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ACORN, CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER g49. 756. $730 FAX 949.7$6.5740 THIS CERTIFICATE IS ISSUED AS A <br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS U. <br />CA?LiC. #0C7748$ HOLDER. THIS CERTIFICATE DOES <br />)i scovery ALTER THE COVERAGE AFFORDED <br />Irvine, CA 92618 <br />INSURED De<ra-L?te In ustrT <br />3102 W. Alton Ave. <br />Santa Ana, CA 92704 <br />ND OR <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURER A: Golden Eagle Ins Corp 10836 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSVRER E: <br />--- ? - >=wvv-rlscvc occrv ISSO CL)-1'o"THt INSURE?f.L41V1ED-ABOVEFOATRE POL .NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EF TI E <br />DATE MM/DD/YYW POLI Y EXPI <br />DATE MM/DD/YYYY <br />LIMITS <br /> GENERAL LIABILITY <br />X CBP3094292 04/08/2011 04/08/2012 EACH OCCURRENCE $ 1, QQQ ? QQQ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ $t)t) D?0 <br /> <br />A CLAIMS MADE ? OCCUR MED EXP (Any one parson) $ 10 , QQQ <br /> PERSONAL 8 ADV INJURY <br /> $ 1 ,QQQ ,QQQ <br /> GENERAL AGGREGATE $ 2 OOO <br />QQ <br /> <br />' , <br />Q <br /> GEN <br />L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , OOO ,QQQ <br /> POLICY jECT LOC <br /> AUT OMOBILE LIABILITY BA3094288 04/08/2011 04?0$?2U12 <br /> <br />X <br />ANYAVTO <br />? COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br /> <br />' 1,000 000, <br />? <br /> <br /> <br />A ALL OWNED AVl <br />OS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) -i <br />,b <br /> X <br /> <br />X HIRED AUTOS <br /> <br />NON-OWNED AUTOS <br />BODILY INJVRY <br />(Per aceldenp <br />$ <br /> <br /> <br /> PROPERTY DAMAGE <br />(Per ecdtlenl) $ <br /> GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br />' <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> E%CESS! UMBRELLA LIABILITY CU8763726 04/08/2011 04/08/2012 EACH OCCURRENCE $ 2 ,QQQ QQD <br /> X OCCUR ? CLAIMS MADE AGGREGATE $ 2 , oD0 ? t)OD <br />A <br />? $ <br /> DEDUCTIBLE ?® 1j Q $ <br /> X RETENTION $ ? $ <br />' WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y, / N <br />? ??? ^ _ <br />TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />R EXCLUDED? ? <br />MF <br />ld <br />E <br />- - <br />. <br />OR?iK <br />E.L. EACH ACCIDENT <br />$ <br /> ( <br />an <br />atory I <br />n NH <br />If yes, describe under ?OjA S <br />T <br />pttor?e E.L. DISEASE-EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below ` C1ty E.L. DISEASE -POLICY LIMIT $ <br /> OTHER Asc? <br />DESCRIPTION OF OPERATIONS f LOCATION8 /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />he City of Santa Ana its officers, employees, agents, volunteers and representatitives are named as <br />dditional insured if required by written contract per attached CG2037 0704 <br />'`Re: Notice below: 10 da s noti_c_e for non-aavment of premium <br />I.CK I Ir'1t+A I G 1"IVLLICK CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL "`3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />City Of Santa Ana REPRESENTATIVES. <br />2? Cl Vi C Center P7 aza AUTHORIZED REPRESENTATIVE <br />Sa to Ana, CA 92701 Alfonso Galvez PATH ??'"?? <br />4CORD 25 (2009!01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />I"he ACORD name and logo are registered marks of ACORD