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ACOR . CERTIFICATE <br />OF LIABILITY INSURANCE <br />DATE(MMI10/2R/2(319 <br />PRODUCER <br />CenteDpointe 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 />POLICYEFFECTIVE <br />NAIC# <br />INSURED B & D TOWING, INC., DBA: BALCACERES <br />& DAVALOS TOWING <br />1502 N. SUSAN STREETINSURER <br />SANTA ANA, CA 92703 <br />B&DT00 <br />INSURER A, NATIONWIDE MUTUAL INS. CO. <br />GENERAL LIABILITY <br />23787 <br />INSURER B: TOPA INSURANCE COMPANY <br />07/19/2016 <br />18031 <br />C: *REVISED* <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE © OCCUR <br />INSURER D: <br />I INSURER E'. <br />PERSONAL&ADV INJURY $ 1, 000, 000 <br />C'nVFRACiFS <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 />DD'L <br />INSR TYPEOFINSURANCE <br />POLICYNUMBER <br />POLICYEFFECTIVE <br />POLICYEXPIRATION <br />LIMITS <br />A <br />GENERAL LIABILITY <br />ACP 7826214975 <br />07/19/2015 <br />07/19/2016 <br />EACH OCCURRENCE $ 1,000, 000 <br />PREMISES(Ea occurence $ 100,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE © OCCUR <br />MED EXP(Anycne person) $ 51 000 <br />PERSONAL&ADV INJURY $ 1, 000, 000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GEHL AGGREGATE <br />LIMIT APPLIES <br />PER: <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />POLICY <br />PES <br />LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ACP 7825214975 <br />07/19/2015 <br />07/19/2016 <br />COMBINED SINGLE LIMIT <br />(Ea accident) 11000,000 <br />1,000,000 <br />BODILY INJURY <br />(Per person) $ <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Peraccitlenl) t) <br />X <br />X <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE $ <br />(Peraccitlent) <br />A <br />GARAGE LIABILITY <br />ACP 7826214975 <br />07/19/2015 <br />07/19/2016 <br />AUTOONLY-EA ACCIDENT $ <br />OTHERTHAN EAACC $ 1,000,000 <br />RX <br />X OTHER THAN AUTO <br />AUTOONLY'. AGO $ <br />A <br />ENCESSIUMBRELLA LIABILITY <br />XL6602203-05 <br />07/19/2015 <br />07/19/2016 <br />EACH OCCURRENCE $ 4,000,000 <br />X OCCUR CLAIMSMADE <br />AGGREGATE $ 4,000,000 <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATIONAND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORPARTNERIEXECUTiVE <br />WCSTATU- DTH- <br />LIM TS ER <br />E. L. EACH ACCIDENT $ <br />E. L. OIBEAGE - EA EMPLOYE $ <br />OFFICEPIMEMBER EXCLUDED? <br />EXCLUDED? <br />If ECIAL PROVISIO <br />SPECIHL PROVISIONS below <br />E. L. DISEASE - PDLICY LIMIT $ <br />A <br />OTHER <br />ace 7826214975 <br />07/19/2015 <br />07/19/2016 <br />PER VEH SCHED $1,200,000 <br />ON HOOK <br />DEDUCTIBLE $ 1,000 <br />DESCRIPTION OFOPERATIONSI LOCATIONS NEHICLESI EXCLUSIONS ADDED BY ENDORSEMENTISPEC PROVI NO Id: <br />�Cv��w-ec1 YI� ll <br />_ _ <br />A) GENERAL & AUTO LIABILITY ADDITIONAL INSURE WORDING, PRI RY NON-CONTRIBUTORY WORDING, WAIVER 0 <br />SUBROGATION WORDING AND GARAGEKEEPERS LEGAL LIABILITY LIMITS LOCATIONS SCHEDULE ARE ON THE <br />ATTACHED ACORD 101 FORM; B) EXCESS LIABILITY INSURANCE FOLLOWS FORK. <br />CITY OF SANTA ANA <br />CLERK OF THE COUNCIL <br />20 CIVIC CENTER PLAZA (M-30) <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702-1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT <br />DATE THEREOF, THE ISSUING INSURER WILOCMEu0ffi3LXD MAI 31 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1XXXXNI1=XXff63l <br />DS <br />ACORD CORPORATION 1988 <br />