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DATE (MMVDDVYYyy) <br />Ac<>Rtf CERTIFICATE OF LIABILITY INSURANCE <br />} <br />w-/, —' <br />PRO4e <br />OPIDEC <br />DECKS -2 09/30/J <br />valley Service, Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />LicenseM 0566246 ` <br /># 9566246 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />800 S. Barranca Ave, Suite 200 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />Covina CA 91723 <br />BELOW. <br />Phone: 626-966-3664 Fax: 626-966-3895 <br />INSURERS AFFORDINGCOVERAGE <br />INSURED <br />NAIC # <br />A 00 C) --/31 <br />—/31 <br />INSURER <br />Enetcentric DBA: Deckside Pool <br />INSURER B: t, I-- 33189 <br />Service -------- <br />1547 W. Struck, Unit E <br />INSURER C: The Hartford Insurance Co. 29424 <br />INSURER D, of the Midwest <br />Orange CA 92867 <br />INSR DDL <br />INSURER E <br />COVERAGES <br />THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO VSSCM THIS CERTIFICATE MAY BE <br />ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE: POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />OF SUCH <br />PAID CLAIMS, <br />INSR DDL <br />LTR NSRO TYPE OF INSURANCE <br />POLICYNUMBER POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIABILITY <br />DATE <br />OATE <br />LIMITS <br />B X X COMMERCIAL LIABILITY <br />W <br />MAX012009000523 <br />EACH OCCURRENCE <br />DAMAGE TO <br />$ 1,000,000 <br />09/01/10 <br />09/01/11 <br />RENTED <br />PREMISEs(FAAonAao) <br />CLAIMS MADE FX] OCCUR <br />3 100,000 <br />MED FXP(My —PHWA) <br />3 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />OENL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />S 2 , OOO , OOO <br />POLICY PRP <br />PRODUCTS-COMPWAGO2 <br />, 000 000 <br />JECT LOC <br />AUTOMOBILE <br />UAB IM <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(FA acdO�N) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per P•w„q <br />S <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(P*r ax dV*) <br />3 <br />. - <br />. <br />PROPERTYDAMAGE <br />(Px aooawlt) <br />S <br />GARAGE LIABILITY <br />ANY AUTO <br />� / <br />.// <br />AUTO ONLY - EA ACCIDENT <br />3 <br />t ... ._ l/-... <br />OTHER THAN <br />EAACC S <br />AUTO ONLY: <br />�— <br />AGO S <br />ExcEss / UMBRELLA LIABILITY <br />OCCUR ❑ <br />EACH OCCURRENCE <br />$ <br />CLAIMS MADE <br />AGGREGATE <br />$ <br />EDUCTIBLE <br />S <br />RETENTION S <br />3 <br />COMPENSATIOROYERS. <br />LIASI(mW <br />t <br />e STATU- <br />OTH• <br />IETORIPARTNERF-XECUTIVE YIN <br />34WE-OG4050 <br />X TORYLISTSER <br />EMBER EXCLUDED? <br />02/19/10 <br />02/19/11 <br />NH) <br />E.LEACHACCID:NTIA <br />3 1000000 <br />d. <br />OVI IOE.L <br />OVISIONS MIOW <br />DISEASE -EA EMPLOYEE <br />3 1000000 <br />OTHER <br />E.L DISEASE - POLICY LIMIT <br />3 1000000 <br />IESCRIPTION OF OPERAYMS / LOCATNINS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />'ity of Santa Ana, its officers, agents, and employees are added as <br />additional insureds per the attached CG 20 33 07 04. Primary Wording applies <br />to the General Liability per form CG 00 01 12 07 Pages li and 12 of 16 <br />sttached *10 day notice in the event of cancellation for non payment of <br />premiums. <br />"-Nv^ L C nVLUtK <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92705 <br />25 <br />SANTA01 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DNCAU1W POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE SSUNG INSURER WILL ENDEAVOR TO MAIL <br />30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To DO SO SHALL <br />IMPOSE ND OBUOATIDN OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />REPRESENTATIVES. <br />0198 -2009 ACC <br />The ACORD name and logo are registered marks of ACORD <br />