MERCHANTS BUILDING MAINTENANCE 1a - 2010

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Aco CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) �1 7/9/2010 PRODUCER Bolton & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robles Suite 105 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 245 S. Los Pasadena, Robles les Ave.,A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0008309 (626)799-7000 www.boltonco.com 626-583-2125 INSURERS AFFORDING COVERAGE NAIC # INSURED Merchants Building Maintenance INSURER A. Travelers Property & Casualty 1190 Monterey Pass Road INSURER B. Midwest -Employers Casualty Company -- Monterey Park CA 91754 INSURER c Twin City Fire Insurance Company INSURER D. Federal Insurance Corny INSURER E: (tr)VFRA(SFC 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION T POLICY NUMBER LIMITS A GENERAL LIABILITY 6308043N684TIL10 6/1/2010 6/1/2011 EACH OCCURRENCE $ 1,0_00,000 DAMAGETORENTED _ PREMISES (Ea occurrences r/ COMMERCIAL GENERAL LIABILITY '�. -- $ _ _ _ 300,000 MED EXP (Any one person) CLAIMS MADE OCCUR r $ 5,000 _ - PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE f $ _-. 2,000,000 _. PRODUCTS - COMP/OP AGG N LIMIT APPLIES PER: l $ 2.000,000 PRO- r POLICY VV LOC A AUTOMOBILE LIABILITY 810329D1831TIL10 6/1/2010 6/1/2011 -- COMBINED SINGLE LIMIT s ANY AUTO (Ea accident) 1,_000,OOO ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (Per person) ----_.._ - -------------.. HIRED AUTOS - ' BODILY INJURY NON -OWNED AUTOS (Per accident) $ I ---- - ------ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY A APPR AUTO ONLY - EA ACCIDENT $ . ANY AUTO EA ACC $ OTHER THAN -_-_------_.. AUTO ONLY: AGG $ A '' EXCESS I UMBRELLA LIABILITY CUP8043N684TIL10 JOSS `I&U /1/2011 EACH OCCURRENCE $_ 10,000,000 OCCUR -. CLAIMS MADE IT Ti, ATTORNF7 AGGREGATE _ l $ 10,000,000 DEDUCTIBLE, RETENTION $ O B WORKERS COMPENSATION EWC008280 Excess WC CA ( )-� 3/1/2010 3/1/2011 WC STATU- OTH_i AND EMPLOYERS' LIABILITY C Y / N 72WETZ9456 Out of State 1/1/2010 1/ 112011 _ -T RY LIMITS , ER _ - - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT ($ OFFI CEPJMEMBER EXCLUDED? ❑ --. - __ - -1.,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE[ $ 1,OOQ,pI)O If yes, describe under SPECIAL PROVISIONS below - - --_- ----t E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER D EmplyeeTheft /Forgery 81585028 6/1/2010 6/1/2011 Limit $1 MIL/Ded. $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Workers Comp is Self -Insured under California Certificate of Consent to Self Insure #1793 for California operations. Blanket GL Additional Insured per form CGD246 0805 attached, only if required by written contract. Job: #33777, Various Santa Ana Parks. Additional Insured(s): City of Santa Ana, its officers, agents, volunteers, and employees. MBM CA, #33777 City of Santa Ana Attn: Ali Borujerdi 888 W. Santa Ana Blvd., Suite 200 Santa Ana, CA 92701 SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ` 10 Days for Non -Payment of Premium. AUTHORIZED REPRESENTATIVE Cheryl Feia Ai,umu Za tzUua/ul) ©1988-2009 ACORD CORPORATION. All rights reserved. CERT NO.: 7799377 CLIENT CODE: MERCH-1 Bolton Certificate Processing 7/9/2010 1:58:54 PM Page 1 of 4