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OP ID: CT �CERTIFICATE OF LIABILITY INSURANCE DA 1110/2801281/2001515 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 endorsement(s). PRODUCER Rabin Insurance Agency Inc. CA#0645355 6363 Greenwich Dr, #120 San Diego, CA 92122 Michael Rubin CONTACT PHONE FAX AIC o Ext), AIC No), EMAIL ADDRESS: PRODUCERg&DTO-1 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # INSURED B&D Towing, Inc INSURERA:Insurance Company of the West 27647 dba: Balcaceras and Davalos COMMERCIAL GENERAL LIABILITY Towing INSURER B, 1502 N Susan St INSURER C: INSURER D : Santa Ana, CA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /LTR TYPE OF INSURANCE oDL SUER POLICY NU M BER MMIDIOIYYVY MMIOOYYXYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- IECT ElLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BOO] LY INJURY (Per person) $ ALL OWNED AUTOS BOD I LY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PERACCIDENT) $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN TORY LIMITS ER A ANY PROPRIETOR/PARTNERIEXECUTIVE WSD502471101 10/01/2015 10/01/2016 E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? NIA X (Mandatory m NH) E.L. DISEASE - EA EMPLOYEd $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE � POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Proof of insurance. Waiver of subrogation endorsement WC990637(0502) included in policy. CERTIFICATE HOLDER CANCELLATION v CITYSA3 City Cit of Santa Ana 60 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE /I ACORD 25 (2009/09) ©19BB-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD