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'`"'""" CERTIFICATE OF LIABILITY INSURANCE °''� `M"" °°"'„"" <br />TM 07!1212010 <br />PRODUCER PhOrls: (626) 90a900D Fec 6265]0.D�306 THIS CERTIFICATE IS ISSUED AB A MATTER OF INFORMATION <br />NEW CENTURY INS SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />16 N_ 2ND $T. HOLDER. THIS CERTIFICATE DOES NOT AMEND_EXTEND OR <br />ALHAMBRA CA 91801 al TFO TYC �rivice.,._� �«..e..�.. .... �.._ _�.. .__ __. ____ <br />INSURERS AFFORDING COVERAGE � NA(C p <br />INSURED <br />INfR <br />LiR <br />INSURER P: <br />AVT, INC. <br />POLICY NUMBER <br />INSURER B: <br />34'1 BONNIE CIRCLE, SUITE 107A 8 702 <br />I <br />A <br />CORONA, CA 92880 <br />GENERAL <br />X <br />INSURER C: <br />CBP8283936 <br />� <br />05131H0 <br />INSURER O: <br />THE POLICIES OF INSURANCE L18TEp BELOW HAVE BEEN LSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITI'ISTANDING <br />ANY REQUIREMENT. TERM OR CONOTON OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAW, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONORIONe OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INfR <br />LiR <br />NBR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EPFEeiNE <br />POLX:v E><nRILnOM <br />OS/31M1 <br />LIMITS <br />EACH OCGURREN E S ,000,000 <br />A <br />I <br />GENERAL <br />X <br />11ABILITY <br />COMMERCIAL GENERAL LIABILRY <br />CLAIMS MADE OCCUR <br />CBP8283936 <br />� <br />05131H0 <br />^I�eO �oec�c�n <e <br />S 800,000 <br />MED. EXP (Arty ple pwfan) <br />f 1 D,000 <br />PERSONAL 8 ADV INJURY <br />f 1.000,000 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L AGGREGATE LIMB APPLIES PER: <br />POLICY PRO- <br />JECT LOC: <br />PRODUCTSCOMP /OP AGG. <br />S 2,000,000 <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />BA244 <br />I <br />02/22/10 <br />� <br />02/22/ - <br />COMBINED 81NGL.E LIMIT <br />(Ee arrJyerl() <br />5 1,000,000 <br />ALL OWNED AUTOS <br />PROV <br />D R <br />GODLY IwURY <br />- <br />A <br />SCHEDULED AUTOS <br />(Per psnon) <br />s <br />HIRED AUTOS <br />NON- OWNEOAIITOS <br />� H <br />W. FLETCH <br />� <br />IP��I�I Y <br />s <br />CITY <br />ATTO <br />PaoPERTV DAMAGE <br />Per eoenao <br />s <br />GARAGE LIABILITY <br />j <br />AUTO ONLY - EA ACCIDENT <br />S <br />ANY AUTO <br />OTHER THAN EA ACC <br />S <br />AlJTO ONLY: AGO <br />S <br />B <br />EXCESS /UMBRELLA LIABILITY <br />X OCCUR � CINNIS MADE <br />EBU060718088 � <br />'1110/109 <br />1'1/04/'10 <br />FACH OCCURRENCE <br />S 4,000,000 <br />AGGRECigTE <br />S 4,000,000 <br />s <br />oeoucrlBLE <br />s <br />RETENTroN s <br />s <br />WORKER8 COYPENSATON AND <br />EMPLOYERS• LIABILfIY <br />4007748 02/08H0 <br />02!08/11 <br />X TpgYTLIYRf OTHER <br />E.L. EACH ACCIDENT <br />i '1,000,000 <br />C <br />wW nRiIr1I2TORTw1ITMElr / fiEeUT1V! <br />OiFK'WMEMBER EXCLYDED'I <br />R w +, eaacr:w unwr <br />fPECW. PRWIfIONf b�1o� <br />� <br />� <br />EL DISEASE�A EMPLOYEE <br />7 1,000,000 <br />E L. DISEASE- POLICY LIMIT <br />S 1,000.000 <br />OTHER: <br />I <br />DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCLU310N5 ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED A3 ADDITIONAL <br />INSURE0.VENDOR PER POLICY FORM NUMBER: GECG802 09 -02. THIS CERTIFICATE IS VALID ONLY IF THE CERTIFICATE HOLDER <br />REQUIRES IN A WRITTEN CONTRACT TO BE NAMED AS ADDITIONAL INSURED. TH13 POLICY IS PRIMARY 8NON- CONTRIBUTORY. 70 <br />DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. 30 DAYS OTHERWISE. <br />r ceT,orwtr= .� . ..tee _ <br />THE CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />20 CHIC CENTER PLAZA <br />EXPIRATION PATE THEREOF, THE 449UING INSURER WILL ENDEAVOR TO MAIL 30 PAYS <br />SANTA ANA, CA 92701 <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE <br />TO DO SO SHALL IMPOSE NO OBIIOATION OR LIABILITY OF ANY KIND UPON THE INSURER, <br />ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATNE <br />Attenuon: <br />ngBla Lin <br />L.arTlncaT® rs o-IU /o ®ACORD CORPORATION 1966 <br />