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Jul 13 2010 2T33PM HP LRSERJET FRX <br />P.1 <br />,.1. <br />MY""fla <br />07/13/10 <br />PIgaUCEp <br />CERTIFICATE 18 M ED AS A MATTER OF INKMMATION <br />BLISS & GLEN NON, INC. <br />ONLY AND CONFERS NO RIc1HTa UPON THE CERnFICATE <br />C/O GREAT CONTINENTAL INS. AG. <br />1HOLD6R. THIS C1111"FICATE DOES NOT AMENDD,, EILTEND OR <br />ALTER THE COVERIAOE AFFORDED BY TIME POLICIES ONL.OW, <br />PO BOX 76088 <br />COMPANIES AFFORDI M COVERA01 <br />LOS ANGELES CA 90076 <br />COMPANY <br />A MAX SPECIALTY INSURANCE CO AM Best <br />IHSUREo <br />�a <br />CHAN HEE YANG <br />MOGRESSIVE INSURANCE,CO. <br />BELL BUILDING MAINTENANCE <br />` <br />5170 SEPULVEDA ELVD #180 <br />ocM,Afi� <br />C <br />SHERMAN OAKS, CA 92403 <br />ODMPANY <br />D <br />THIS b TO CERTIFY TKAT THE POLIVRes OF INSURANCE LISTED BELOW HAVE BEEN 16SUED TO THE INSUR ED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANOINQ ANY AEOUIREMENT, T9FIM OR CONDITION OF ANY CONTRACT OR OTHEA DOCUMENT YWITI4 RESPECT TO WHICH THIS <br />CERTIFICATE MAY BG ICBUED OR MAY PERTX% THE INSURANCE AFFORDED BY THE FOLIOIFE DSOCRIBBD HERM N 10 $UBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND COND17ICNO OF SUCH POLICIES. LIMITS OHOWN MAY <br />NAVE BEEN REDUCED BY PAID CLAIMS, <br />A Type eFIIM4R>RNCat <br />POLICYNYNABR <br />�EOt <br />WTB(M4aDAY <br />AT � N <br />Ljmrm <br />A! <br />OCHERAL <br />LIAERT' <br />GENERAL AoaRECIATE <br />: 2 000,000 <br />DMOWIH • MWMP AM <br />1 1 0 0 0 0 0 <br />X <br />CCNI mcaAL DENERAL UAS JTY <br />CLMMB MADE X� xcuR <br />12007003.039 <br />01/10/10 <br />01/10/11 <br />PERKw& A, Avv IN uPIY <br />E 1 0 0 0 0 0 <br />CWNERTI & OONTRACIORS PROT <br />EACH OCCURRENCE <br />II 1 000, O O <br />PIPE OAMASQ fAry one nnp <br />E 10 0 0 0 <br />MED E)w ft am gwwrg <br />5,00 <br />AUTOMOMLE <br />LIABILITY <br />ANYAUry <br />04317391 -6 <br />04 -14 -10 <br />04 -14 -11 <br />WMRNEDBNOIXL4VIT <br />31 7000,000 <br />DDILY INJURY <br />�ff <br />0 <br />AL gffi&0 AU19I <br />SCHEDULEDAU= <br />AiRlCll} <br />HIRED AU TOO <br />OO aILYINiUPiY <br />6 <br />NON-0WNEOALTOB <br />QPM axldnl1l <br />I+ROPIiRTY DAJJA4$ <br />• <br />- — <br />M <br />M6 LwK" <br />AUTO ONLV- ek AXIDENT <br />i s <br />MrYAlJTO <br />�A� <br />O RM <br />CRHONM AUTOONLr. <br />W7,177" II[.,, <br />r�AC=9C <br />E <br />AP OVED <br />A00AMA79 <br />i <br />CUGws IAA KNY <br />EACH 0012MMCE <br />_ <br />tJMBPEiIA FORM <br />J OS EP T <br />HER <br />�0lid11TT <br />s <br />OTHER THAN LIMBROLLA FOAM <br />WORREI&COMr411SATONAND <br />SYP LaYtM' LIAEltrtY �,./ <br />9TAT4:TCRYLMIT! ';:•Y.'',7�.I '. ":.'�: <br />TH9 PROPNMETM WGL <br />EACHAGCIOEN' E <br />FARTNEFSAYJWTIVE <br />JIGEASE, POLICY LIMN 4 <br />CFpx:jm ARE: OIL L <br />MAR <br />OpIE,BE • i!i1 CH EMPLOYEE E • y <br />DisC++IPT1pN OIF O ►EIAATICIIYILOCATION B/VE HICL,FiferiClAL RlNe <br />TEN DAYS NOTICE OF CANCELLATION FOR <br />NON - PAYMENT. <br />CERTIFICATE HOLDER IS NAMED AS ADDITXONAL INSURED PER FORM MXG613. <br />LOCATION ADDRESS: 20 CIVIC C NTBR PL;LZA SANTA ANA, CA 92701 <br />THE CITY OF SANTA ANA, AND THEIR <br />OIICULO my OF TTIE Asawe aNI "o FOiXM OE CANCgJ.ED urm THE <br />RESPECTIVE OFFICERS, EMPLOYEES, <br />UPIAATION OATS THl11 ", THE IOEUIIIO 99UPARY VALL INDEAVOR 79 MAIL <br />I.Q— DAYS WFIM I NOTICE To THE OWMFICATE HOLD1R NAMEa FT) TWA LEFT, <br />AGENTS , VOLUNTEERS & REPRESENTATIVES <br />Du7 FAILUN TV MAIL *UCH WICE SMALL IMPOeG NO MmAhTION cm ummlY <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />Or ANY ICING TWA cam ►ANY, ITS AOENTO OR REPPARKATIYEB. <br />AUTNt► <br />TAT <br />ZED R IYE RYAN 1 <br />rL <br />,.1. <br />