1
<br />,a►coRO- CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/Dp /YVY`n
<br />03/17/2011
<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 certlflcate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. I1 SUBROGATON IS WAIVED, subject to
<br />the terms and conditions oT the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In Ileu of such endorsement(s).
<br />PRODUCER Phone: (626) 300 -9000 Fax: (626) 5]0 -0908
<br />NEW CENTURY INS SERVICES, INC.
<br />16 N. 2ND ST.
<br />ALHAMBRA CA 91801
<br />NOMTAOT NEW CENTURY INS SERVICES, INC.
<br />PHONE (626) 300 -9000 F^'t N (626) 570 -0908
<br />E -MAIL
<br />ADDR : info�usnci.com
<br />PRODUCER 15724
<br />C T MER ID:
<br />INSU RER(S) AFFORDING COVERAGE
<br />NAIC ff
<br />Agency Lic#: OBO]OR5
<br />INSURED
<br />AVT, INC.
<br />341 BONNIE CIRCLE, SUITE 101A & 102
<br />CORONA, CA 92880
<br />INSURERA GOLDEN EAGLE INSURANCE CORP
<br />$ $00.000
<br />INSURERe NATIONAL UNION FIRE INS COMPANY
<br />$ Y 0,000
<br />INSURERC ZURICH INSURANCE COMPANY
<br />$ 1,000,000
<br />INSURER O-
<br />GENERAL AGGREGATE
<br />A ' ��� ©� \��
<br />V
<br />INSURERE
<br />PRODUCTS - COMP /OP AGG
<br />INSURER F
<br />`J
<br />COVERAGES CERTIFICATE NUMBER: 87383 REVISION NUMBER:
<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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />iNSR
<br />TYPE OF INSURANCE
<br />ADD�L
<br />SUER
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE A OCCUR
<br />Attention: Silvia Cuevas .tilt
<br />Assista t
<br />Sl�?
<br />CBP8283936
<br />OS /31/11
<br />05/31/72
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE r0 RENTED
<br />PREMI E c uranc
<br />$ $00.000
<br />MED. EXP (Any one person)
<br />$ Y 0,000
<br />PERSONAL 8 ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO LOC
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />A
<br />AurowtoelLE
<br />uweluTY
<br />ANY AUTO
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />BA2442759
<br />02/22/11
<br />02/22/12
<br />(Ea ace deDtSwGLE LIMIT
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per parson)
<br />$
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />$
<br />B
<br />X
<br />urweRELLA LIAe
<br />ExeES$ LIAa
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />EBU019838312
<br />11/04/10
<br />11/04/11
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />DEDUCTIBLE
<br />RETENTION $
<br />$
<br />$
<br />C
<br />WORKER$ COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y/N
<br />ANV PROPRIETOq/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED'! �
<br />(Menaetoy In NN)
<br />II res. aes�ea �naer
<br />DESCRIPTION OF OPERATIONS below
<br />N / A
<br />40O774i
<br />O2/Ot1`/11
<br />02/06`/12
<br />X WO y ATU- OTH
<br />$
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />E.L. DISEASE -EA EMPLOYEE
<br />$ 1,000,000
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atltllllonal Remarks Schedule, I1 more space Is required)
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL
<br />INSURED - VENDOR PER POLICY FORM NUMBER: GECG602 09 -02. THIS CERTIFICATE IS VALID ONLY IF THE CERTIFICATE HOLDER REQUIRES IN
<br />WRITTEN CONTRACT TO BE NAMED AS ADDITIONAL INSURED. THIS POLICY IS PRIMARY Sr NON - CONTRIBUTORY. 10 DAYS NOTICE OF
<br />CERTIFICATE HOLDER CANCELLATION
<br />The City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Parks, R¢ creation and COmmUhi(y$Pr� P,nCy
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />26 Civic Center Plaza KiY�i���i�
<br />�.S .1.0 � �IZ
<br />CCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92701 /�
<br />Laur
<br />AUTHORIZED REPRESENTATIVE
<br />Attention: Silvia Cuevas .tilt
<br />Assista t
<br />Sl�?
<br />urlu zb (ZUUJ /UY) _ U 1988 -2009 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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