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<br />ZIMINDU -01
<br />ACORDIM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /2DIYYYY)
<br />1 /28/2011
<br />PRODUCER Wells Fargo Insurance Services USA, Inc.
<br />CA DOI Lic. #OD08408 (916) 231 -1741
<br />11017 Cobblerock Drive, Suite 100
<br />Rancho Cordova, CA 95670 -6049
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURED Zim Industries, Inc. DBA Wo tt A%pr;#Ipany.,a
<br />4545 E. Lincoln
<br />Fresno, CA 93725
<br />INSURERA: Zurich American Insurance Co
<br />16535
<br />INSURER e: Fireman's Fund Insurance Company
<br />21873
<br />INSURER c: OneBeacon Insurance Company
<br />21970
<br />INSURER D:
<br />GL0831166206
<br />INSURER E:
<br />3 -1 -11
<br />rnVCCA/':ce
<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 />IN
<br />LTR
<br />NSR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />DATE MMIDD/YY
<br />POLI EXPIRATION
<br />DA TE CY MMIDD�.
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />GL0831166206
<br />3 -1 -10
<br />3 -1 -11
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />DAMAGE TO RENTED
<br />$ 100,000
<br />MMERCIAL GENERAL LIABILITY
<br />11:c—n CLAIMS MADE � OCCUR
<br />MED EXP (Any one person)
<br />S 10,000
<br />PERSONAL 8 ADV INJURY
<br />S 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,000
<br />POLICY X JE LOC
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />BAP831166306
<br />3 -1 -10
<br />3 -1 -11
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 1,000,000
<br />X
<br />BODILY INJURY
<br />(Per person)
<br />$
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />X
<br />BODILY INJURY
<br />(Per accident)
<br />$
<br />HIRED AUTOS
<br />NON -OWNED AUTOS
<br />X
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />S
<br />GARAGE LIABILITY
<br />AUTO ONLY - EA ACCIDENT
<br />$
<br />OTHER THAN EA ACC
<br />$
<br />ANY AUTO
<br />$
<br />AUTO ONLY: AGG
<br />B
<br />EXCESS /UMBRELLA LIABILITY
<br />SSE00048053094
<br />3 -1 -10
<br />3-1 -11
<br />EACH OCCURRENCE
<br />$ 9,000,000
<br />X OCCUR 7 CLAIMS MADE
<br />AGGREGATE
<br />$ 9,000,000
<br />$
<br />DEDUCTIBLE
<br />$
<br />RETENTION S
<br />A
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR /PARTNER/EXECUTIVE
<br />WC831166106
<br />3 -1 -10
<br />3 -1 -11
<br />X WC STATUS OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />OFFICER /MEMBER EXCLUDED?
<br />If yes, describe under
<br />SPECIAL PROVISIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />OTHER
<br />C
<br />Installation /Builders Risk
<br />7900008060004
<br />3 -1 -10
<br />3 -1 -11
<br />$1,000,000
<br />C
<br />Rented /Leased Equipment
<br />7900008060004
<br />3 -1 -10
<br />3 -1 -11
<br />$100,000
<br />C
<br />I Scheduled Equipment
<br />7900008060004
<br />3 -1 -10
<br />3 -1 -11
<br />S11,174,500
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insured on the General Liability policy per the
<br />form UGL1175BCW32007 attached, Primary and non - contributory wording applies.
<br />ULK I IFIGA I t KULUtK pp CANCELLATION ' ci 1 vOy IIUiwc rUi iwi rrayi i ici n
<br />C.. __ --- -' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
<br />City of Santa Ana yti�it i 4J t ('h.% ` NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />PWA, Water Resources IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />220 S. Daisy Avenue (M -85) REPRESENTATIVES.
<br />Santa Ana, CA 92703 AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2001/081 4 s 1j 2312697 n Amon rn92onl7eTIntJ 1029
<br />(This certificate replaces certificate# 2312431 issued on 1/28/2011)
<br />
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