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GOODIND-01 MART <br />_ CORD <br />CERTIFICATE OF LIABILITY INSURANCE DA ) <br />,, 7h6/2010 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />D.L.D. Insurance Brokers <br />Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lic#OD25325 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />17712 Mitchell North <br />Irvine, CA 92614 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Goodwill Industries of Orange County INSURERA: Philadelphia Insurance Companies <br />410 North Fairview INSURER B: <br />Santa Ana, CA 92703- <br /> INSURER C: <br /> INSURER D: <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 <br />MAY 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 />INSR DD' POLICY EFFECTIVE PO <br />LICY EXPIRATION <br /> <br />LTR <br />TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD[YY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X PHPK593330 7/1/2010 7/1/2011 u 300 <br />00 <br /> COMMERCIAL GENF_RALLIABILITY PREMISES Eaocc <br />rence , <br />$ <br /> CLAIMS MADE FKOCCUR MED EXP (Any one person) $ 15,00 <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 3,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,00 <br /> POLICY PRO X LOC ECj <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR El CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />p <br />I <br />its ® E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? L({ p" ©ll <br />aj <br />"+ E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER ORCK <br /> S <br />LISA ? <br /> <br />ASSistant CI Attorney <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPtIAL PROVISIONS <br />See attached page. / <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />The City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />20 Civic Center Plaza <br />M-76 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Santa Ana, CA 92701- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988