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AC"Ra' CERTIFICATE OF LIABILITY INSURANCE DATE IMMIODmVY) <br /> 04126/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br /> <br />SDZIe Marie Motes <br />NAME: <br />DFI - DiGerolamo Family Insurance Services P <br />FAX <br />HONE <br /> (951)736-5335 <br />Alc No: 957 893-2750 <br />2027 Hamner Ave E-MAIL <br /> ADDRESS: suzle@dflinsurance.com <br />Norco, CA 92860 <br />I <br />' <br />{? <br />q <br />/ <br />? <br />J <br />A <br />/° <br />y <br />n <br />/ <br />1 <br />' <br />{ <br />J -44" <br />) 10 -( <br />-0 INSURERB AFFORDING COVERAGE NAIC# <br />License #: OD26889 <br /> INSURERA: Century National Insurance <br />INSURED INSURER 6: <br />PRESTIGE STRIPING SERVICES INC. INSURER C: <br />1054 Railroad St INSURER D: <br />Corona, CA 92882 INSURER E: <br /> INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 00012074-4488788 REVISION NUMBER: 381 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />R TYPE OF INSURANCE ADOL SUER POLICY NUMBER MMIDDYIYYYEFF YY MMIDD? LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence $ <br /> <br /> CLAIMS-MADE ? OCCUR MED EXP(Anyoneperson) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> G U AGGREGATE LIMIT APPLIES PER'. _ PRODUCTS - COMP/OP AGG $ <br /> POLICY PRO LOC <br />?EUT $ <br />A AUTOMOBILE LIABILITY Y N BAP0173013 0412912013 0412912014 CO <br />MBINED SINGLE LIMIT <br />EA accident) <br /> <br />11000,000 <br />$ <br /> X ANY AUTO BODILY INJURY(Perperson) $ <br /> ALL OPMED <br />AUTOS SCHEDULED <br />AUTOS BODILY INJURY (Per accident) $ <br /> X HIRED AUTOB X A?TOSWNED 1 Per acid nDAMAGE <br /> <br />1 $ <br /> UMBRELLA LIAB OCCUR 13 EACH OCCURRENCE $ <br /> EXCESS LIAB 9 <br /> CLAIMS-MADE '4V' AGGREGATE $ <br /> 0 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY C?Oe? <br />5 ' 7 <br />pv <br />. WC STATLL OTH- <br /> YIN Lt <br />;'(,1 Vt t - - -- <br /> ANYPROPRIETORIPARTItlER/EXECITFIVE <br />? NIA t'd ?I <br />' E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? l <br />a v <br />vJ <br /> (Mandatory In NH) ? <br />' 1. E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below wtir' E, L, DISEASE - POLICY LIMIT $ <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space le required) <br />10 DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. <br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. COVERAGE IS PRIMARY & NON CONTRIBUTORY <br />JOB: VARIOUS JOB LOCATIONS <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATTN: ROCK GARCIA ACCORDANCE WITH THE POLICY PROVISIONS. <br />305 E <br />4TH STREET <br />SUITE 201 <br />. <br />, <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />/`?J,p???? <br />`' •?' K? SMM <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />Printed by SMM on April 26, 2013 at 02:11 PM