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,~~ DATE (MMIDDIYYYY) A~~ ~ CERTIFICATE OF LIABILITY IN~URANC~ 04/01/2009 PROOU Stone Witter Insurance Services, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 8035 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA tns Lic OF15720 Agency # 2610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Long Beach, CA 90808-8035 _ INSURERS AFFORDING COVERAGE NAIC # _ P 562-420-3423 F __ - ------- INSURED Dekra-Cite Industries, InC. INSURER A: St. PaUI 1 Trayeler~S COm anies _ 4 5 - _._. -__ p 3102 W. Alton Ave. wsuRER B: _ _ .- ------- Santa Ana, CA 92704-6817 _wsuRERC: __-_ _ __ ___________ INSURER D: _..__- __.-.__- -___-. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUKEU NAMtU ABUVt rvn i nc r~ui. ~ ru~ivv u. ~i~.r., tea. ~.~+• ~•• ~ ~ •~-~ • •• •--•• •- CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED B POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ _ _______ __ _ _____ INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS EACH OCCURRENCE $ 1~000LOOO GENERAL LIABILITY COMMERCWL GENERAL LIABILITY 6600420L552 04108!2009 04/08/2010 _ DAMAGE TO RENTED PREMISE~Ea occurence~_ _$ _ _ _ CLAIMS MADE ~ OCCUR MED EXP (Any one person) _ $ __ 5,000 _ PERSONAL&ADVINJURY $1r000,OOO _____ - --" GENERAL AGGREGATE $ 2 OOO --- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -.COMP/OP AGG $_2,000,000.__ _. __ I POLICY PRO LOC © AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 OOO OOO BA1863L705 04108/2009 04/0II/2010 (Ea accident) ANY AUTO ALL OV~/NED AUTOS BODILY INJURY $ 1,000,000 EDULED AUTOS (Per person) _ - SCH HIRED AUTOS BODILY INJURY $ 1 000,000 N-0VMJED AUTOS (Per acddent) , NO _ _ -" "~"" PROPERTY DAMAGE $ 1 000 000 - (Peracddent) , , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE_ $,2,000,000_ _ - OCCUR ~ CLAIMSMADE CUP6374Y17A 0410812009 04/08/2010 AGGREGATE _ _ _ $__. __.- _ $- DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION VvC STATU- OTH- T4R.Y_11M1. _FR_. _-.. __- _ __ -. AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ACH ACCIDENT E.L. E $ __ __ __ ^ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) _ _ _ _ _ _E.L. DISEASE - EA EMPLOYE $_ _ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The Community Redevelopment Agency of Santa Ana is named as additional insured if required by written contract. 30 days NOC except 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Downtown Development Division DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 305 E. Fourth Street, #201 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SNALL Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE y4 ACORD 25 (2009101) ©1988-2009 ACORD CO The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software, www.FormsBoss.com; ©Impresslve Publishing 800-208-1977 ATIO All rights reserved.