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ALLIANT <br />License Number: OC36861 <br />Phone (949) 756-0271 / Fax (949) 756-2713 <br />Certificate Number: 21 <br />Date: 10/12/2010 <br />VENDOR / CONTRACTOR LIABILITY PROGRANI <br />Named Insured: <br />ROBERTO DEL HOYO <br />Address: <br />4015 W. 22— STREET <br />City/Slate/Zip: <br />LOS ANGELES, CA 90018 <br />Additional Insured: <br />CITY OF SANTA ANA <br />Contract'rerin: From: <br />10/04/10 to 11/30/10 <br />Description of Contract: <br />COMPLETE MURALS AT MEMORIAL PARK 8c SANTIAGO PARK <br />Contract Amount: <br />$12,500.00 <br />COMMERCIAL GENERAL LIABILITY — NEW OCCURRENCE FORM <br />General Aggregate: 51,000,000_ <br />Products/Completed Operations Limit: $1,000,000. <br />Personal Advertising: $1,000,000. <br />Each Occurrence: $1,000,000. <br />Fire Damage: $ 50,000. <br />Medical Payments: $ 5,000. <br />IMPORTANT! <br />Coverages are Limited to described contract. <br />DEDUCTIBLE: $1,000. Each Claim, Including Legal and Adjustment Expenses <br />ANNUAL PREMIUM: $ 700.00 Fully Earned at Inception <br />SURPLUS LINES TAX: S 22.58 Fully Earned at Inception <br />POLICY FEE: $ 60.00 Fully Earned at Inception <br />TOTAL S 782.58 TO'rAL <br />COMPANY: CA't'LIN SPECIALTY INSURANCE COMPANY <br />THIS COMPANY BINDS TILE KIND(S) OF INSURANCE STIPULATED HEREON. THIS <br />INSURANCE IS SUBJECT TO THE TERMS, CONDI-TIONS, AND LIMITATIONS OF THE POLICY <br />OF MASTER POLICY 9 0400302958 ISSUED TO VENDORS/CONTRACTORS L.IABLITY GROUP. <br />A COPY OF THIS POLICY IS AVAILABLE ON REQUEST. <br />THIS CERTIFICATE MAY BE CANCELLED BY THE INSURED BY SURRENDER OF THIS BINDER OR BY WRITTEN <br />NOTICE 7-O TIIE COMPANY STATING WHEN CANCELLATION tVB_L BE EFFECTIVE. THIS CERTIFICATE MAY BE <br />CANCELLED BY THE COMPANY BY NOTICE TO THE INSURED IN ACCORDANCE WITH THE POLICY CONDITIONS. <br />AIJ'I'HORI'ZED SIGNATURE/COUNTERSIGNATURE <br />R.E. CHAIX R ASSOCIATES INSURANCE BROKERS ,INC <br />License Number: 0726213 <br />41 Corporate Park, Suite 310, Irvine, CA 92606 <br />PHO14E(949)722-4177 /FAX: (949)722-4172 AP OVED AS TO FORM <br />r"tP1—I W. FAETCHER <br />CJTY AT RNEY <br />