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ACORD,N CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD VVYY) <br />PRODUCER <br />Centerpointe Insurance Service <br /> <br />California License #0735759 1 THIS CERTIFICATE IS ISSUED AS A <br />ONLY AND CONFERS NO RIGHTS <br />HOLDER. THIS CERTIFICATE DOES <br />ALTER THE COVERAGE AFFORDED MATTER OF INFORMATION <br />UPON THE CERTIFICATE <br />NOT AMEND, EXTEND OR <br />BY THE POLICIES BELOW. <br />807 - B Camarillo Springs Road <br />Camarillo, CA 93012-9464 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED BEN WARNERS GARAGE, INC. INSURERA: ULICO CASUALTY CO. 37893 <br />818 E. WALNUT ST. INSURER B'. <br />SANTA ANA, CA 92701 INSURER C'. <br /> INSURER D'. <br /> BENWOI INSURER E' <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 DDL POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF NC POLICY NUMBER DATEMMIDDIYV DATEMMDDV LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ <br /> CLAIMSMADE ? OCCUR MED EXP(Any one person) $ <br /> PERSONAL &ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGO $ <br /> POLICY PROT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANYAUTO (Eaaccldent) <br /> ALL OWNED AUTOS <br />BODILVINJURV <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON-OWNEDAUTOS (Peraccident) <br /> u,.yyyy <br />APPROVED rp?y, <br />S TOP; PROPERTY DAMAGE <br /> <br />(Peraccident) $ <br /> GARAGE LIABILITY \ I v't y <br />' AUTO ONLY-EA ACCIDENT $ <br /> v v\ <br /> ANYAUTO _ <br />qq OTHERTHAN EAACC $ <br /> AAYMU <br />LGM1H A . ROSSdHl$ AUTOONLY: AGO $ <br /> EXCESSIUMBRELLA LIABILITY ffis Egfl tty Attorney EACH OCCURRENCE $ <br /> <br /> OCCUR CLAIMSMADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />A WORKERS COMPENSATIONAND U NS484-000061-112 12/31/2012 12/31/2013 X TORVLAMITB OTH- <br /> EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE E,L. EACH ACCIDENT $ 1,000,000 <br /> OFFICERIMEMBER EXCLUDED? El. DISEASE - EA EMPLOYE $ 1,000,000 <br /> Ifyee,deecribeunder <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS <br />THE ENTITY NAMED BELOW IS ADDED AS ADDITIONAL INSURED. THE ENTITY INCLUDES THE CITY OF SANTA ANA, <br />ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI <br />CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WIL6UEMKd4MKXD MAI0 0 DAYS WRITTEN <br />ITS OFFICERS, EMPLOYEES, AGENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF11fY,D9NIQ XXHG.4 w*LL <br />20 CIVIC CENTER PLAZA 76?X76ffiOGX?9SA71S06?Q7f{16®S7[OQdWCM7NS7A7f@R7L <br />PUBLIC WORKS DEPARTMENT zwxNS€M'DB] =. <br />SANTA ANA, CA 92701-4010 AUTHORIZED REPRE$kry1ATIVE <br />V{ <br /> \a"`vn RZF <br />ACORD25(2001/08) ' ACORD CORPORATION 1988