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ACORO CERTIFICATE OF LIABILITY INSURANCE -~~~-°~~~~_.,.". <br />12/07 2 <br />PRODUCER / O O 9 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />IMPERIAL INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2 2 9 3 B LYONS AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />SANTA CLARITA CA 91321 INSURERS AFFORDING COVERAGE <br />INSURED _-_.__. ..... -.. <br />__- NAIC # <br />-- _ <br />TORRES MAINTENANCE COMPANY wSURERA CATLIN SPECIALTY INSURANCE COMPANY- <br />_ _ <br />----- - <br />INSURER B. _ _ , <br />UNITED FINANCIAi~ CASUALTY INSURANCE <br />29124 HIGHPLAINES CT wsuRERC_STATE COMPENSATION ZNSIIRANCE FUND' <br />__ _ <br />_--- - -- <br />CASTAIC wsuRER D <br />CA 913 B 4 -- --- <br />-- _ . <br />„_, ___ _ _ _ _ _ INSURER E <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 OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R ADDL. .._ __.._ .. __ -__.. ._. __ __ __ _____ <br />POLICY EFFECTIVE POLICY EXPIRATION ~ - <br />POUCYNUMBER LIMITS <br />GENERAL LIABILITY 040005000068 EACH OCCURRENCE $ <br />05/01/2009 05/01 2 <br />COMMERCIAL GENERALJLIABILITY <br />,CLAIMS MADE ~/ OCCUR <br />A A <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />J T LOC <br />AUTOMOBILE LIABILITY <br />084896860-1 <br />ANl' AUTO <br />ALL OWNED AUTOS <br />B B ~ SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />AN'y AUTO <br />EXCESS /UMBRELLA LIABILITY <br />OCCUR CLAIMS R4ADE <br />DEDUCTIBLE <br />RETENTION S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/ N 18 8 0 2 6 6- 7 <br />ANY~PROPRIETORiPARTNERIEXECUTIVE ^ <br />C OFFICER/MEMBER EXCLUDED y <br />(Mandatory in NH) <br />If yes. describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />/ 0~ <br />~G PREM SES Ea occur enr;el ~ S <br />I ,- -.._ - 1000000 <br /> <br />100000 <br />T~/r~LQJ.:i~~~Ti(=ctf ~ MED.EXP (Any one person) ~_~ g <br />,/~~~? i PERSONALBADVINJURY g <br />.__ ,... 5O O O <br />lOOOOOO <br />GENERAL AGGREGATE I$ <br />PRODUCTS COMPIOP AGG : S 2 t) O O O O O <br />l O O O O O O <br />08/17/2009 O8/17/2OlO COMBINED SINGLE UMIT <br /> IEa accldenq $ 1000000 <br /> BODILY INJURY <br /> $ <br />(Per person) <br />~ TO FORM -- - . _ <br /> BODILY INJURY <br />~~ I ~ IPer accident) S - <br />7 HOCIge ~' PROPERTY DAMAGE <br /> <br />. $ <br />(Per accidenq <br />AUTO ONLY - EA ACCIDENT $ <br />I OTHER THAN EA ACC ~ $ <br />'AUTO ONLY. AGG I $ <br />EACH OCCURRENCE_ $ <br />AGGREGATE $ <br />g <br />$ <br />I$ <br />_ _:_.. <br />06/01/2009 06/01/2010 i-~-1-IQRvLLM1IS.l .__ ~R , <br />i.ELEACHACCIDENT $ lOOOOOO <br />E.L. DISEASE - EA EMPLOYEES ],_Q O O O 0 0 <br />E.L. DISEASE -POLICY LIMIT ~$ 1 n n n n n n <br />DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BV ENDORSEMENT 1 SPECL4L PROVISIONS <br />CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CALIFORNIA 92701; ITS OFFICERS, EMPLOYEES, <br />TS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS ("ADDITIONAL INSUREDS") WITH <br />RD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM TH8 OPERATIONS AND USES PERFORMED BY OR ON <br />LF OF THS NAMED INSURED. <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, <br />ACORD 25 (2009101) <br />SHOULD AN Y OF THE ABOYE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE TI{EREOF, 7HE tSSU{NG INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, BU7 FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON 7HE INSURER, ITS AGENTS OR <br />CA 9 2 7 0 1 I AUTHORIZED REPRESENTATIVE . I~ ~ <br />.~i:~~~:~ii l~~-~. <br />© 1'388 2009 A¢I <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />