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CORD, CERTIFICATE OF LIABILITY INSURANCE DATBIMMrDDm 1201 A PRODUCER 4 Centerpointa Insurance Service - California License 00733759 807 - B Camarillo Springs Read Camarillo CA 93012-9464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED H & D TOWING, INC., DBAt BALCACERES & DAVALOS TOWING 1502 N. SUSAN STREETINSURE SANTA ANA, CA 92703 B&DTOO INSURERA: NATIONWIDE MUTUAL INS. CO. 23787 INSURER B: TOPA INSURANCE COMPANY 18031 C: WBURER D: INSURER E: COVERAGES THE POLICIES OF 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. INS LTR 0 NSA URANt" GENERAL LIA8WTy POLICY NUMBER pOLI Y P E E OO pOLICYE% IRA N 0 LIMITS A SANTA ANA, CA 92702-1988 ACP 751621487E 07/19/2014 07/19/2015 EACH OCCURRENCE $ 11000,000 PREMISES Ea aeeane cO S 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE © OCCUR MEDEXP(Anyaneperaw) 5 $1000 PERSONALS ADV INJURY S 11000,000 GENERAL AGGREGATE S 21000 000 GEN L AGGREGATE LIMIT APPLIES PER PROOUGT$-COMP/OP AGS S 21000,000 POLICY PR LOC A AUTOMOSILELIABIUTY ANYAUTO ACV 757.6214975 07/19/2014 07/19/2015 COMBINED SINGLE LIMIT (E.=Idwt) $ 1 000 000 (FerpemaanURY S Pete ) X ALLOWNEDAUTOE 80HEOULED AUTOS BODILYINJURV (Per=Idenl) $ X X HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ (P..e .Id.t) A GARAGE LIABILITY ACV 7016214975 07/19/2014 07/19/2015 AUTO ONLY. EAACCIDENT _$ OTHERTHAN EAACC 5 1 000, 000 AUTOONLY: AGO $ ANYAUTO X OTEER THAN AUTO A rXCESS)UMBRELLA LIABILITY X OCCUR ❑ CLAIMu MADE XL6602203-04 07/10/2014 07/0.9/2015 EACH OCCURRENCE $ 41000,000 AGGREGATE $ 4,000 000 8 $ DEDUCTIBLE $ RETENTION. S WORRERSLWMPENSATIONANtl TIMM, EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFMCERAIEMBER EXCLUDED? - E.L. EACH ACCIDENT $ R.A. DORMS -EA EMPLOYE S f(gqea da;q beundx SPE�IALPROVISIONSM. E.L. DISEA9C^• POLICY LIMIT $ A DTHSR ACP 7516214978 07/19/2014 07/19/2015 PER VER SCBED $1,200,000 ON ROOK DEDUCTIBLE $ 11000 DESCRIPTION OF OPERATIONS I LOCATIONSIVEHICLES7 EXCLUSIONS ADUED 9YENCORSEMENTISPECIAL PROVISIONSi� T w j A) GENERAL & AUTO LIABILITY ADDITIONAL INSURED WORDING, PRIMARY/NON-CONTRIBUTORY WORDING, WAIVER 0 SUBROGATION WORDING AND GARAGMEEPERS LEGAL LIABILITY 141=TS AND LOCATIONS SCREDULS ARE ON THE ATTACHED ACORD 101 FORM; B) EXCESS LIABILITY INSURANCE FOLLOWS FORM. CERTIFICATE HOLDER CANCELLATION ACORD26(2001108) ' ACORD CORPORATION 1988 SHOULD ANY OF THE AMOVE DESCRIDEO POLICIES OE CANCELLED BEFORE THE BXPIRATI CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILI:CBG'EYO MARS 0 DAYS WRITTEN CLERK OF THE COUNCIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE 20 CIVIC CENTER PLAZA (M-30) P.O. BOX 1988 AUTHORIZED RBpR ' A'TVE SANTA ANA, CA 92702-1988 `°� DS ACORD26(2001108) ' ACORD CORPORATION 1988