ <br /> INSURER D: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LSITED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTUVITHSTATNDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V1ATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br /> PERTAIN. THE INSURANCE AFFORDED BY THE POLICEES DESCRIBED EHREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLIAIMS. <br /> VSR ADD'L POLICY EFFECTIVE POLICY EXPIRATON <br /> _TR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/O ~ UMITS <br /> D/YY) DATE MMlDD/YY <br /> GENERAL LIABILITY EACH OCCURENCE $ <br /> DAMAGES TO RENTED <br /> COMMERCIAL GENERAL LL4BILITY PREMISES Ea OCCUrren08 $ <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ <br /> PERSONAL&ADVINJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP $ <br /> AGG <br /> PRO- <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY AC11085287 01/17/2009 7/2010 $ <br /> A X 'g COMBINED SINGLE LIMIT <br /> ANY AUTO ~ ~ (Ea accidenq <br /> ALL OWNED AUTOS A ~ $ 1 ~ 000 <br /> K BODILY INJURY <br /> SCHEDULED AUTOS 5~ I~RC ~ (Per person) <br /> SP E' P~°C <br /> HIRED AUTOS ` nt G1~ $ 300,000 <br /> BODILY INJURY <br /> NON-0WNEDAUTOS AS ~ (Pelaccident) <br /> $ 50,000 <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA $ <br /> ANY AUTO ACCIDENT <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE <br /> RETENTION S <br /> WORKERS COMPENSATION AND WC STATU- OTH- $ <br /> EMPLOYERS' LIABILITY TORY ER <br /> LIMITS <br /> ANY PROPRIETOR/PARTERN/EXECUTNE E.L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> E.L. DISEASE - EA $ <br /> If yes, describe under EMPLOYEE <br /> SPECIAL PROVISIONS below E.L. DIEASE -POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE <br /> SANTA ANA REGIONAL TRANSPORTATION CENTER THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN NOTICE TO <br /> <br /> C/O SANTA ANA PUBLIC WORKS AGENCY THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO <br /> <br /> 20 CIVIC CENTER PLAZA, M-21 OBLIGATION OR LIABIILTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES <br /> SANTA ANA CA 92701 AUTHOR ED REPRENTATIVE <br /> <br />