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<br />-DE(MMIDO/YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCEAT
<br />0211 W 12
<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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 315-437-2821
<br />Affordable McLaughlin Kehoe
<br />Insurance Agen - 315-437-5272
<br />PO Boar 130 ! 223 W Manlius St.
<br />Fast Syracuse, NY 93057
<br />Robert L Edlck, Vice -President
<br />NAME:
<br />P E
<br />ie- Eidf --- - -- No :
<br />ADDREsa:
<br />D PKOD -DUKES-1
<br />UR
<br />INSURE S AFFORDING COVERAGE ,AIC M
<br />INSURED Dukes Root Control, Inc &
<br />INSURER A , Hay Fargo Insurance Co 20508
<br />Dukes Sales & Service, Inc.
<br />1020 Hiawatha Blvd West
<br />Syracuse, NY 13204
<br />,NSURERa:Continental Casual
<br />INSURER C _ Hartford Life
<br />EACH OCCURRENCE S 1,000.00
<br />INSURER D -
<br />INSURER E :
<br />INSURER F
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH 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 />LTIR
<br />TYPE OF INSURANCE
<br />City Of Santa Clara
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />POLICY NUMBER
<br />AUTMOR ZD REPRESEN--nvE
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE S 1,000.00
<br />A
<br />X COMMERCIAL GENER(�AL LIABILITY
<br />CLAIMS -MADE L� OCCUR
<br />C6004239018
<br />01101112
<br />01101113
<br />PREMISES Ea occumince $ _ �100•00
<br />MED EXP (Anr ane ) S 5,00
<br />PERSONAL S ADV INJURY S 1,000,00(
<br />X Pollution Liab
<br />PREMISESIOPP
<br />X Contractual Liabi
<br />GENERALAGOREGATE S 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS-COMP/OP AGG S 1,000,00
<br />POLICY X PRO- LOC
<br />S
<br />A
<br />A
<br />A
<br />A
<br />AUTOMOBILE LIAMI ITY
<br />X ANY AUTO
<br />X ALL OWNED AUTOS
<br />X SCHEDULED AUTOS
<br />X HI REDAUTOS
<br />C1002378701
<br />DED-' 1000 COMP
<br />DED -31000 COLL
<br />01/01/12
<br />01/01/13
<br />COMBINED SINGLE LIMIT
<br />a 1,000,00
<br />IBODIILLYtlINJURY
<br />(Por Penson) S
<br />BODILY INJURY (Polaweenp S
<br />(Pe�a�coRa (DAMAGE $
<br />A
<br />X NON-O—ED AUTOS
<br />S
<br />S
<br />UMBRELLA LIAR X OCCUR
<br />EACH OCCURRENCE 5 10,000,00
<br />AGGREGATE S 10,000.00
<br />B
<br />EXCESS LWa CLAIMS -MADE
<br />2090460194
<br />01/01/12
<br />01101,3
<br />OEDUCTIBLE
<br />S
<br />X RETENTION S 10000
<br />S
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY1
<br />N
<br />ANY PROPRIETOR/PARTNER/EXECVTWE VIM
<br />(M—d ory In BER E%CLU DED9
<br />(Yentlatory In NH)
<br />N I A
<br />WC274575957
<br />01101112
<br />01101/13
<br />X NSC STATD- TK
<br />E.L. EACH ACCIDENT $ 1,000,00
<br />E.L. DISEASE -EA EMPLOYEE S 1.000,00
<br />H Jras. des<nbe untler
<br />DESCRlPTlQY OF OPERATIONS bebw
<br />E.L. DISEASE -POLICY LIMIT S 1,000.00
<br />C
<br />Disability
<br />2Pa399BA3AA
<br />01101,2
<br />01/01,3
<br />StaWtory
<br />'A
<br />Stop Gap
<br />C6004239019
<br />01/01112
<br />01101,3
<br />IV,
<br />F,i7� lars
<br />O�ESCWPi�oN OF, ERATON9I LCVnONSI VEHICLES (ANach ACORD tel AtltlNlenal RelrlarLLa aehMWe, N mere space Is npulretl)
<br />G1 01 Sanfa Orite)
<br />CA, lta off cars, agents, vOluntOOM and empi.yess are
<br />included as additional insureds on a primary basis With respect to general
<br />liabill%-30 days notice of cancellation or materially reduction in policy /
<br />limits applies ,
<br />sed
<br />SANTACL
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City Of Santa Clara
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />220 South Daisy Ave.
<br />AUTMOR ZD REPRESEN--nvE
<br />Santa Ana, CA 92703
<br />W 1908-2009 ACORD CORPORATION. Alt rgnt6 reserved.
<br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
<br />
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