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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS OPOTICIrATC nnce unT AeelolllATlwel V ne 1Jer ATnio1 V Auvun v r =un ^_ . e ACORO CERTIFICATE OF LIABILITY INSURANCE DATE MM 01'1'VY) 3/30/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Associates of Northern California 1550 Parkside Drive, Suite 120 Walnut Creek CA 94596 NAME:C Stacey Smith PHONE (925) 934 -0505 FAX . (925) 977 -1591 AJc E'A1aL .samith @ia— com.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Travelers Prop Cas Cc of Amer 25674 INSURED Downey Vendors, Inc. /v �OwIJ —Q'yy 6814 Suva Street Bell Gardena CA 90201 INSURER B:Nationwide Mutual Ins CO 23787 INSURERC:Great American Insurance Cc INSURER D: INSURER E: $ 1,000,000 INSURER. F: $ 100,000 COVERAGES CERTIFICATE NUMBER:2012 -2013 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. -IM:TS SHOWN MAY HAVE BEEN REDUCED DY PA;D CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/OLIIYWYI POLICY EXP MI D/YVYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISESEao_ca_1re_n_m_ $ 100,000 X COMMERCIAL GENERAL LIABILITY A 1 CWMS 6IPDE 51 OCCUR I 6603B564582TIL12 17/1/2012 4/1/2013 y ".EC E %P (Any one PCrscn) Is 5,000 PERSONAL B ADV INJURY $ 1,000,000 G NERALAGGREGATF $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X .POLICY PRO_ LOC $ AUTOMOBILE LIABILITY COM81N D 100E LIMIT Ee accident 11000,000 X BODILY INJURY (Per person) $ B ANYAUTO ALL OVAED SCHEDULED kCPBA78055815260 /1/2012 /1/2013 AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NOwOVNJED AUTOS PRUPERfY t)_ 1AGE Per acc9pn $ Unmsuredmatonst combined S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ L. EXCESS LIAB _ Y CLAIMSMAD_E DED X RETENTION$ 10,00 BU019923501 /1/2012 /1 /2UL3 $ A WORKERS COMPENSATION X VAC STATU- OTH- PIZ AND EMPLOYERS' LIABILITY Y/ N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMBER EXCLUDED? i (Mandatory in NR) NIA IJUB1215L86712 /1/2012 /1!2013 E. L. DISEASE - FA EMPLOYEE $ 1,000,000 If yea, da.il,c under I E.L. DISEASE- POLICY LIMI f $ 11000,000 DESCRIPTION OF OPERATIONS below I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remark. Schedule, Kmom apace is required) Santa Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard and Santa Ana Library of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured per attached form #CGD2480805 as respects work pRFfij by the named insured. Primary wording applies to General Liability per attached £ctm'#CGD0370405• U O �y Laura SI't1 9hecdy City of Santa Ana Assistant Ci(y AttorncY 20 Civic Center, 8th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Smith /SSMITH —A tme —" ©1988 -2010 ACORD CORPORATION. All no reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD