ORANGE COUNTY AUTO PARTS - 2011 - Laserfiche WebLink

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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE/DDI ,M !2012 01 /2233 12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RAY WEISSINGER, AGENT LIC. #00333229 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE STATE FARM INSURANCE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5922 WARNER AVENUE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HUNTINGTON BEACH, CA 92649 INSURERS AFFORDING COVERAGE NAIC # INSURED O INSURER A: State Farm General Insurance Company 25151 25151 RANGE COUNTY AUTO PARTS, INC. 515 E 1ST STREET INSURER B: . SANTA ANA CA 92701-5318 INSURER C: , INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD' U) TYPE OF I SURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYI POLICY EXPIRATION AT (MM/DDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea o.curence $ CLAIMS MADE 7 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ X POLICY P JEC RO LOC AUT OMOBILE LIABILITY 1255307-D01-75 04/01/2011 04/01/2012 COMBINED SINGLE LIMIT E id $ 1 000 000 00 ANY AUTO 125 5320-D01-75 04/01/2011 04/01/2012 a acc ent) ( , , . X, ALL OWNED AUTOS 125 5312-D01-75 04101/2011 04/01/2012 SCHEDULEDAUTOS 125 5307-DO1-75 04/01/2011 04/01/2012 BODILY INJURY (Per person) $ HIRED AUTOS 125 2389-DO 1 -75 04/01/2011 04/01/2012 X NON-OWNED AUTOS 1256776-D01-75 04101/2011 04/01/2012 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND STATU- OTH- WC EMPLOYERS' LIABILITY T I IT ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes describe under E.L. DISEASE - EA EMPLOYEE $ , SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Ca 92701;its officers,employees, agents, volunteers and representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. Primary and non contributory with any other insurance carried by or for the benefit of the additional insureds. THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 20 CIVIC CENTER PLAZA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN P.O. BOX 1988 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL SANTA ANA, CA 92702-1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE --- -- %_ -, CO ACORD CORPORATION 1988