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OP ID• AP
<br />'°���""� CERTIFICATE OF LIABILITY INSURANCE
<br />DA �'
<br />TYPE OF INS{IRANCC
<br />02„"""D,°° �
<br />THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORhiAT10N ONLY AND CONFERS NO RIGHT8 UPON THE CERYIFICA TE HOLDER. THIS
<br />CERTIFlCATE DOER NOT AFFIRMATIVELY OR NEGATRIELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE8
<br />BELOW_ THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S►, AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFlCATE HOLDH0.
<br />IMPORTANT: M the certlMcab holder is art ADDITIONAL IN6VRED, [Ire poik:y(krs) must bs erldorssd. 1! 8U8ROQATION 19 YYJ►NED, subJact to
<br />the farms .nd conditlons d the policy, certain policios R,ay requlra an endorsement. A sbbm.nt on thq eartlfleats doss not eordsr riphta to Bile
<br />certMcste holder In Iqu o! such endorserrwn s .
<br />Air abq IgoLaugtNln Kelp. 3'IS�37 -2621
<br />Irrwra ncs posn 3'16 - 43727
<br />PO 801[ 730 T226 W MRMius St.
<br />East Sy rscuee, Nl( "13057
<br />Robert L Edlclr, vice- Pr«idsnt
<br />01/01/13
<br />- - --� ,
<br />ss:
<br />D .DUKES -1
<br />_ _
<br />W611 AFFORpNe C'OVEMGE
<br />IrsuREaA •valley FOr�s Irtsurartrx co
<br />.� a: Contlnental Casual - -� �
<br />rAl(.
<br />20506
<br />INguRED ____ Dukes Root control, Ina a
<br />Dukee Sales a Service, Inc.
<br />1020 Hiawatha Blvd Wsst
<br />Syracuse, NY 13204
<br />20443
<br />srsuwsR c _Hartford LNe __-
<br />FJICH OCCURRENCE
<br />i 1,000,0
<br />INSUwaR o
<br />s 100.0
<br />i � 5.00
<br />INaIIRgR E __ _�__ .
<br />PEgsoNAl A AOV INJVRr
<br />s 7,000,
<br />X
<br />Contrsetual LIaW
<br />IIA a.
<br />moGR]
<br />THIS IS TO OERYIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE OEEN ISSIiFD � =• ". HE INSURED r'IAIYIED ABOVE FOR THE PODGY PERIOD
<br />INDICATED. NOTWITMSTANDINO ANY REDUIREMENT, TERM OR CONDITION OF ANV CONT?rgi;T pR OTHER DOCUMENT WITH RESPECT TO WHICH TH16
<br />CERTIr KATE MAY BE ISSVED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE R'..LICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REOIICED BY PAID. CLAIMS.
<br />TYPE OF INS{IRANCC
<br />POLICY NUJ�R
<br />0l1D1H2
<br />01/01/13
<br />LaeTe
<br />A
<br />OENEML LM ®CITY
<br />X COMMERGAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCVR
<br />X Pollution Liab
<br />G6DD4239016
<br />REMISES/OPP
<br />FJICH OCCURRENCE
<br />i 1,000,0
<br />PREMI E
<br />s 100.0
<br />i � 5.00
<br />,n�rlu
<br />MED E%P ( oY )
<br />PEgsoNAl A AOV INJVRr
<br />s 7,000,
<br />X
<br />Contrsetual LIaW
<br />GeNEwAI ADOREGATE
<br />s 2,OOa,
<br />GENL AQOREGATE LIMR MPllE3 PER:
<br />POLICY X PR LOC
<br />pgppVL�Tg _ COMPpP AGG
<br />S 1,OOD,GD
<br />3
<br />A
<br />AUTOMOw� °LIAiL(rY
<br />X ANV AUTO
<br />C10023T8T01
<br />01l01H2
<br />01/01H3
<br />COMBINED gINOLE LIMIT
<br />(E��'Op
<br />s 1,DBD.DD
<br />BODILY INJURY (Pr Paran)
<br />_
<br />f
<br />A
<br />X ALL OVN+ED AVTOS
<br />i
<br />A
<br />X SCHEDULED AUTO$
<br />DED�i100D COMP
<br />BODILY INJURY (PPf W. GN)
<br />IPtD�araASIV��
<br />s
<br />A
<br />A
<br />X NIwEDAUT05
<br />X NdaowHED Auras
<br />DED -61000 COLL
<br />s
<br />y
<br />B
<br />UMBRELLA UA9
<br />��LJAe
<br />X
<br />OCCLR
<br />CWNS -MADE
<br />090460194
<br />01/0'1112
<br />01/01!13
<br />FACI -I OCCVRRENCE
<br />5 _ 'I 0,000,
<br />i - 10.000,00
<br />AOGgEOATE
<br />X
<br />DEDUCIBLE
<br />RE s 70000
<br />--
<br />s
<br />s
<br />B
<br />C
<br />'A
<br />MIORKERe COMPENSATION
<br />ANO EJSVLOYEINr uAeEJrY
<br />ANY PROPRIETOw /PARTNEp1EAECUTNE Y I N
<br />OFFICERfMEMBER E%CLU DEpi �
<br />(WrtlArery N NIrI
<br />tt . aPCCrid uner
<br />lPTI aPERAT arI.4 ealo,r
<br />Disability
<br />Stop 0'�aP
<br />NIA
<br />0274573957
<br />Pe
<br />cs00423901a
<br />01101112
<br />0110!112
<br />0110:112
<br />01151H3
<br />01101
<br />Otf01h3
<br />X VYC 6TATU- TN-
<br />E.L EACH AGCIDENr
<br />S 1,800,0
<br />E.L. DIgFl.SE -EA EMPLOYE
<br />i 1.000,88
<br />E. L. DISEASE -POLICY VMIT i 1,000,
<br />ta[utory
<br />,
<br />aF PERwnors I L Hors I vsreelse IAeacl, ACOIm l01 AeollsnM wrPrrA sel..e.11., r Inar..p.e. b ..y..r.e)
<br />o�3ranta �ns aA, Ita o�iurs, ailenb, volyri�sers snd etn ploy «JJ are
<br />Inc tided ac adtlHfonal iryatrads on a Primary basq with roapsat M pgeen��al ���
<br />liability 30 days notk:w or csnoeflatlon Or maeeAally rMductkan In porky
<br />limits appll«
<br />eed •
<br />Or „�•:
<br />SANTACL
<br />SHOULD ANY OF THE ABOVE DESCRIBED rN7L1C1Ea as I:ANCELLED BEFORE
<br />THE EXPOiATgN DATE THERHOF. NOTN:E wlLl BE OEUVlrtSD N
<br />City of Santa Clam AccoRDARCE wnH THE PoucY PROV(sloNS.
<br />220 South Daley Ava.
<br />Santa Ana, CA 9270, AUrHOIe¢sp REPRENENTATrvE
<br />m 1988 -200Y ACORD CORPORATION. A11 rights reserved.
<br />AL:VKV CD (2OOe /e9) TM AGORD nanw snd logo are replstsred marks d ACORD
<br />
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