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, .• 1 <br />CERTIFICATE OF LIABILITY INSURANCE DA `E Imwo Y) <br />PRODUCER: 6124/2009 <br />THIS CERTIFICATE IS Lti' ED AS A MATTER OF INFORMATION ONLY AND CDNFERS NO RK;Ii1S <br />Wells Fargo of California Insurance Services, Inc. UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER <br />45 Fremont Street, Suite 800 C7rti ERCOVFRAGEAFFORDEDBYTHEPOLX'rESBELOW. <br />San Francisco, CA 94105 CA DOI License #0352275 INSURERS AFFORDING COVEIG►GE NAtC rf <br />415.541.7106 IN, A: Everest Indemnity <br />Fax: 415.495.6261 <br />fio Ci-l) s <br />C any <br />INSURER B. Hartf d F; <br />INSURED, <br />Able Building Maintenance Company Inc. <br />3300 W. MacArthur Boulevard <br />Santa Ana, CA 92704 <br />or Ire insurance <br />Company , . I <br />ItiSUKERC; ti! I T. American Z6ii0 In5ura <br />C L Company' i L <br />INSURER d} Federal Insurance <br />ENSURER V. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BF.L(RV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, T "ERbI OR <br />(Y)NOITION CIF ANY CONTRACT OR OTHER DOCUMENT WrrH RESPECT TO WHICH THIS CFRTIFICATE MAY BF. ISSUED OR MAY PFRTAI.N, THE INSURANCE AFFORDED BY THE POLICIES DF_4C'R,IBOR <br />HEREIN IS SUBJECT TO Ali, THE TERbLS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMA'S SHOWN MAY' HAVE BEEN REDUCED BY PAID CLAIMS. <br />nMR IV na^wc MXXV 01`107" <br />N Y.RY NL`MRFii <br />A x CENERAI. LIABILITY IAYF uetc <br />❑ C()%4hIFRCIAL(:;ENFRALUABII.ITY EACI-I OCCURRENCE - $1,000,000 <br />51 GL00050 t -09 t 4/ 1 /2009 4/ 1 /2010 DAMAGE TO RENTED <br />ClAINts � OCCURRENCF <br />titADF: <br />PREMISES (Each (kcurrrnce) <br />$ 50,000 <br />AP V <br />TO FO M <br />MEDJCALEXP. (Any One <br />a$10,CDO DEDUCTIBLE <br />Person) <br />$5,000 <br />❑ <br />I <br />PERSONAL. & ADV. INJURY <br />$1,000,000 <br />GEN'L AGGREGATE Lih(rr APPLIES PER <br />R <br />n odge <br />GENERAL. AGGREGATE <br />$2,000,000 <br />next X� % ` a 1P <br />xr <br />u <br />Ctt Attor ey <br />PRODUCTS- COMP /OPAGG. <br />$1.000,000 <br />8 AUTOMOBII_L-' L[ABILI•IY <br />a ANYAL*ro <br />57UENUP6665 <br />4/1/2009 4/112010 <br />E UAtrr <br />COitBcckle <br />ALL OWNED AUTOS <br />D <br />(EachaccrJent) <br />t) <br />$1,000,000 <br />SCfdEDU1:I:U AL.?C?'i <br />BODILY INJURY Iper [Arson) <br />BODILY INJURY (Per <br />I IIRED ALrrOS <br />Accident) <br />NON•OtVNFD <br />PROPERTY DAMAGE (Per <br />ALTO,; <br />Atvia mt) <br />F•XCE <br />D SSLIABIi.r1Y <br />aOCCURREWE Q CLAIMS MADE <br />79820671 <br />4/l/2009 4/1/2010 <br />EACH OCCURRENCE <br />$1,000,000 <br />DEDUCTIBLE <br />AGGREGATE <br />$1,()00,000 <br />REj'EknV)N:S <br />C WORKERS COMPENSATION AND EMPLOYER'S <br />LIABILrtY CA: 4/1/2009 411/2010 Mx we srATVroRY UMns OTHER <br />A: <br />C&MAW ARGE DEDUCTIBLE PROGRAM WC8298257 -06 <br />AOS: 5100A00 RLT'RO rROCRAM EACH ACCIDENT $ 1,000,000 <br />All Other States: DISEASE • POLICY LIMrc <br />$ 1,000,000 <br />DESC:RIrrioN Or OPERATIONS/ LOCATIONS/ VEIIICLES/ EXCLUSIONS ADDE-.1 8O18 06EN1' /S /11/2009TSIONS /112010 DISEASE • EACH EMPLOYEE <br />$1,000.000 <br />The city of Santa Ana, it's officers, employees, agents, end representatives are named as additional insured are named as additional insured, as per <br />attached policy form endorsementisi CG 20 26 07 04; CG 20 37 07 04. <br />This insurance is primary and non-contributory, as per attached policy form endorsement ECG 24 515 05 00. <br />CER' IFICNI•E HOLDER <br />C <br />HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE TILE <br />XPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAT. 30 DAYS WRITTEN <br />orrICE TO THE CERTIFICATE HOLDER NAMED TO THF. I.EiFT,. <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUrHORIZEDREPRESEN'rATfVE <br />25 <br />Sal Romano, Sr. Vice President <br />