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ACORD,a CERTIFICATE OF LIABILITY INSURANCE °A'?IM""°°""""') <br />I _ 02/23/2n?T <br />Van tore paolEiv ]:nauranaa eervivea, Inv. <br />26487 Rancho parkway Bvuth <br />6aka Foroat, CA 92630 <br />PaoiFio Cleaning Barvivaa <br />3334 S Coast Hwy PHB 205 <br />Corona Dal mar, CA 92629-2320 <br />BTAR <br />HOT CA <br />PROB a <br />COVERA6E5 <br />. ?, . nc .IVauncu PwmeD ABOVE FOR THE P061CY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPE <br />CT 70 WHICH THI$ CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE W3URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />L <br />A <br />L THE TERMS, EXCLUSIONS ANb CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE B EEN REDUCED BY PAID CLAIMS. <br />9R DD <br />p0 6 pOLICYB IRAT N <br />POLIOYNUMBER LVdI <br />Ta <br />A GENERAL UABIl1TY 715007BD900D0 09/21/10 09/21/11 <br /> <br />X COMM <br />IAL EACHOCCURRENCE $1,000, 000 <br />ERC <br />GENERAI. LIABILITY <br />C <br />O SEa Ea rra 3 300, 000 <br />UVMS MADE <br />OCCVR MEO EXP An ones eracn 610,000 <br /> PERSOr1At aAOVINJURY 51, ODD, ODO <br /> <br />OENi <br />GO OENERALAOGgEOATE g2, 000, 000 <br />A <br />REOAT6 LO.IITAPPLIEB PER: <br />P o- <br />X PRODUCTS-CObIP/OPAOp $2.000,000 <br />POLICY <br />LOC <br />B AVTOMOBILH LIABILnY $621070 <br />10/SB/30 10/1B/11 <br />ANYAVTO <br />GOMJJINEO SINGLE UAVi <br />(Ea accidan0 $1.000, 000 <br />ALL OWREO AVT09 <br /> <br />X SGHEOULEO AUTOS <br />X BODRYINJURY <br />(Par Pe.sonj g <br />HIAEDAVYOS <br /> <br />X NON-0WNEOAVTOS <br />ORM DOORYINJURY <br />)Par ocddenq <br />8 <br />._i <br />A.a TO AMAUE <br />i e° <br />e <br />E <br />R <br />a <br /> g <br />r <br />a <br />U <br />d g <br />DARAGS uaBlLln <br />? • AUTO ONLY-EAACCIDHNT g <br />ANYAVTO <br />ST ORCr <br />? OTHERTHAN EAACC 5 <br />? <br />g AUTO ONLY: <br /> AGG g <br />E%CH88NMBRELLA LGBILI7Y <br />Tlt EA <br />H <br />r.55`5 <br />OCCUR Q CLAIMS MADE ?` C <br />OCCURRENCE g <br />l / <br />1 /? <br />DEDUCTIBLE AOOREGATE g <br />g <br /> 8 <br />RtTENRON 8 <br /> <br />C WORXHR8COMPENBATONAND CPCA11919 OB/01/10 OS/O1/11 8 <br />X <br />EMPLOYERS' LIABILffY <br />ANYPROPAIETORIPARTNERIF)f ECVTNE E.L. EACHACCIDENT g1, 000, 000 <br />OFFICERR.IEMBER EXCLVOEO) <br /> <br />Ilyyaaa daambaunder <br />SPECW <br />PA EL DISEASE-EA EMPLOYEE 1,000,000 <br />g <br />. <br />D SIONSbelwv E.L. DISEASE-POLICYLIMIT 81,000,000 <br />OTHER <br />DEBCRIpRON OFOFER'ATONB l LOCATIONS/ V HHICLPS! BXCLUSIONa ADDED BY ENOORSSMBNT / BPHCIAL PROVISIONS <br />Certificate Holder is Additional Inaurad as pnr written oontraat por attnvhad policy form. Haivar of Subrogation applies <br />Primary Hon-Contributory wording app2las. <br />The Clty of Banta, it?a officara, agents, aa.pl oyaoa and volvntaara era named aD additional insured. <br />neeT'arlnw-ro u,.. ..e-r? <br />OP Santa Ana <br />20 Civiv Center Blaze <br />Banta Ana, CA 92702 <br />? VSA <br />-r•_ ?r co.r non-payment or prnmlam. <br />SHOULD ANYOF THE ABOVE DESCRIBHO POLICIa9 DE CANCELLED BEFORE THE EXPIRATR]N <br />DATE THEREOF, TiIH 199VIN0 INBDRER WILL LK/T>?](?I?()I?ldA1L. 30 ppy9 WptTTEN <br />NOTIC6 TO THE CERTIFICATD HOLDER NAMED TO THE LEFT, ?L>?I??p'{?'C11?jTq`(?X <br />19570449 ? <br />EXHIBIT C