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ACORD. CERTIFICA "'E OF LIABILITY INSUF '�NCcNDvsI4 LC DATE(MM/DDPIY) <br /> • <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Valley Insurance Service, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Lit;ense# 0566246 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 861 South Oak Park Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Covina CA 91723 <br /> Phone: 626-966-3664 Fax:626-966-3895 INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A: Greenwich Insurance <br /> INSURERB: State Compensation Ins. Fund <br /> Industrial Waste Utilization INSURER C: <br /> 5601 State Street INSURER D: <br /> Montclair CA 91763 <br /> INSURER E: <br /> COVERAGES <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 DATE AMM//DD/YY)E DATE(MM/DD//YY) <br /> LTR TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY GEC000175501 03/22/01 03/22/02 FIRE DAMAGE(Any one fire) $ 50,000 <br /> ri CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: This policy provides un- PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY <br /> A ANY AUTO AEC0.00175601 03/22/01 03/22/02 COMBINED SINGLE LIMIT $ 1,000,000 <br /> accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> I1/25 <br /> g+✓o "FILY INJURY <br /> ha S <br /> X NON-OWNED AUTOS INCLUDES MCS-90 tV (Per accident) <br /> X hired phys damage ENDORSEMENT yC'�,v6C)NT <br /> Pkm. MTV DAMAGE $ <br /> limit: $50,000 I �( (Per accident) <br /> GARAGE LIABILITY ' C-- ,�UR�iFYne AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO �'", Z.� t� EA ACC $ <br /> 0. t }�({‘.2 <br /> OTHER THAN <br /> _ <br /> AUTO ONLY: <br /> AGG $ <br /> EXCESS LIABILITY � EACH OCCURRENCE $ 5,000,000 <br /> A X OCCUR CLAIMS MADE UEC000175801 03/22/01 03/22/02 AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMIT <br /> U IR' <br /> WUSTAMITS ER <br /> a <br /> EMPLOYERS'LIABILITY 404000383-00 01/01/01 01/01/02 E.L.EACH ACCIDENT $ 1,000,000 <br /> E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> OTHER <br /> A CONTRACTORS PEC000175701 03/22/01 03/22/02 2,000,000 each loss <br /> POLLUTION/PROF. 2,000,000 all losses <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> AUTO COMP & COLL $2,000 DEDUC. 03/29/01 THIS CERTIFICATE REPLACES ALL <br /> PREVIOUS CERTS.Certificate holder is included a additional insured per <br /> attached. This insurance as it is afforded by this policy is primary not <br /> additional to or contributing with any other insurance carried by or for the <br /> benefit of the additional insured. <br /> CERTIFICATE HOLDER Y ADDITIONAL INSURED:INSURER LETTER: CANCELLATION <br /> COSAO 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILLItiOrlaMMI MAIL 3 O DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTMRBSILBREWOCSI 9E14Pil$ <br /> City of Santa Ana <br /> IMICOMOCCOKIGX12COEDCSIXDIMXPMCNNWIRIMSF1010MOSIMEIPOSIUSENDKEOIR <br /> its officers, employees,agents <br /> & representatives aaBkBs�rxrx�uaBx <br /> 20 Civic Center Plaza M29 AUTHORIZED REPRESENTATIVE // �� �,�(�/) <br /> (Santa Ana CA 92701 Ti76,7/77t L4J /tel.'`\ <br /> ACORD 25-S(7/97) ©ACORD CORPORATIO <br /> m Bunsold <br /> N1988 <br />