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,ACQRa® <br />CMR <br />llw--' CERTIFICATE OF LIABILITY INSURANCE 8054 <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 />OS -17'-2013 <br />THIS CERTIFICATE IS ISSUED ASA 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(SI, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the policy(iss) must be endorsed. If SUBROGATIONIS 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 endorsements . <br />PRODUCER <br />RDS INSURANCE BROKERS/PHS <br />CONTACT <br />PHONE--� FAX <br />253055 P:(866)467 -8730 F: (877)905-0 <br />C"Exq:(866)467-8730 7)9 <br />_ 05-045 <br />PO BOX 33015 <br />ADDRESS: <br />INSUREERISI AFFORDING COVERAGE _ NAIC9 <br />SAN ANTONIO TX 78265 <br />INSURE_RA: Hartford Casualty Ins Ca <br />COMMERCIAL GENERAL LIARIUTY <br />CLAIMS -MADE a OCCUR <br />X General Liab <br />INSURED <br />INSURERa: Hartford Fire Ins Co <br />INSURER C: jf <br />DURATECH USA, INC. <br />INSURER D <br />- <br />12812 VALLEY VIEW ST STE 10 <br />NSURER E: <br />GARDEN GROVE CA 92845 <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: A..q.Ww&*N(N{IBABFAIlnwx.o., <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR fHE 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. UMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />aml <br />SUER <br />PoLICY NUMBER <br />MY <br />(MM/00/YYVV) <br />(POLICY EXF) <br />LIMITS <br />GENERAL L/AB/LITY <br />EACH OCCURRENCE S 11000, 000 <br />PREMISES f0HENI rrerrel s3QQ QQQ <br />A <br />COMMERCIAL GENERAL LIARIUTY <br />CLAIMS -MADE a OCCUR <br />X General Liab <br />N <br />El <br />72 SSA A08158 <br />08/02/2012 <br />08/02/2013 <br />MEDEXPIAnypnepersanl $ 10,000 <br />PERSONAL &ADV INJURY s 1,000,000 <br />GENERAL AGGREGATE 32,000,000 <br />GEP'L <br />AGGR' AT L'.MIT AFl`LgS <br />PER: <br />PRODUCTS - COMPiOP AGO S 2,000,000 <br />POUCY�P-CT 1 Y <br />��•• <br />�� I La <br />S <br />AUTOMOBILE LIABILITY <br />COMBINED SINI LIMIT <br />IEa accidxnU 3 1,000, O Q Q <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />]{ HIRED AUTOS X NON OWNED <br />AUTOS <br />72 SBA A08158 <br />08/02/20 <br />8/02/2013 <br />BOOILY INJURY IPar p .w) $ <br />BODILY INJURY IPe,accldentl S <br />PRCF` DAMAGE <br />(par accidarrtl S <br />9 <br />UMBRELLA UABOCCUR <br />EACH OCCURRENCE 9 <br />TEXCESSIIAB <br />CLAIMS -MADE <br />AGGREGATE s <br />DEO RETENTION S <br />9 <br />B <br />WORKERS COMPENSA TIONWC <br />AND EMPLOYERS' L/ASAITY YIN <br />OFPICIEER,MEMBERR EXCLUDED?EXECVTIVE� <br />!Mandatory h NH; <br />If yes, d3¢er1b3 under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />❑ <br />72 r1EC E:X5703 <br />05/15/2013 <br />05/'i5/2014 <br />STA -U- OTH- <br />X TOflY LI IT5 ER <br />F.L. EACH ACCIDENT § 1 QQQ Q0 <br />E.L. DISEASE - EA EMPLOYE 11-,0-00-1000 <br />E.L. OISEEASE - PoLiCY LIMIT S 1 000,000 <br />DESCRIPTION OF OPERA TIONS! LOCATIONS I VEHICLES (Affeeh ACORD 101, Addtbpal Rema ha Schedule, Nm.. apace /s "WIWI <br />Those usual to the Insured's Operations. City of Santa Ana, its officers, <br />employees, agents and volunteers are listed as Additional Insured when <br />required by written contract and per the Business Liability Coverage Form <br />SS0008, attached to the policy <br />CERTIFICATE HOLDER CANCELLATION <br />s <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />City of Santa Ana, its officers, <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />employees, agents and volunteers <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />A UTHORIZED REPRESENTA TIVE <br />60 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />7e --,-- <br />eZ <br />s 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (20101051 The ACORO name and logo are registered marks of ACORD <br />