STREET LIGHT RESTORATION SPECIALISTS, INC.

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STREE-3 OP ID: KB CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDKYW) 08/31 /11 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an andorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER 916-326-46D0 Roberts & Phillips Insurance Services, Inc. 916-440-9794 1430 22nd Street Sacramento„ CA 95816 Jennifer Pittrn an INSURED Streetlight Restoration Specialists, Inc. NEE CT PHONE FAX fC No EXt (AIC. X No ; EgriE33. Aoo INSURER(S) AFFORDING COVERAGE NAIL s INSURER A: Colony Insurance Company INSURER B: Un ited Financial Casualty Co. 36927 INSURER C: 7189 Walnut Canyon Road INSURER D: Moorpark, CA 93021 INSURER E INSURER F rtGVl.�lvry rvumactc: 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER MM�D/YVYY MMAOIWYY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY X GL3961046 06/23111 06/23/12 EACH OCCURRENCE $ 1,000,00 PREMISES Ee occurrence $ 100,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE [X] OCCUR PERSON AL& ADV IN. RY $ 1,000,00 GENERAL AGGREGATE $ 2, 000, 00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 1,000,00 $ B AUTOMOBILE X LIABILITY ANY AUTO AALLUTOS NED X SCHEDULED AUTOS HIREDAUTOS J( NON -OWNED AUTOS 064131513 - 04/25/11 04/25/12 Ee eBBINEDtSINGLE LIMIT 1,000,00 BODILY IN.LRY (Par Parson) $ BODILY IN-URY (Per —dent) $ PRONE Y AMAGE Per eccitlent $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTVE OFFICERWEMBER EXCLUDED? storyb —d If y s escrib de and er WC STATU- OTH- $ N f A EL EACH ACCIDENT $ L E.. DISEASE - EA EMPLOYEE $ E.L- DISEASE - POLICY LIMIT $ Dyes DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHCLES (ACech ACORD 101, AddltlonN Remarks Schedule, If more space la requl�d ? iR City of Santa Ana, Its officers, employees, agents and representatives are named as additional Insured p[er attached endorsement - Laur ttit heedy Assist City Attorney �4.GLLFi r ,V IY CITYOFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana„ CA 92701 AUrHDRIZEDREPRESENTATvr Ag 00 1988-2010 ACORD CORPORATION_ A11 rlohts race—,4 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD