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a4COR®M CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER USI NORTHEAST <br />�(MM/DD[ffYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />555 PLEASANTVILLE RD. STE. 201j <br />OQN�LYY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CERTIFICATE DOESBRIARCLIFF <br />RTHEHIS <br />MANOR, NY 10510 `' APR -I <br />"I f�L�R COVERAGE AFFORDED BOYTTHEENDPOLIC ESE BDELOR <br />OW. <br />IN S AFFORDING COVERAGE NAIC# <br />INSURED 4440 - CA <br />CLERK OF <br />A: <br />mil' TWIN CITY FIRE INSURANCE COMPAN <br />STRATEGIC OUTSOURCING, INC <br />L/C/F PACIFIC BUILDING CARE, INC. <br />INSURER <br />PO BOX 241448 CHARLOTTE, -NC 28224 <br />INSURER D: <br />INSURER E: <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 <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED <br />IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />BY PAID <br />ILTR ANS TYPE OF INSURANCE POLICY NUMBER <br />CLAIMS. <br />POLICY EFFECTIVE POLICY EXPIRATION <br />GENERAL LIABILITY <br />DATE MM/DDM DATE MM/DD/YY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS MADE ] OCCUR <br />DAMAGE TO RENTED <br />PR MI ES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL 8 ADV INJURY $ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY PRO- <br />J T LOC <br />PRODUCTS - COMP/OP AGG $ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea Accident) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />$ <br />(Per person) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY(Per accident) $ <br />14339Q <br />- <br />j�/( PROPERTY DAMAGE <br />TO RM Per accident) $ <br />GARAGE LIABILITY � <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />Stift <br />t.1slEt <br />OCCUR CLAIMS MADEAttOSII <br />- <br />EACH OCCURRENCE $ <br />Clty <br />'IsY}Iti <br />AGGREGATE - $ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION AND <br />$ <br />A EMPLOYERS' LIABILITY 16WBRJ80841 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />X RYTIM T EORH <br />03/01 /2009 03/01/2010 <br />-1,000,000 <br />OFFICERIMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT Is <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - EA EMPLOYEE 1 $ 1,000,000 <br />OTHER <br />E.L. DISEASE -POLICY LIMIT $ 1 '000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTlSPECIAL <br />PROVISIONS <br />LIMITED TO EMPLOYEES LEASED TO PACIFIC BUILDING CARE, INC. BY STRATEGIC OUTSOURCING, INC. <br />JOB: THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA„ SANTA ANA, CA 92701 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />THE DEPOT AT SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />1000 EAST SANTA ANA BLVD <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />- DAYS WRITTEN <br />SANTA ANA, CA 92701 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATITIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) <br />© ACORD CORPORATION 1988 <br />