AMERIPACIFIC INDUSTRIAL CORPORATION-2014

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CERTIFICATE OF LIABILITY INSURANCE ov24/2o14 MM 50' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsor s PROeUDER AME! Redge Bendhelm Conzone Insurance Agency 2323 N, Tustin Ave. PR NE 714.203 -6032 i• Nnl, 888.209.2860 all _ A Owes; Redge.dcanzona@farmersagencycom Santa Ana, CA 92705 INSURER 8 AFRORDINO COVERAGE - NL,AIC R INSURERA: Mid - Century Insurance Company 12998 S INSURED INSURER a; Anneripaclflc Industrial Corp, INSURER C: 1509 E Mofadden Ave INSURER O: Santa Ana, Ca 92705 INSURER E: PERSONAL &ADV INJURY INSURER F: COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMpS. IN R TYPE Op INSURANCE 00L POLICY NUMBER POLICY 0 LPt MMLd�Y EVY LIMITS Redge Bendheim GENERAL LIABILITY EACH OCCURRENCE S DAMAGE 10 RENTED -PREMSES EB Occurrence $ COMMERCIAL GENERAL LLASILIN CLAII ❑ OCCUR EXP Aryaoepemon $ PERSONAL &ADV INJURY g GENERAL AGGREGATE $ GEN'LAOORBGATELIMITAPPUESPER: POUCY PERO LOG PRODUCTS- COMPIOP AGG $Y- 8 AUTOMOBILE LIABILITY _10_1 �EDa11 01ELIIIFT � SODILYINJURY(Pdrporson) § ANY AUTO ALLOWNED SCHEDULED AUTOS I I AUTOS NON -OWNED WIRED AUTOS AUTOS 1 BODILY INJURY (Per Fmddene § PROPERTY ¢t a4ddeM) UMBRELLAUAB OCCUR EACH OCCURRENCE___ $ AGGREGATE $ EXOE85LIAB CLAIMS MADE DEO I RETENTIONS § Y WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) 11 no, dw0be Under OESCRIPTIONOFOPERATIOPSbelow NIA AOg4fi•93.8200 01/24/2014 01/2412015 x WC STATU- OTRry. . E.LEACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYER -- F.L. DISEASE � POLICY LIMIT S 11000,000 -- S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLS5 (ARacc ACORD 101, Atldillanal R¢markc SahadNC, if mom spot¢ Ip rcqulrod) Operations carried out by the WYerod Workor(a) are as follows: w9� tl v�.0 100% Clerical Clans Code 8810 AV tD City Attorney CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) 01888 -2010 ACORD CORPORATION. All rights rosewed. The ACORD name and logo are registered marks of ACORD Exhibit C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALI HORIZED REPRESENTATIVE Redge Bendheim ACORD 25 (2010105) 01888 -2010 ACORD CORPORATION. All rights rosewed. The ACORD name and logo are registered marks of ACORD Exhibit C