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ACOORV CERTIFICATE OF LIABILITY INSURANCE DATE(MMID DfYYYY) <br />�...--" 1 v02izo 11 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />Joseph D Walters Agency, Inc. NAME,: <br />2706 S. Park Road PHONE <br />.Exs} (412) $31 8222 FAX <br />E-MAIL ..... ........ . . ......... <br />Bethel Park, PA 1.5102^°naEss.......... <br />INSURER(S) AFFORDING COVERAGE. NAIL # <br />INSURER A: PEERLESS INSURANCE COMPANY 24198 <br />............ <br />INSURED HYDROBLAST & iCP & COMMERCIAL STEAM CLEANING INSURER e <br />Steve Amman & Rodney Ward _ <br />726 W. Angus Ave. Suite G <br />Orange, CA 928681300 INSURER D : <br />INSURER E . <br />COVERAGES rGeTtctrATc rtttuaocn. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR ADDL SUBR .. POLICY Eff- POLICY EXF <br />LTR TYPE Of INSURANCE POLICY NUMBER MWDDr YYY mmwiYYYY LIMITS <br />A GENERAL LIABILITY Y CBP9708503 04l0712011 04/07/2012 EACH OCCURRENCE $ 1000000 <br />_. _....... <br />COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED .1 C0o00 <br />- $ <br />� / PREMISES (Ea o curanca) ..3 <br />CLAWS-MADEV OCCUR <br />MED EXP IAry cre parson; 5000 <br />PERSONAL & ADV INJURY > 1000000 <br />- _... __... _..... GENERAL AGGREGATE $ 2000000 <br />tiEN't. AGGREGATE :.Ih-0IT APPLIES ?ER PRODUCTS - COMROF AGG $ 2000000 <br />?OLICY PROT LOC ......... _._ ... <br />AUTOMOBILE <br />LIABILITY COMBINED SINGLE LIMIT <br />ANY AUTO BODILY INu`URY (Per Pflrsan) $ <br />ALL OWNED SCHEDULED _._. <br />.AUTOS j ANON-OUTOSV{NEC BODILY INJURY IP'A r accello $ <br />.. ......... .._... _ <br />HIRE I A,I;':,S AUTOS <br />LA <br />OCCUR EACH OCCURRENCE S <br />XCESS LIAR _ CLAIMS -MADE _..... _ <br />B E <br />EXCESS <br />- ,. ...AGGREGATE <br />CED RETENTION 3 - '"F �_ ,r ` I a,', _. $ <br />WORKERS COMPENSATION Va'C STA?U- O'H- <br />AND EMPLOYERS LIABILITY YIN . " TDRY LIMITS ER <br />ANY PRGPRIE rOR,FA:-i NER;£XE'vUTI'sE ��r <br />OFF CERMENJB R ExCl-jCEC? ❑ NIA. 4 .n� E.L, EACH ACCIDENT 5 <br />(Mandatory In NH) l..-l' G� <br />.._... ..._ <br />OvSCRIPTiON OF OPE^F.ATIONS below - - El. DISEASE - POLICY LIMIT S <br />DESCRIPTION 0"r OPERATIONS t LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule,if more sPace is required) <br />CITY OF SANTAANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE LISTED AS ADDITIONAL INSURED ON GENERAL LIABILITY <br />BUT ONLY IF IT IS AGREED IN WRITING IN A CONTRACTOR AGREEMENT (SEE ATTACHED 22-132), INSURANCE IS PRIMARY AND <br />NON-CONTRIBUTORY ON <br />GENERAL LIABILITY. A30 DAY NOTICE OF CANCELLATION WILL APPLY EXCEPT FOR NON-PAYMENT WHICH IS 10 DAYS. <br />rCOTItCtY'ATC LRI Herr. <br />PARKS, RECREATION AND COMMUNITY SERVICES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />AGENCY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />26 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTAANA. CA92701 <br />AUTHORIZED REPRESENTATIVE <br />kw-tatsa-,dU-IU AF UKV UURPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />