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Ate' ?! CERTIFICATE OF LIABILITY INSURANCE
<br />D" a,'NYM
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT- If 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 Wells Fargo Insurance Setvioes USA, Inc.
<br />CA DOI Uc. f/OD08408 (916) 231 -1741
<br />we OT
<br />PHONE
<br />MAIL
<br />11017 Cobblenocit Drive, Suite 1DO
<br />PRODUCER ziMiNOU -oi
<br />Rancho Cordova, CA 95670-6049
<br />INSURe s AFFORDING COVERAGE FIN 0
<br />INSURED Zl m Industries, Inc. DBA:Bakera0eld Well S Pump Company
<br />4545 E. Lincoln
<br />INSURER A: zu" American Insurance Cc
<br />16535
<br />INSURER a -. Filematl's,Fund. Insurance Co an
<br />21.873
<br />IHeunut c : Or)oBemon insurarm C xn n - - -- . ..........
<br />S 10,000
<br />MU D:
<br />I f,000,0W
<br />INSURER E f
<br />GENERAL AGORECIATE
<br />..... _
<br />Fresno, CA 93725
<br />E
<br />PRODUCTS•COUNOPAGO
<br />S 2.000.000
<br />I. Vmnm"l .7 (:FFfIIFI(`a Tai I11111HeiF ft• z"Minz.] MG IMIA MIR -Mn. 4m M.J,.,.,
<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 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 />INTR
<br />TYPE OF INSURANCE
<br />WV5
<br />POLICY USER
<br />POUC
<br />UCY
<br />LRAiTB
<br />A
<br />GENERALLIAeiL"
<br />X COMMERCIALGENERALLIABILITY
<br />CLAIMS -MADE Q OCCUR
<br />GLO831166207
<br />3-1 -11
<br />3 -1 -12
<br />EACHOCCURRENCE
<br />6 1,000000
<br />$ 100,000
<br />MED S(P ons
<br />S 10,000
<br />PERSONAL d ADV RIR/RY
<br />I f,000,0W
<br />GENERAL AGORECIATE
<br />4 2,000,000
<br />GENtAGGREGATEUMIT APPLIES PE)4:
<br />POLICY X PRO. LOC
<br />PRODUCTS•COUNOPAGO
<br />S 2.000.000
<br />S
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />ALL OWNEOAUTOS
<br />SCHEDULEDAUTOS
<br />HIRED AUTOS
<br />NON-OWNEDAUT03
<br />BAP8311663Q7
<br />3-1 -11
<br />3 -1 -12
<br />COMBINED SINGLE 1.1161117
<br />(E• eccided)
<br />S 1,000.000
<br />X
<br />BODILY INJURY (for poram)
<br />$
<br />BOOILYIKUURYIPw wcldenl)
<br />S
<br />X
<br />X
<br />PROPERTY DAMAGE
<br />(PwomideM)
<br />S
<br />$
<br />$
<br />UMBRELLA UAB X
<br />EXCESS LIAR
<br />OCCUR
<br />CLAIMS-MADE
<br />SSE 000 5756 6657
<br />3.1 -11
<br />3 -1-12
<br />EACH OCCURRENCE
<br />9,000,000
<br />AGGREGATE
<br />9,000,000
<br />DECUCTRILE
<br />RETFUTIO14 S
<br />S
<br />S
<br />A
<br />WORKERS COMPEWATION
<br />AND EMPLOYERS' LIABRITY
<br />ANY PROPRIETORIPARTNERIEkECIE YIN
<br />0FFWZFVMEM5rR"CLUDED'1
<br />(MendalorylnNH)
<br />It de9tflbe under
<br />OF O ERAn below
<br />NIA
<br />WC831166107
<br />3 -141
<br />3-1.12
<br />X I WCSTATLL O
<br />E.L. EACH ACCIDENT
<br />S 1.000,000
<br />EL- DISEASE - EAEMPLO
<br />6 11000.000
<br />E.L. DI - POLICY LIMIT
<br />$ 1,000,000
<br />C
<br />C
<br />C
<br />IrIS11dMNoNBuidsn Risk
<br />RentedAASA d Equlpnwrd
<br />Scho&W Equipment
<br />1
<br />710026181.0002
<br />710026181-0002
<br />710026181.0002
<br />3-1.11
<br />3.1.11
<br />3-1.11
<br />31.12
<br />31 -12
<br />31.12
<br />$1,000,000
<br />$100,000
<br />612,041,610
<br />DESCRIPTION OF OPERATION81 LOCATIONS IWHICLES (At" ACORD 101, Additional Rwmks schedule, N nW$ epwn to required)
<br />City of Santa Ana, its officers employees, agents, volunteers and representatives are named as Additional Insured on the General Liability policy per the
<br />form UOL1176DOW32007 allached, Primary and non- con6tu" wo
<br />Ili
<br />City of Santa Ana U " I , �i�CCi `. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />PWA, Water Resources `ltt t::'' -`., THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />220 $. Daisy Avenue (M-85) : `, C ' ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92703 AVTNORIZED REPRESERTATME
<br />WWI The ACORD name and toad are rArlil¢lnrllrl marks nt A[ nt2n ®'1988 -4008 ACORD CORPORATION. All riahts mearvod_
<br />low
<br />-N
<br />
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