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CERTIFICATE OF LIABILITY INSURANCE nA-[IMn^noYvvvl
<br />�_- 4�14�2011
<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 />IMPORT
<br />OLDER.
<br />IMPORTANT; It the certificate holder is an ADDITIONAL INSURED, the po3icy(ies) must be endorsatl. IP SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cern Ficaic docs not confer rights to the
<br />certificate holder in lieu of such endorsernent(s)"
<br />PHO QIJC: LF? CONTACT JEc"
<br />(`6,}i rale DL'\leb3e rt
<br />NANLE:
<br />E 13 zabattl Souther Tnsuran ce Grou HNONE 136 544.._B273
<br />29395 Agoura Rd anoaess: 7druebe rt��elizab<_tk-as vu Ghcr-com
<br />Suite #202 PwooucER 00000923
<br />cu..0
<br />Ag{S - HMS CA 91301 INSUP.Eri15)AF4OHDING COYEwAGE rJA1C#
<br />Irvsu wED
<br />—A F±—t- Mercury To ranee Company 1.06.57
<br />PBC Hc1da.ng Corp Inc; Pacific Building Care
<br />INsuwEw w:Pl-kilade 1phia Sndemnity fns Co 17305£3
<br />Inc; PSC .Phoenix Inc_; PBC Commercial Cleaning INsu HERc National Union Fire T— Co 194.55
<br />Systems inc; PBC Solution One T—; PBC ASD Tnc INsunew n;Trava le rs P—P Cas Co o£ Amer 25674
<br />3080 Ai rwa.y Avenue, Ste 101 INsuwER F;Hart£ord Fire Snsurancc Co 19682
<br />Costa Masa CA 92626 ...... ...___
<br />1-12GT- AU CR 10-11WC UM
<br />>❑t I� IU �.I I<II-Y IH41 1111 NSUHANGL USIL"J BELOW HAVE. BEEN ISSULL) 10 lHL iN6UHED iJAMk_IJ -t- 1 C.,H THi-
<br />V'JLIGY F'I 'slVv
<br />INDICATED. NOTWITHSTANDING .ANY RFQUIREMHNT. TERM OR C:ONDIT!-ON OF ANY CONTRACT O:? OTHER DOCUMENT
<br />V�'l1ii ryl -:,FEC']"
<br />Ti.N1-.IC:1 TMS
<br />ERTAN, THF INSURANCE AFFORD ED BY THE POLICIES DESC
<br />G ERT I9ICAIL MAY BE ISSUED OR MAY R '-
<br />WHRIRFD ILIN 'H SLEkCT TO
<br />JJl-
<br />ALL IL '1'I ir./'"S"
<br />EXCI I; IONS AND CONDI i ONS OF SUCH POLICIES- 11h4TS Sr; 01MN MAY HAVE SEEN REDUC'_v BY PAID CLAIMS.
<br />rlSw ADDL.ALIBR POLICY EFF POt EGV FXP
<br />_Tw TYPE nF'INSUHANCE___-_-_....... INSF WYII;_.. POLICY NUMBER �MM:DD:YYYV,.._..iMM n O'YY_Y_Y
<br />LIMIT^
<br />CEN Ew AL. LIA RIL.ITV
<br />ra':n cccu Hwe NCL :I.
<br />1, 000, 000
<br />'X CLJMhfiEI L"91 s - ill LIABILITY
<br />1 ik II ,. _ 9:
<br />IF1-3L` 11v151 C cLmn
<br />5o.000
<br />Al, (pLHUN 4. rnADC'. X OC:Cur: X PMM1024873 3/1/2011 3/1/2012
<br />1n.:1, l- ,,, .: uc r,S 'I:
<br />5,000
<br />X n..rr or.6 .m3s sion�
<br />! 1 bOrt`A i:� mea-?� 'L
<br />1, COO, 000
<br />X V.i ca Yi Dais
<br />O+11. f:. P.AI /11,-11-11_ :L
<br />2, UOO, -)QD
<br />2, 000, L00
<br />.
