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239 0. , <br />CERTIFICATE OF LIABILITY INSURANCE <br />I DATE,MMfoomIYY, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />n210112013 <br />THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMA'Q�IN 0" 01 C"� ER�tt t�j'iIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE 005S NOT AFFIRMATIVELY OR NEGATIVEL''SS AIMEND;`BXT, NO 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 ROLDER. � I ' 'I '? I` <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSU�ffp, the po0cy(ias),mUst; ba andorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may roquirsarl ehdorsement: A stef�inant on this certificate does not confer rights to the <br />certificate holder in lieu of such antlorsoment(a . <br />PRODUCER Phona: 760.745 -61$1 <br />NAMTA <br />Brouwer Insurance Agency <br />License # 0464226 Fax: 780.741.5305 <br />uc °N a ac <br />725 E. Valley Parkway <br />Escondido, CA 82026 <br />Na: <br />EDOfiESS: w <br />Jack Brouwer, CIO <br />INSURER S APPORpING COVERAGE NA104 <br />0210272013 <br />INSURERA:Ataig1 eaial Corn any 117165 <br />INSURED Hadronex, Inc. <br />INSURER a: State COmpensation Ins Fund <br />381 Engel Street <br />Escondido, CA 52025 <br />— <br />INSURER o: United Financial Casualty Comp 111770 <br />INSURERS: <br />�_ <br />INSURERS: t <br />INS RE F: <br />COVERAGES CERTIFICATE NUMBER: opv:elnel ND :unpeo. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE uSTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPEOFINSURANCE POLICY NUMBER MM0OIIYYYFY P OODIYYXYPY LIMITS <br />GENERAL LIASIUTY <br />I <br />! EACH OCCURRENCE <br />$ 2,000,00 <br />A <br />X COMMERuALGENERALL 1LITV <br />, - - -� <br />X <br />CIPi 63667 <br />0210272013 <br />02/021201$ <br />PREMISES (Eamarz�encei <br />$ 100,00 <br />CI.AIMS.MADE. OCCUR <br />MED UP Any one parean <br />$ $100 <br />PERSONAL a AOV INJURY <br />$ exclude <br />IGENERALAQGREGATE <br />2,000 00 <br />iGENLAGGREGATE LIMIT APPLIES PER <br />a <br />PRO- n <br />PRODUCT <br />i$ <br />S excluded <br />POLICY LOS <br />$ <br />AUTOMOBILE <br />LIABILITY <br />OMEINED 51—N —GLT LIMIT <br />(Ea awldant <br />1,000,00 <br />C <br />i <br />ANY AUTO <br />) <br />06264245 <br />0112612013 <br />01/26120141 <br />BODILY INJURY(Perperwn) <br />$ <br />IALLOWNEP SCHEDULED <br />AUTOS X AUTOS <br />NON -0WNED <br />I <br />1 <br />aOpILV INJURY /Per eceidnnry <br />$ <br />HIRED AUTO$ X AUTOS <br />PR R .DAMAGE <br />Peradddant <br />S <br />i <br />( <br />UMBRELLA LiAa ! / OCCUR <br />�... <br />EACH OCCURRENCE <br />S <br />IEXCESS <br />WAS T CLAIMS -MApfi <br />�, <br />i <br />AGGREGATE <br />- <br />1 <br />�T' <br />I DED RETENTION S <br />I <br />� <br />$ <br />$ �- <br />- WORKERS COMPENSATION <br />WCSTATU - <br />B <br />AND EMPLOYERS' UASIUTY YIN <br />; ANYPROP.41TORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑NIA/ <br />1187$467 <br />-2013 <br />10110112013'01)0112014' <br />l <br />OTH <br />E.L. <br />E.L. EACH ACCIDENT <br />iS 11000100 <br />I I(MaPdatoryln <br />NH) <br />lf Yas, tleavihe under <br />I <br />� <br />I <br />- <br />( <br />E.L. DISEASE E.EA EN7p�0yEE$ <br />1,000,00 <br />OESCRIFTION EOPE TIONS nolow <br />: <br />1E.L. DISEA6E- POLICY LIMIT <br />1,000,00 <br />� <br />i <br />i <br />DESORPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHaaNACORDIDI,Additlonol Remarks Sahedaia, It mamapaSP is regeiradJ <br />Certificate holder is named as additional insured per attached CG2010. <br />Primary /Noncontributing endorsement also attached (USF 001 387 0201) <br />APPROVED AS TO FORM <br />Assistant. City Attornev SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, <br />Purchasing Dept <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701.4010 <br />O 1908 -2010 ACORD CORPORATION. All rights reserved. <br />