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.-.y??.T-.. nCRTICInATC ?1C' 1 IA?11 ITV 1?ICI IAA?!/'?C <br />.,%C-"PC" VGR 1 II-EVJI"t? 1 G VI- I?EJl1?IL/ 1 1 11\?7VR/'11\VG DATE(MWDONYYn <br />164? 02/03/2011 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RIGHT INSURANCE MARKETING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />12600 BROOKHURST STREET #200 p ,4 <br />' <br />}?: <br />7018 TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />L <br />GARDEN GROVE, CA 92840 <br />714-636-6491 INSURERS AFFORDING COVERAGE NAIL S <br />INSURED „ 1 RER A: ALLIED P&C INSURANCE COMPANY <br />NDT, INC.& KNO LWOOD l' (E ...?N{'. „ ZRER 8: <br />DBA: NDT, INC INSURER C: <br />17654 NEWHOPE STREET <br />SUITE H <br />, INSURER D: <br />FOUNTAIN VALLEY, CA 92708 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR "im TYPE OF INSURANCE POLICY NUMBER D LIMITS <br /> GENERALLIAtBUTY EACH OCCURRENCE S 2,000,000 <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea oNocurence S 300,000 <br />A CLAIMS MADE R1 OCCUR MED EXP (Any one person) $ 5,000 <br /> ACP 7842162960 04/01/2010 04/01/2011 PERSONAL & ADV INJURY S 2,000,000 <br /> <br /> GENERAL AGGREGATE S 4,000,000 <br /> <br /> EWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> ?/ POLICY PROJECT LOC <br /> AUTOMOBILE INBA ITY <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per Person) <br /> <br />A HIRED AUTOS ACP 7842162960 04/01/2010 04/0112011 <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> S <br /> (Per accident) <br /> GARAGE LIABILITY I'' <br />? ?_? ? <br />R` ? ? P ; L, <br />"'o <br />AUTO ONLY • EA ACCIDENT <br />S <br /> ANY AUTO + <br />r P <br />_ <br /> _ OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG S <br /> EXCESSAIMBRELLA LIABUM <br /> <br />P-1 <br />1?L _ <br />--- <br />EACH OCCURRENCE <br />$ <br /> OCCUR CLAIMS MADE - ? <br />tit) S. AGGREGATE $ <br /> !?\J1, 1LiL n.t C/1LV X411 r1('j:'.'- Ji <br /> DEDUCTIBLE <br />s <br /> RETENTION $ S <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABLITY TORY LIMITS ER <br /> ANY PROPRfETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S 1,000,000 <br />B EEXCLUDED? <br />FIICE B <br />OFF WCMSTR 0528233 02/01/2011 02/01/2012 EL DI 000 <br />1 <br />000 <br /> O <br />e <br />descnbe SEASE-FA EWLOYEE + <br />. <br />S <br /> SPECIAL PROVISIONS below 1 <br /> E. L. DISEASE - POLICY LIMI .000.000 <br />S <br /> OTHER Deductible: $2,500 <br />A Building ACP 7842162960 04/012010 04/01/2011 Not CoV-100% Co-Ins. Rep Cost. <br /> Contents ACP 7842162960 04/012010 04/012011 $1,132,600-100% Co-Ins. Rep Cost. <br />INSUREDS BUSINESS: RESTAURANT <br />CERTIFICATE HOLDER: CITY REQUIREMENT <br />BUSINESS MAIN LOCATED: 1801 EAST CHESTNUT AVE, SANTA ANA, CA 92701 <br />*10 DAY CANCELLATION FOR NON-PAYMENT OF PREMIUM <br />CERTIFICATE HOLDER IS ADDITIONAL INSURED <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />ACORD <br />BIPOSE NO OBLIGATION OR LIA W47Y OF ANY HMO UPON_IE INSURER, ITS AGENTS OR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR '30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />AUTHORQED <br />0 ACORD CORPORATION 1988