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461(iF Alexander Spilger dba GreenStep Certificate of Insurance <br />(page 1 of 1) 02/02/2012 03:33:12 PM <br />'a, CERTIFICATE OF LIABILITY INSURANCE <br />DATE 2/2/202/20D/YYYY) <br />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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 <br />CONTACT <br />NAME: <br />BusinesslnsuranceNow <br />AJCNNo Ell: (800) 655-1714 ac No): (972) 390-8484 <br />1301 Central Expy. South, Suite 115 <br />Allen, TX 75013 <br />E-MAIL <br />ADDRESS: <br />PRODUCER <br />CUSTOMER ID M <br />INSURER(S) AFFORDING COVERAGE <br />- NAIC # <br />INSURED <br />INSURER A : The Hartford <br />30104 <br />INSURER B : <br />Alexander Spilger dba GreenStep <br />47 Willow Ave <br />Fairfax, CA 94930 <br />INSURER C : <br />INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSR <br />LTR <br />TYpE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />✓ COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 7 OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />A <br />Yes <br />46SBMBN6854 <br />1/17/2012 <br />1/17/2013 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />✓ POLICY F7 PE O-- LOC <br />I $ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />- R j ��,/y., �;} i <br />- - - - <br />i F' CJ <br />E � <br />I <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />NON -OWNED AUTOS <br />L� <br />_ <br />( $ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />Ass' c,-1? '�.�1[t'c -" <br />r,1";?' <br />- - <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEDUCTIBLE <br />—�_$ <br />I <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />.N/A <br />WC STATLI OTH- <br />T <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYES <br />$ <br />(Mandatoryin NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ <br />DESCRIPTION OF OPERATIONS below <br />i <br />I <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City of Santa Ana is named as Additional Insured with regard to the general liability coverage. This insurance is primary and non-contributory to any other insurance provided as respects general liability coverage. <br />Should any of the above described policies be cancelled before the expiration date, the issuing insurer will endeavor to mail 30 days written notice (10 days notice if due to non-payment) to the certificate holder <br />named below, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. <br />GER I iFiGA I E HOLDER CANCFI I ATIr)N <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Public Works Agency <br />ACCORDANCE WITH THE POLICY PROVISIONS. - <br />20 Civic Center Plaza, M-21 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />