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• • f <br />'4`co�Ra CERTIFICATE OF I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY Ali <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CON: <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLO <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURE[ <br />the terms and conditions of the policy, certain policies may requin <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER (888) 825-4322 <br />Bowermaster S Associates <br />P.O. Box 6026 <br />10805 Holder Street - Suite 350 <br />Cypress, CA 90630 <br />INSURED Hondo Company, Inc. <br />2121 South Lyon Street <br />Santa Ana, CA 92705 - <br />LET! <br />►BILITY INSURANCE DAT6/1/2011 <br />EI"MlDDIYY""' <br />Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />ITE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED <br />s poilcy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />endorsement A statement on this certificate does not confer rights to the <br />CO. <br />WSURER r: <br />f�e'fveo w•±ec ,V Ir W8URERF <br />- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO <br />GAPIGCLLA <br />RG �rlrV r• r�VR.00R] <br />HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDI <br />ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AF <br />OROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY <br />VE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCEIM <br />POLICY N M <br />ER <br />M OLICY EFYYJ <br />Y �p <br />7d= <br />LIMITS <br />GENERAL L44a1LITY <br />EACH OCCURRENCE I S 1.000.00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />X <br />LHA135408 <br />6/1/2011 <br />6/1/2012 <br />PREMISES E. aocvrenes S_ 60.00 <br />� <br />CLAIM9-MADE X I OCCUR <br />X BUPD Ded/OCC $6.000 <br />MED EXP (Any ons parson) $ 5.00 <br />— <br />- <br />PERSONAL 8 ADV INJURY $ 1.000.00 <br />GENERAL AGGREGATE s 2.000,0 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,0GC <br />POLICY X r LOC <br />f <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT S 1.000.00 <br />B <br />ANY AUTO <br />BA2AO92685 <br />6/1/2011 <br />6/1 /2012 <br />(Ea <br />BODILY INJURY (PW par�n) S <br />ALL OWNED AUTOS <br />BODILY INJURY (PW a ids ) S <br />SCHEDULED AUTOS <br />JX <br />- <br />_._._ <br />PROPERTY DAMAGE <br />(per ­ident) f <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />S <br />UMBRELLA LIAS <br />X OCCUR <br />EACH OCCURRENCE S 2,000.00 <br />C <br />EXCESS LIAMCLAIMS-MADE <br />---- - <br />NHA228267 <br />6/1/2011 <br />6/1/2012 <br />AGGREGATE S 2,000.00 <br />DEDUCTIBLE <br />------------_----- <br />S <br />f <br />RETENTION S <br />- <br />WORKERS COMPENSATION <br />X TATO- OTH- <br />D <br />AND EMPLOYERS' LIABILITY <br />_ <br />E_L_EACH ACCIDENT f 1.000. <br />— <br />ANY PROPRIETOR/PARTNERIEXECUTIVIE <br />OFFICERIMEMBER EXCLUDED? � <br />NIA ! <br />WC0001751900 <br />1/1/2011 <br />1/1/2012 <br />_._. <br />E.L. DISEASE - EA EMPLOYEE S 1,000.000 <br />tli% , ory In NHI <br />If yyes�� dssorfa untlar <br />DW6RIPTION OF OPERATIONS <br />below <br />E.L. DISEASE -POLICY LIMIT f 1.000. <br />I <br />DESCRIPTION OF OPERATIONS I LOCATKTNS /VEHICLES IAuaefi ACORD 101. AtldKbnal R <br />r1M Schedule. N naves spay Ie rsgWl J <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California <br />2701; Its offlCere, employees, agents, volunteers and representatives are <br />named as additional insureds with rlt5i15.W�a GerL5ralAL�abrftpJM <br />AAYYtY'I�CCCJJ <br />SG15017 1207; Primary wording is Included. <br />/�V r�� <br />gourd <br />luta Stitt Sheedy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana -" City AttOrnO THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />C/O Public Works Agency- The Depot ACCORDANCE WITH THE POLICY PROVISIONS_ <br />20 Civic Center Plaza, M-21 <br />Santa Ana, CA 92701- AUTHOR D REPRESENTATIVE <br />® 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and 1 o are registered marks of ACORD <br />