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I'� CERTIFICATE OF LIABILITY INSURANCE <br />05 2��2012 <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(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 1-909-243-8200 <br />CONTACT <br />NAME: <br />Hays of California Insurance Services - Ontario <br />PHONE FAX <br />A .JC. <br />IC No): <br />E -MIL <br />ADDRESS: <br />Empire Towers IV <br />3800 Concours, Suite 3400 <br />PRODUCER <br />CUSTOMER ID <br />Ontario, CA 91764 <br />INSURERS AFFORDING COVERAGE NAIC 8 <br />Kirk A. Aguilera <br />INSURED <br />INSURER A: Liberty Surplus Insurance Company <br />American Wrecking, Inc <br />INSURERS: Liberty Mutual Insurance Co <br />INSURER C: RSUI Indemnity Company <br />2459 Lee Avenue <br />INSURER D: California Insurance Company <br />South El Monte, CA 91733 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMRER- 27215038 RFV1Aln1J NIIMRPR- <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 />OF INSURANCE <br />ADDITYPE <br />INSR WVDSUBR POLICY NUMBER MMIDDY EFF MMIDD LICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />DGLSF184549-7 <br />08/05/1 <br />08/05/12 <br />EACH OCCURRENCE $ 1,000,000 <br />X COMMERCIALGENERALLIABILITY <br />� <br />DAMAGEPREMIS SS(ERa occurreEN ED nce $ 50,000 <br />MED EXP (Any one person) $ <br />CLAIMS -MADE I 1 OCCUR <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />GE Li IT APPLIES PER: <br />PRODUCTS -COMNOPAGG $ 2,000,000 <br />POLICY X PRO- LOC <br />$ <br />B <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ASTZ91457618-011 <br />09/01/1 <br />09/01/12 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />BODILY INJURY (Per person) $ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) $ <br />SCHEDULED AUTOS' <br />HIRED AUTOS'. <br />PROPERTY DAMAGE <br />(Per accident) $ <br />$ <br />NON -OWNED AUTOS <br />$ <br />C <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />N A226499 <br />08/05/1 <br />08/05/12 <br />EACHOCCURRENCE $ 10,000,000 <br />EXCESS U <br />CLAIMS -MADE <br />AGGREGATE $ 10,000,000 <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. <br />OFFICERIMEMBER EXCLUDED' a <br />N / A <br />73-844023-01-01 <br />10/01/1 <br />10/01/12 <br />X WCSTATU- I OTH- <br />EEL <br />- <br />EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE- EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT $1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ��++(('''�� <br />City of Santa Ana its officers, agents, employees, Consultants, special counsel and repress tapaeald'ie named <br />as additional insured as respects to general liability. r+ <br />soIM;; <br />A�4 L* ,. <br />A Sl onto neY <br />CAAt <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza M-30 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />USA Kirk A. Aguilera <br />J""" —.y. (V 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />27215038 <br />Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 <br />