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�1 <br />ACRO- CERTIFICATE OF LIABILITY INSURANCEDATEimwom"""°"4) <br />1 06/04/2 <br />RODucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />SC ASSOCIATES INC AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />2659 TOWNSGATE RD CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />WESTLAKE VILLAGE, CA 91361 COVERAGE AFFORDED BY THE POLICIES BELOW. <br />CHAMBERS GROUP INC <br />5 HUTTON CENTRE DRIVE, SUITE. 750 <br />IRVINE, CA 92707-8720 <br />INSURERA: DEPOSITORS INSURANCE <br />INSURER B. <br />INSURER C: <br />INSURER 0 <br />INSURER E. <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 MAY <br />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 />NSR <br />AWL <br />TYPE OFINSIBtANCE <br />POLICY NUMBER <br />POUCYEFFECTIVE <br />EXPIRATION <br />LIMITS <br />LTR <br />MSR <br />AUTHORRED REPRESENTATIVE <br />DATE WDOIYY <br />DATE MWDDIYY <br />❑ <br />GENERAL LIABILITY <br />EACH OCCURENCE <br />§ <br />DAMAGE TO RENTED <br />❑ COMMERICAL GENERAL LIABILITY <br />DOCLAIMS MADE [I OCCUR <br />PREMISES Ea arcurrerpel <br />$ <br />MED EXP (Any one perms) <br />$ <br />PERSONAL & ADV INJURY <br />$ — <br />Fl <br />GENERAL AGGREGATE <br />$ <br />GEH L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGG <br />$ <br />❑ POLICY ❑ PROJECT ❑ LOC <br />S <br />A <br />® <br />U OMOMLTLIABILITY <br />ACPBAPD2535084678 <br />06/01/2014 <br />06/01/2015 <br />COMBINED SINGLE LIMITANYAU <br />$1,000,000 <br />(Each Oavre <br />❑ ALL OWNED AUTOS <br />BODILY INJURY <br />❑ SCHEDULED AUTOS <br />(Par parmn) <br />f <br />® HIRED AUTOS <br />BODILY INJURY <br />NON OWNED AUTOS <br />(Par accltlen9 <br />f <br />❑ <br />_-___. <br />El <br />PROPERTY DAMAGE <br />(Per arc wt) <br />f <br />❑ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />$ <br />❑ANY AUTO <br />n <br />AUTO ONLY AGG <br />S <br />❑ <br />EICESSIUMBRELLALIABRJTY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />❑ OCCUR ❑ CLAIMS MADE <br />❑ DEDUCTIBLE <br />$ <br />❑ RETENTION S_ <br />S <br />Fl <br />WORKERS COMPENSATION AND <br />❑ ❑O <br />EMPLOYERS' LIABILITY <br />EMPLOYERS' <br />ER <br />EL EACH ACCIDENT <br />_ <br />$ <br />ANY PROPRIETOR/PARTNER/EXECU- <br />TIVE OPFICERIMEMBER EXCLUDED' <br />EL DISEASE - EA EMPLOYEE <br />$ <br />X yes, tlesuibe urMer <br />SPECIAL PROVISIONS below <br />EL DISEASE -POLICY LIMIT <br />— - <br />$ <br />-Er <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CERTIFICATE HOLDER IS NAMED AS AN ADDITONAL INSURED, PRIMARY AND NON-CONTRIBUTORY WORDING APPLIES. <br />WAIVER OF SUBROGATION IS INCLUDED, <br />30 DAY NOTICE OF CANCELLATION/ 10 DAY NO"1"ICE FOR NON-PAYMENT <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2001/08) (D ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY M36 <br />EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO <br />20 CIVIC PLAZA <br />MAIL R DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />SANTA ANA, CA 92702 <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORRED REPRESENTATIVE <br />ACORD 25 (2001/08) (D ACORD CORPORATION 1988 <br />