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<br />ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID P~ DATE (MM/DDNVYY) <br />ANRIN-1 06/22/09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATlm <br />Continental Commercial ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />445 Marine View Ave. 320 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Del Mar CA 92014 <br />Phone:B5B-756-5566 Fax:B5B-756-9922 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: United Specialty Ins CO <br /> INSURER B: <br /> ANR Industries, Inc. INSURER C: <br /> ANR Homes <br /> 10702 Hathaway Drive ~1 INSURER D: <br /> Santa Fe Springs CA 9 670 <br /> INSURER E: <br /> <br />COVERAGES <br /> <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 />'~f~ ~~':;~ TYPE OF INSURANCE POLICY NUMBER DATE (MMlm~Wllt: I "'~kt~Y(:tJ;D'b'Ny~" LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br /> - UAMPllit:. I U ~.r:::r~ I z::.u -. <br />A ~ COMMERCIAL GENERAL LIABILITY FEC61000360 05/19/09 05/19/10 $ 50000 <br /> ~ CLAIMS MADE ~ OCCUR PREMISES (Ea occurence) <br /> - MED EXP (Anyone person) $ 5000 <br /> ~ Owner/Cont Proto PERSONAL & ADV INJURY $ 1000000 <br /> ---' I GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2000000 <br /> I nPRO- n <br /> POLICY JECT, LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> - $ <br /> ANY AUTO (Ea accident) <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS ~~ : (Per person) <br /> - otO <br /> HIRED AUTOS <br /> - ~ BODILY INJURY $ <br /> NON-OWNED AUTOS 1>\'> ,qr::: (Per aCCident) <br /> - 4l'O~~O~\> <br /> - I/' ~~ .,. PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE LIABILITY ~ ~S~u \\ot1 e"J AUTO ONLY - EA ACCIDENT $ <br /> :~ ANY AUTO JS ~ C\\i ~ OTHER THAN EA ACC $ <br /> ,~\C; ~(\\ I I AUTO ONLY: AGG $ <br /> EXCEss/UMBRELLA LIABILITY J""" 1/1 EACH OCCURRENCE $ <br /> ~ OCCUR D CLAIMS MADE ' AGGREGATE $ <br /> ~ <br /> $ <br /> ., ---. .,,-- <br /> q DEDUCTIBLE $ <br /> i RETENTION $ $ <br /> WORKERS COMPENSATION AND ITORY'l.iMITS I I VErt <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below EL DISEASE - POLICY LIMiT $ <br /> OTHER <br />i <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, it officers, employees, agents and volunteers are <br />named as additional insured per the attached additional insured per the <br />attached blanket additional insured endorsement #CG2033 & Primary and <br />non-contributory wording applies. *10 Days notice <br />for non-payment of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br /> <br />xxxxxxx SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHO PRESENTATIVE <br /> <br /> <br />@ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />