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ACoRo� CERTIFICATE OF LIABILITY INSURANCE °A 11/8/2010 ' 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(les) 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 Phone: (7071996-2912 Fax: (707)996-7912 Apollo General Insurance. Agency, 1. P. 0. Box 1508 Sonoma, CA 95476 CONTACT Jerliee Lewis NAME: PHONE FAX fAIC.o. Ext1i IAC. AC No E-MAIL ADDRESS: jerileel@apgen.com PCUSTOMROTOMEER toR #_ J&GI001 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A : Interstate Fire & Casualty Company 22829 J&G Industries, Inc. INSURER B: The American Insurance Company 121857 18627 Brookhurst Street #302 INSURER c: Torus Speciality Insurance Company 44776 Fountain Valley, CA 92708 Westchester Surplus Lines Insurance Company 10172 INSURER D ; �P P Y INSURER E: ed statu INSURER F: PREMISES a occurrence $ 300,000 COVERAGES CERTIFICATE NUMBER: 52 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR LTR TYPE OF INSURANCE POUCY NUMBER MMI�DY EFF MM%DD CY EXP . LIMITS GENERALLIABIUTY DAN 1000187 II/1/2010 11/1/2011 EACH OCCURRENCE s 1,000,000 A ✓ COMMERCIALGENERAL LIABILITY CLAIMS -MADE F-1OCCUR. WA�NING Additional Irlsu ed statu Only PREMISES a occurrence $ 300,000 MED EXP (Arty one person) $ 5,000 1id if required by written contract executed PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 .O to J the loss. Coverage is d conditions in policy. imited t s per GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PFO JFCT LOC t PRODUCTS- COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE V( LIABILITY ANY AUTO 1V13{A80281583 11/1/2010 11/1/2011 COMBINED SINGLE LIMIT (Eaacddent) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTYOPMAGE $ (Per accident) $ NON -OWNED AUTOS $ C UMBRELLA UAB OCCUR 06803AI01AL1 11/1/2010 11/1/2011 EACH OCCURRENCE s 5,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS' LIABILITY YINr�SFR ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMB I $ I} Pollution Liability G22063959007 11/1/2010 11/1/2011 CeneralAggregate: 1,000,000 Contractors Polhaion: 1,000,00C DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) RE: Operations of the Named Insured. Additional Insured coverage is included if required by written contract per endorsement hereto. APPROVED AS 1.0 1�«ltN1 HOLDER 07 Holder's Nature of Interest: Certificate Holder .1. L =—= _ � Laura Al Sneed}` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ASStslan City' -fit:?Tri i` THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza - Ross Annes Santa Ana, CA 92701 AUTHORIZED E�pNTA `/ a fi/�Va ©1988-2009 ACOR15 CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD