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' • ACORA. CERTIFICATE OF <br />LIABILITY INSURANCE- U302/09�� <br />vRoovcER <br />Edgewood Partners Ins. Center <br />CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LIC#0629370(877)674-3742(Suzan) <br />ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND DR <br />One City Blvd., West #700 <br />THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Orange, CA 92868 <br />RS AFFORDING COVERAGEINSURED NAIC A <br />Doty Bros, Equipment Co. <br />hAHEDR <br />: National Union Fire of PA11232 <br />East Firestone Blvd. <br />;Norwalk, <br />CA 90650 <br />': <br />'10 day notice nonpay <br />COVERAGES <br />S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />EMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED <br />OR <br />IN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS <br />AND CONDITIONS OF SUCH <br />GGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE POLICY NUMBER <br />PDOLICYATE Mti ECT1VE POLICY XPIRATION <br />ERAL LIABILITY GL1894897 <br />1�j <br />OMITS <br />10111108 10131/09 EACH OCCURRENCE F51.000.000 <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO R51 000 000 <br />CLAIMS MADE QOCCUR <br />BFD/XCU <br />MED EXP n me msm SS 000 <br />Contractual <br />PERSONALE ADV IUJURY S1 0()0 0W <br />GENERAL AGGREGATE52000000 <br />IT AP <br />L AGGREGATE LIMIT APPLIES PER: <br />°' <br />PRODUCTS - COMIWP AGG s2 Q(� 000 <br />?OLICY X jE LOC <br />BVPD SIR $so(r' o00 <br />ILE LIABILITY CA8263138 <br />10/11/08 10/31109 <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(ENwddalq 31,000,000 <br />WNED AUTOS , <br />DULED AUTOS <br />`on LY INJURY S <br />AUTOS <br />4AA <br />DINED AUTOSBODY,K' <br />RYe <br />Other Car <br />A Coll Ded. $1,000 <br />MAGE S <br />(Pet accbeN)IABILITY <br />AUTO ONLY - EA ACCIDENT S <br />UTO <br />OTHER THAN EAACC S <br />A <br />_ AUTO ONLY:. <br />NLY: AGG 5 <br />/UMBRELLA LIABILITY <br />.x <br />10/11/08 10/31/09 EACH OCCURRENCE sic 000 000 <br />OC <br />X OCCUR CLAIMS MAGE <br />ISE7650362 <br />AGGREGATE Si 0000 000 <br />DEDUCTIBLE <br />g <br />X RETENTION 510000 ' <br />S <br />- <br />A WORKERS COMPENSATION AND WC4990693 <br />10/11/08 10/31/09x WC STATU. OTH. 5 <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />E.L. EACH ACCIDENT s1 OOO,OOO <br />-_ <br />OTHER I I E.L. DISEASE. POLICY <br />DESCRIPTION OP OPERATIONS I LOCATN?NS I VEHICLE$ ! EXCLUSX7NS AODEp DY ENOORSEMENr 1 SPECIAL PRDYISION9 <br />Re: City of Santa Ana on Cal( Emergency Agreement. City of Santa Ana, its AS .TO'iOD <br />officers, employees, agents, volunteers and representatives are Included 1� <br />as <br />an additional Insured on the General Liability policy per the attached <br />(Sae Attached Descriptions) Laur tt Sheedy <br />Assist <br />CERTIFICATE HOLDERCAkCELLATK)N <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CAICB.LM BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE Wtoje w3URER WT"XX08MVMMW =�ja DAY4 WRITTEN <br />Public Works Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTa9ffZftT jWQW&W tlIMXX <br />220 S. Daisy Ave., M85 pdR2RIf "---lfgMtl[.mmtM>t XKKM MMRw-x7B1 <br />Santa Ana, CA 92702 B 211w%2rfiw Y <br />ACORD 25 (2001ioa) 1 Of 3 #M36202 SMA2 0 ACORD CORPORATION i-- <br />