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ACORD,N CERTIFICATE <br />OF LIABILITY INSURANCE <br />D 7/ 9.2IDDIYYYY) /21711 '1 <br />PRODUCER <br />Centerpointe Insurance Service <br />California License #0735759 <br />807 - B Camarillo Springs Road <br />Camarillo, CA 93012 -9464 <br />4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />POLICY NUMBER <br />NAIC# <br />INSURED B & D TOWING, INC., DBA: HALCACERES <br />& DAVALOS TOWING <br />1502 N. SUSAN STREET <br />SANTA ANA, CA 92703 <br />B &DT00 <br />INSURERA', NATIONWIDE MUTUAL INS. CO. <br />• <br />23787 <br />INSURER B'. TOPA INSURANCE COMPANY <br />ACP 7806214975 <br />18031 <br />INSURERC: *REVISED* <br />EACH OCCURRENCE <br />$ 11 000, 000 <br />INSURER D: <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE KI OCCUR <br />INSURER E. <br />f� V ® <br />/ <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD L <br />NSR <br />TYPE F C <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYY <br />POLICYEXPIRATION <br />DATE MMIDDIYY <br />LIMITS <br />• <br />GENERAL LIABILITY <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />EACH OCCURRENCE <br />$ 11 000, 000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE KI OCCUR <br />A/� �Y1 / J <br />/r✓ 0C <br />f� V ® <br />/ <br />PREMISES Ea occurence <br />$ 100,000 <br />MED EXP (Anyone person) <br />$ 3,000 <br />PERSONAL BADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2, 000, 000 <br />GEN L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />POLICY F7 PRO LOC <br />• <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILYINJURY <br />(Per person) <br />$ <br />ALLOWNEDAUTOS <br />SCHEDULEDAUTOS <br />y�q� <br />PROVED AS <br />TO EOM <br />n <br />X <br />X <br />BODILYINJURV <br />I Peraccident ) <br />$ <br />HIRED AUTOS <br />NON- OWNEOAUTOS <br />//�1 <br />/-C, <br />J -" <br />X <br />Laura A.Rossini <br />Assistant Ca <br />Attorney <br />PROP cRTY DAMAGE <br />$ <br />• <br />GARAGE <br />LIABILITY <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />AUTOONLY- EAACCIDENT <br />S <br />OTHERTHAN EAACC <br />$ 1,000,000 <br />ANVAUTO <br />$ <br />AUTOONLY: AGG <br />• <br />EXCESSIUMBRELLA LIABILITY <br />XL6602203 -03 <br />07/19/2013 <br />07/19/2014 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />X OCCUR CLAIMSMADE <br />AGGREGATE <br />$ 4,000,000 <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION 5 <br />WORKERS COMPENSATION AND <br />EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />WCSTATU- OTH- <br />TORVLIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICEBIMEMBER EXCLUDED? <br />fyes,describeunder <br />SP ECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />OTHER <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />PER VEH SCHED $100,000 <br />ON HOOK /CARGO <br />DEDUCTIBLE $ 1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />The City, its officers, employees, agents, volunteers and representatives are additional insured a <br />respects to the City, this policy is primary and non contributory and contains a waiver of <br />subrogation. GARAGE KEEPERS LIMITS AND LOCATIONS SCHEDULE ATTACHED. SEE ATTACHED ENDORSEMENT. ACOR <br />101 (2008/01) ADDITIONAL REMARKS FORM ATTACHED. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD25(2001 108) ' ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI <br />CITY OF SANTA ANA <br />DATE THEREOF, THE ISSUING INSURER WILOOfG3SDl'IDI/ISKXO MAIL30 DAYS WRITTEN <br />CLERK OF THE COUNCIL <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'Q=XXKXX.XfXN7-VY%XLL <br />20 CIVI CENTER PLAZA (M -30 <br />�7[OF�JCi4:fdEHi[66X <br />P.O. BOX 1988 <br />H6txEmff5m. <br />AUTHORIZED REPR gTIVE ( p1 <br />SANTA ANA, CA 92702 -1988 <br />C . ,Lc,.,. -. DS <br />ACORD25(2001 108) ' ACORD CORPORATION 1988 <br />