<br />X Pp LIG i' P -I' - 'i LCJt'
<br />._ ._'_a.G
<br />All rOM061LG LIABILITY
<br />!,lJ VISINE! •+r r,i Ltl1^
<br />1 BDD 000
<br />OLILI TJ I.I il'nrp ,i ..
<br />B A. ;w'N, 1L TOSS --695536 3/1/2011 3/1/2012
<br />,_IzpU1 Q IJTOC>
<br />X LRLD AJT04
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<br />X 1'L�N CIV I If, 4.iJ Ta'—:S
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<br />1,oco,Ooc
<br />XX UMBRELLA LI��r
<br />_ A6 c'c:C,l rr �
<br />r/a I, �', Trll^,r. [:.
<br />5.000,000
<br />ii— IlAa CLnmis
<br />AUOi;i oA u,.
<br />5 , o o o , 00 0
<br />'. clnuc:TI:'il r
<br />C X H["EN 11Ca\ Y. 10 DDD 4E251200 10/5/2010 10/5/2011
<br />- ---
<br />D WORK ERS COMPENSATION � _-- _
<br />X l:a LCi I, , I
<br />AND EMPLOYERS LIA6ILITY Y !N_
<br />TJFY 1 Anlf5 1 N
<br />F! iCl{gI TYII'PII TNL"I LXECLITIV-
<br />Li CN Al /a '; IiEfa'1'
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<br />o nC r +r_u BI r, r x:;wl)i La Y N/A.
<br />c]s3120142210 s/4/zo].o s/4 /zc,11
<br />-,I�r��1 r..11.nl r ,
<br />1, Doo, 000
<br />oe.,c.1. 'I CJ Ir 1AerJA1 uN, .•lou, _ __srr
<br />_3
<br />r rc/ icv it I �:
<br />.. _
<br />1,...c200,'JO
<br />_ -
<br />.
<br />E 1s't & 3rd Party 1---'T2IIDDEZ3059RB 3/1!?_011 3/]/2012
<br />1„11..
<br />$250, OOC
<br />Employee.
<br />D- i-s_h__-oety .._.._'._..... __.__ -
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<br />O_C- _C
<br />vCRTNOVHK(AL'n:h ACORD 101Adiiaal
<br />T*Tae City o£ Santa Ana, its c�£f.i.car.s, agents, and employees are named as Addi.t.ional Y.n.^.ured, but only a�
<br />respc<.-.ts
<br />GenEral 1. i.ab3li. i'.y _ nq aut a£ the operations o£ tkae Named Tnsvredpar form CG 20
<br />s "lsl
<br />1.0 OT 04
<br />.:ae Goner. al.
<br />Mn Gerae ra]- ]','i.ab'. l.ity Pol iry sno Ing ThcL.ity
<br />Luba lity pct cy Primas,y
<br />�7(Q2/2DU`8)ratt ached.Ygc�ther
<br />as Namc.a Tnsys.ed pP form jL"tfXt teve Testa is exclude3 from
<br />.-k--
<br />ovaraq.
<br />x t .. , _... .....
<br />SHE E ANY TI THE ABOVE DESCRIBED TICS I[iW WILL
<br />CANCELLED LED RED IN
<br />' THE EXPIRATION DATE THEREOF, NOTICE l^/Il L 6E DELIVERED !N
<br />T'1, City of Santa Ana'` ACCORDANCE WITH THE POLICY PROVISIONS,
<br />F.ttn : 'Purchasing Department __._ ........_.... _........_._... ..__.. ___
<br />26 Civic Center Plaza. AUT.ionlzEn HEPRFSENTATI`sE
<br />Santa Ana, CA 92-101
<br />Bruce Monteith/JD �- `"'"
<br />ACORD 25()009!09} CC? X988-2009 ACORD CORPORATION. All rights reser' d.
<br />INS025 ,.,.,o.r, Th. ACORD name and log. are regi stored marks of ACORD
<br />
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