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DATE (MM /DD/YWY) ACOl�O ERTIFICATE OF LIABILITY INSURANCE 03/30/2011 PRODUCER 92 S . 934. OSOS FAX 92 S .977.1591 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Associates of Northern CA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 Parkside Drive, Suite 120 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek, CA 94596 INSURERS AFFORDING COVERAGE NAIC # Downey Vendors, Inc. wsuRERA_ Travelers Prop Cas Co of America _ _ 6814 Suva Street INSURER e: Great American Insurance Co Bell Gardens, CA 90201 INSURERC - -- INSURER D: [']AVFRArAFC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTVE DATE MM /DD/YWY POLICY EXPIRATION DATE MM /DD/`!Y`/Y LIMITS AUTHORIZED REPRESENTATIVE GENERAL LIABILITY I6601430C752TIL11 02/09/2011 02/09/2012 EACH OCCURRENCE $ 1, 000, 00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ` -_ ' OCCUR PREMISES (Ea occurrences_ $ _ _ 10p , pp MED EXP (Any one person) $ S , 00 A PERSONAL 8 ADV INJURY $ 1 , OOO , OO _ __ _ _ GENERAL AGGREGATE $ 2 , 000 , OO _ _ _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , OOO , OO X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea eceitlanp $ $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) -- �� - — — -�� BODILY INJURY (Par accitlent) HIRED AVTOS NON -OWNED AUTOS �� $ PROPERTY DAMAGE (Per accitlent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: qGG EXCESS /UMBRELLA LIABILITY SBU019923 SOO 02/09/2011 02/09/2012 EACH OCCURRENCE $ S , 000 , 00 X OCCUR � CLAIMS MADE AGGREGATE $ S , 000 , OO B g $ DEDUCTIBLE X RETENTION $ 10,00 $ A WORKERS COMPENSATON AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) IJU61215L86711 04/01/2011 04/01/2012 X __. _TORY LIMITS ___ ER E.L. EACH ACCIDENT _ ___ _. _ $ 1 , OOO , OO E.L. DISEASE - EA EMPL 1 , 000 , DU If yes, tlescriba untler SPECIAL PROVISIONS below E.L. DISEASE - P [L IT $ , UDU , DO OTHER �`� a� obey DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS a� dal ity of Santa Ana is named as additional insured per attached form #CG2 11019 e,s �C,i S`��f'�� o�°S P Se 10 Da for a ment non- a ment of remium AG VKU "!5 (lVU7i /Ul) V l'Jtltl -LUU`J AGVKU GVKYVKAI IVN. All ngnts reserves. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '�` 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CT ty of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 CIVIC Center, 8th Floor REPRESENTATIVES. Santa Ana , CA 92702 AUTHORIZED REPRESENTATIVE Stace Smith SSMITH AG VKU "!5 (lVU7i /Ul) V l'Jtltl -LUU`J AGVKU GVKYVKAI IVN. All ngnts reserves. The ACORD name and logo are registered marks of ACORD