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: %- a4COR0 CERTIFICATE OF LIABILITY INSURANCE <br />"' <br />DATE(MM/DWYYYY) <br />06-26 -2010 <br />PRODUCER <br />CalCoast Insurance Agenry <br />P; O.. Box 1070 <br />L "os I�lamitos, CA. 90720 <br />-- -- - <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 />YN §VRED GOlden Bell PTOdUCts Inc. <br />1200 N. Jefferson Avenue fqN <br />Anaheim, CA 90720 <br />INSURER A: MerCU (IaSUa COm all <br />-- - <br />INSURER s: State Com ensation Insurance Fund <br />GENERAL LIABILITY <br />wsuRER c. <br />INSURER D' <br />EACH OCCURRENCE <br />INSURER E: <br />�' • � y <br />ACit1 <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 POLICES 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 <br />DD' <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIIAII"S <br />-- - <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />�' • � y <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />S <br />$ <br />1 P'i[ <br />CLAIMS MADE � OCCUR <br />MED EXP An one <br />PERSONAL 8 ADV IWURY <br />$ <br />pp <br />'!'r� <br />���? <br />_ <br />� � <br />� <br />GENERAL AGGREGATE <br />S <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />PR0. LOC <br />PRODUCTS - COMP/OP AGG <br />< };+ <br />�'11 <br />3. <br />"�• <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />CCA0001840 <br />10- 142010 <br />10. 142011 <br />COMBINED SINGLE LIMrI <br />(Eaatadenq <br />s 1,000,000 <br />BODILY INJURY <br />(Per person) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />X <br />BODILY INJURY <br />(Per acridenl) <br />S <br />� <br />"- <br />HIRED At/TOS <br />NON -0WNED AUTOS <br />�. .� ; ' � - <br />� ` <br />� <br />X <br />- " -- <br />PROPERTY DAMAGE <br />(Per acddent) <br />$ <br />GARAGE UABiLrrY <br />_.. - _ _ "_,__..- <br />-�,� <br />__ <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />S <br />ANY AUTO <br />_� -� . — <br />• • - - - v., t _ <br />���� `' � �- ` <br />S <br />EXCESSAIMBRELLA <br />LUU3ILITY <br />� � <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />' - <br />OCCVR � CLAIMS MADE <br />$ <br />_ <br />�_ <br />"_ <br />$ <br />� �; <br />� <br />DEDUCTIBLE <br />RETENTION S <br />S <br />_' + <br />_ <br />WORKERS COMPENSATION AND <br />!EMPLOYERS' LIABILITY <br />)4NV PROPRIETOR/PARTNER/EXECUTNE <br />171403410 <br />10- 042010 <br />10- 042011 <br />X WC STATU- OTH- <br />E_L. EACH ACCIDENT <br />S 1 Oo0 000 <br />E_L DISEASE - EA EMPLOYE <br />S i OOO OOO <br />" "e,'� <br />' �' -' <br />, O_ F_FIGER/MEMBER EXCLUOEU? <br />' . desufbe Ind N below <br />E_L_ DLSEASE - POLICY LIMIT <br />S i 000,000 <br />OTHER <br />'DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />:T-tie -City of Santa Ana,iYs officers, employees, agents and representatives are additional insureds <br />10 day notice of cancellation for non - payment of premium - <br />We have R nested that the Certificate Holder be listed as Additlonal Insured. <br />City of Santa Ana <br />Attn: Cesar Barrera <br />_ __ _ .. 20 Civic Center Plaza, RM 429 <br />� Santa Ana, CA. 92702 <br />Fax: 714647 -3345 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU7 FAILURE TO DO SO SHALL <br />IMPOSE NO OBUOATKNJ OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />