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Apr 03 09 11:44a Tltagl <br />r p.1 <br />e <br />AAWS V CERTIFICATE OF LIABILITY INSURANCE 3 <br />PRODUCER (866)$44-8273 FAX: (866)544-3486 THIS CERTIFICATE IS 13SU AS A NATTER OF Il <br />Elizabeth Souther Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE <br />NOT A <br />29395 Agoura Ad <br />HOLDER RLTER TTHE COVERAEIAFFORDEECATE D BY THE POLL GE! <br />Suite #202 <br />Agoura Hills CA 91301 INSURERS AFFORDING COVERAGE NAIL a <br />INSURED Pacific Building Care Inc, PBC ajnicoWSURERA; First Mercury Insurance 10657 <br />Inc,PBC Solution One Inc, PBC A&D Building NsuRERaHarttord Casualty 29424 <br />Maintenance DBA ASD Bldg Maim <br />INSURER CAmerican Alternative Ins 19720 <br />3080-B Airway Avenue INSURERD' <br />Costa Mesa CA 92626 INSURER <br />itnArne0 _. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE; MSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VAT'H RESPECT TO VMCH THIS CERTIFICATE MAY BE ISSUED OR MAY PE <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM$, EXCLUSIONS AND CONDITIONS OF SUCH POI <br />I <br />Nit POLICY EP TIME POLICY FJIPWATIO <br />TYPE OF INSURANCE POLICY Nla18SR PATI DM' DTE MIL LIMIT$ <br />6EHERAL LIABILITY <br />S 1,000 <br />X COMMERCIAL GENERAL UAIRUTY E T RENTED f $0 <br />A X CLA+MSMADE X OCCUR .&41016035-2 3/17/2009 3/17/2010 M D e s 5 <br />X Errors S Omissions PERS f 1,000 <br />X Vicarious Crim Acts 3A f 2,000 <br />G,ENL AGGREGATE PRO- iT APPLIES PER' RO T - .P P = _ 2,000 <br />AUTOMOBILE <br />LIASILMY <br />ANYAUro <br />COMBINED SINGLE LaIR <br />Maacodvl0 f <br />1,000,000 <br />13ALLOWNEDAUTo$ <br />44UMIE1966 3/25/2009 3/25/2010 <br />SCHEDULEDAU70S <br />BODILY INJURY <br />(PI'rW +) f <br />HIRED AUTOS <br />jANY <br />NON -OWNED AUTOS f iv; <br />Fv <br />per 0jpp�)ILY RY t <br />$1.000 Dad camp TO <br />$2 000 Dad Coll <br />PROPE PTY ONNAGEAGE <br />LWlILITY <br />AUTO � <br />A O L - ACCIDENT f <br />ay <br />OTHER THAN s <br />ut She <br />ixeessluNI6AELLAUAeIcm L City <br />, <br />X OCCUR R CLAIM MADE pssl an <br />H R = <br />5,000,000 <br />A i <br />C DEDucrletE 82E2U80p0092600 10/1/2008 10/1/2009 <br />: <br />X NroO ID o00 <br />S <br />' <br />WORKERS COMPENSATgN AND <br />EMPL <br />BILITYANY <br />s <br />TA <br />RWARTNEMEXECUTNEF. <br />OFFIR EXCLUDED?D <br />ACHACCIDENT 3 <br />y-er <br />ONS bb. <br />EL O - EA IAP YE ! <br />' <br />$ OTHER glyBj,t1e8s Personal 6417UV=791 3/25/2009 3/25/2010 <br />L. SE -PGL! LIMIT = <br />Property <br />Limit <br />$ <br />$930,000 <br />nadnetidla <br />$1,000 I <br />1 <br />DESCRIPTION OF oPERAnON&LOCATIONSNEN=UIQCLUSIDNs ADDED BY ENDORSEMENTr.MIAL PRp4l*M$ <br />RE: Job 10068 The Depot of Santa Ana <br />I <br />The City Of Santa Ana (2D Civic Center plasm, Santa Ana, CA 92701), its orticers, <br />eslployoes, agents and <br />representatives are named as Additional ad, but only as respects General Liability <br />t)1at <br />of Named insure0 Por form C6 20 10 07 OC attached. <br />7 04 <br />arising out of the <br />operations <br />CERTIFICATE HOLDER <br />1 <br />CANCELLATTnw <br />CFullerton@Banta-ana.org SHOULD ANY of TNG AaOVE DESCRIBED POLICIES BE CANCELLED DEFORt THE <br />Tl1@ City Of Santa Alla EIPDTATION DATE 7NEREOF, THE ISSUsTO INSURER WILL ar�(TxA�c6aa)ra( MAIL I <br />Tt t DoCarPOt Carolyn <br />Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERT"CATE HOLDER NAMED TO THE LEFT,( <br />Attn: Carolyn Fullerton � <br />1000 E. Santa Ana Blvd. #108 iiliCi�±r%Xi(IXIY,IIoi�(IYj�T( <br />Santa Ana, CA 92701 <br />AUTNORU;ED REPRESENTATNE <br />i <br />Bruce Monteith/JEANIE <br />ACORD 15 (2001108) <br />ro_ rJ ACORD CORPORATION 198E <br />�/JCn9S,w.wa <br />Dene � M 7 <br />I <br />1 <br />�o lri�fl I?>PI,d'� <br />