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<br />
<br />CERTIFICA T- OF LIABILITY INSURANCE
<br />
<br />I OATE (WNDOIYYYV)
<br />OPIC !:B
<br />CONSO-2 07/13/09
<br />THIS CEATIflCATEJS ISSUED AS1{ MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIACA TE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER. THE COVERAI3EAFFQRDED BY THE POUCIES BELOW.
<br />
<br />Butwin Insurance Group
<br />Suite 414
<br />60 Cutter Kill Read
<br />G4eat Neck NY 11021-3104
<br />Phone; 516-466-4200 lax;516-466-4213
<br />
<br />INSURERS AFfORDING COVERAGE
<br />
<br />NAICfI
<br />
<br />~'""'"'
<br />
<br />united Testinq Corporation
<br />dba UUi ted Inspeet.1.0n
<br />and Testinq
<br />22620 Goldencreeat Drive
<br />suite 114
<br />Moreno VaJ.ley CA 92553
<br />
<br />i\S\.RERA
<br />~ER8
<br />INSUf1f:RC
<br />I~)SURERD:
<br />'NSlJ<E~::
<br />
<br />..t~-.a1 \b'JJ...-U.n:tNI. eo.
<br />AXG
<br />HoustoD casualty Co.
<br />
<br />I
<br />I
<br />
<br />COVERAGES
<br />
<br />,HE POLICES CF INSUl'>.}If.IClO Lime BELOW HAVE EEEN ISSUED TO lI'-E INSU~O NAMEO A.."OVE Fc.lI il-E Pelle," PERIOD ItIOlCAED NOw..1THSl,'l.\[)'f"G
<br />AW REQUIREMENT TERM::::R CO~CIT:ON OF A\ Y CG\'TPACT OR O'HER DCl..1...MEN"' \IVIlH R!:SPECT -0 WHICH THiS C;RT:F'e,o..T( :.\A.Y SE 15SL.ED OR
<br />MAY PERlA-IN. lHE INS,;RIo:'\ICEAFFQRCED 8Y THE POLlCIESDESCR'BEO I-fiREN IS SOOJECT TO ALL THE TERMS. EXCUJ'SIQNS,l.i'/O COl'lOITIONS OF SUCH
<br />P.:::t:CIES, AOOI'IEGA::: UIi'ITS ~WN MAY HAVE SEEN .:;'EDUCED 6'f ~AIO ClAIMS
<br />Lm NS"", TYPE OF INSUUlNCE PCt.1CYNlJN9ER ""'" DATt-c"MINOO ,,10m
<br /> GENERAL LIABILITY EACH OCClA'lRENCE !$1,000,000
<br />A X ~~EIlC"" GENE"'- """_ITI 4022616 01/01/0~ 01101/10 1l:fP:S.1SES~Eaoo:~r~ce! '$500,000
<br /> C'_AIWS IrtADE ~ o:~ MED EXP (/'l',y one pllt'$OI'I) "10,000
<br /> F'ER$CNAI.. '" AnY lNJl.lR'( 1$1,000,000
<br /> 1 i GENERAL AOGREGATF. ! $ 2 ,000 ,000
<br /> ~
<br /> GENt AGo;REGATE LIMIT APPLIES ptR i Ph'ODUCTS . CCMP/OP AGO ! $ 2 ~.~~_~,_~.goo _
<br /> -1, iT"o- r--I L .--- ,
<br /> ML iCY ..ECT LOC
<br /> oWTOMOIlIlE lJg.LITY .;tt: t'O'B.;..\j). ';;~f!lNEOSI~~GLELI~IT s 1 000 000
<br />A xl PW Al.-'TO 3853914 07ie! 01/01/10 :"IICeIQertl _~_+-~_~____~
<br /> 1-" p.P~"i\O"l
<br /> f-~ AU QVVI'IiED AUTOS ~ . ..A.....c.---- 3OO1LY""',"' I.
<br /> :P"..peraOIl)
<br /> _~. SCHE;;)tJLF.O ALTOS i ~ f----.----L-----
<br /> I HIREDAUroS ~ r S\O~ e'l BOOIL'f IN.AJRY
<br /> -j ,
<br /> =j=:~::~~__.m___ s.~ €,. p.. tO~'(\ lPfl{9CC~B!1l1
<br /> \ CI\~ .-----
<br /> \5\'31'\ PFlOf>ERT'f DAMAGE .
<br /> (pfI{~eltla'1t1
<br /> GARAGE UoIlBllrTV 'Iv ~~~O~!..:~~~~~~::_ ,
<br /> =1' --------~---
<br /> fW'fA.Ll1'O OiHEIl TrWl EAACC ,
<br /> --
<br /> AUroCMY AGO .
<br /> &XCits f UNaR&U.lt LIMIUTY EACH OCCI.RRENCE f.!-~,000'!.~.ll.___
<br /> ~trOCClJR [1 CLAlr.-'IS Wore 01/01/09 01/01/10 I~G"TE -
<br />B 1311:2215709 -- '5,00D,0~L
<br /> ~~ CEOOC':1BLE --~- !
<br /> rx RETENTION -_._--~_.. ~._-_._--~
<br /> , 10000 ,
<br /> A.ND 901P1.0V'ER$'' UABlLITY VI" 11CRYLIMITS I IOlq-
<br />8 AJ.lV ~OPRIEmRiPAATNERIEXECUr \IE 0 WC1578176 01/01/09 01/01/10 EL. EACH ACCICENT .1000000
<br /> OFFI~RfXCLi..oe!)?
<br /> (MaMICOfV In NH) E.L DISEASE. EAe~'fIlOYEE , 1000000
<br /> I',,". dBs~ribe end... E 1 O:SEASE - PC(JC'f LiMIT 1.1000000
<br /> SPEC:lAl..PROVISIC1-l5bekM
<br /> alliER
<br />C ProLessional Liab H 107-15549 10/01/08 10/01/09 Ba C1aim 1,000,000
<br /> Retro Date ~/1/85 Aaareqate 2,000,000
<br />DESCRPllON OF OPERATIONS IlOCATlONlll VEHlCLElI EXCLUlllOHS AOOED BV ENDORSEMENT I SPECIAL PRO'IISIONS
<br />The city of Santa Ana, its o:f.ficera, employees, agents, volunteers and
<br />repreacntativea are additiona insured.
<br />
<br />CERn~CATE HOLOER
<br />
<br />CANCELLATION
<br />
<br /> SHOl.l.O AN'( OF THE ABOVE OElCRlBED POLICES 810 CNfCELLEO BEFORE 1lE EXPIRATION
<br />SANTAAN OAT! THEREOF, T'I-E ISSU..G INSURER VVLL ."" !L "",YS""",,,,
<br /> NOTICE!! TO THE CERTlFlCATE HOlDER NAMED TO lHE lEfT
<br />C1 ty of Santa Ana AU~REf>REseNT"TIVE
<br />20 Civic Center Plaza
<br />,santa Ana CA 92101
<br />
<br />ACORD25120D91011
<br />
<br />01988.2009 ACORD CORPORATION. All rt~s reserved.
<br />TIll ACORD name and logo are reglstwld marks of ACORD
<br />
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