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ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY,r) 01/28/2010 PRODUCER (925)934-0505 FAX (925)977-1591 Insurance Associates of Northern CA 1550 Parkside Drive, Suite 120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek, CA 94596 INSURERS AFFORDING COVERAGE NAIC # INSURED Downey Vendors, Inc. INSURER A: Travelers Indemnity Company 6814 Suva Street N-2006-106 INSURER B Bell Gardens, CA 90201 N.2008~~ INSURER C: N-200$-OJ7-00'I INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING . ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY I6601430C752TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 1 ~ 000 ~ o0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ loo' ooo CLAIMS MADE a OCCUR MED EXP A ( ny one person) $ 5 , 00 A PERSONAL 8 ADV INJUiZY $ 1 oOO OO , , GENERAL AGGREGATE $ 2 OOO OO GEN'L AGGREGATE LIMIT APPLIES PER: PRO- PRODUCTS -COMP/OP AGG , , $ 2 ,ooo , OO POLICY JECT LOC AU TOMOBILE LIABILITY BA3395C09510SEL 02/09/2010 02/09/2011 ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1 000 00 , , ALL OWNED AUTOS A X SCHEDULED AUTOS T ~ r BODILY INJURY (Per person) $ APPRO VEll C l o i~ (~ S ~ X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ / ~ ' ~ ~ LaUT' t tt Sheerly PROPERTY DAMAGE (per accident) $ GARAGE LIABILITY ~SSISY.IIC C Ly /AtTOTTIey AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESSlUMBRELLA LIABILITY ISMCUP3619Y736TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 5 ,ooo, 00 X OCCUR ~ CLAIMS MADE AGGREGATE $ 5 ,ooo , OO A $ DEDUCTIBLE $ X RETENTION $ lO,OO $ WORKERS COMPENSATION AND IACRUB1215 L86710 04/01/2010 04/01/2011 X we sTATU- oTH- EMPLOYERS' LIABILITY A ANY PROPRIETORlPARTNER,~EXFCUTIVE OFFICER/MEM°ER S E.L. EACH ACCIDENT - $ 1, ooo, ooo EX^!_UD -D? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1 , OOO , OO SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 ,ooo 00 OTHER , DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ertTficate holder is included as additional insur d e as respects to General Liability subject to the onditions, limitations and exclusions of the policy. r10 Day for payment non-payment of premium f.C~T~r1A ~~~ .,~• wow City of Santa Ana 20 Civic Center Plaza, M-30 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~' 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS AUTHORIZED REPRESENTATIVE ITS AGENTS OR REPRESENTATIVES. rrie Lazaro/CHERNE ©ACORD CORPORATION 1988