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15:55_JUN 19, 2001 #17037 PAGE: 2/3 <br /> — <br /> ACORD_ CERTIFICATE OF LIABILITY INSURANCEOPID LC DATE IMWOLIPYI <br /> NDUB 4 06/19/01 <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 /> License# 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 IINSURER A: Greenwich Insurance <br /> LINSURERR: State Compensation Ins. Fund <br /> Industrial Waste Utilisation IINSURERC: <br /> 5601 State Street INSURER D, <br /> Montclair CA 91763 <br /> I LIINSURER 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 /> ICFRR TYPE OF INSURANCE POLICY NUMBER DATE MODEFFECTIVE DATE IMAKIPODNYI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 _ <br /> A X COMMERCIAL GENERAL LIABIUTY GEC000175501 03/22/01 03/22/02 FIREDAMAGEIAnyonaIire) $ 50,000 _ <br /> CLAIMS MADE X OCCUR MED EXP(Any one peson) _ S 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GENT AGGREGATELIMIT APPLIES PER: mi. policy prcvid.. m. PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY — pi- LOC <br /> aEC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> A ANY AUTO AEC000175601 03/22/01 03/22/02 (Ea accident) $ 1,000+000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> X SCHEDULED AUTOS (Per Person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NDN-OWNED AUTOS INCLUDES MCS-90 (Per accident: <br /> X hired phys damage ENDORSEMENT <br /> PROPERTY DAMAGE <br /> limit: $50,000 (Per accident $ <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT 5 <br /> J ANY AUTO EA ACC 1 <br /> OTHER THAN <br /> AUTO ONLY: AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE $5,000,000 <br /> A irlOCCUR CLAIMSMADE UE0000175801 03/22/01 03/22/02 AGGREGATE $ <br /> $ <br /> DEDUCTIBLE <br /> 5 <br /> RETENTION 5 <br /> $ <br /> WORKERS COMPENSATION AND WI.SIAM- pTH- <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> B 404000383-00 01/01/01 01/01/02 EL,EACH ACCIDENT $1,000,000 <br /> E.L.DISEASE-FA EMPLOYEE $1,000,000 <br /> EL.DISEASE-POLICY OMIT 51,000,000 <br /> OTHER <br /> A CONTRACTORS PE0000175701 03/22/01 03/22/02 2,000,000 each loss <br /> POLLUTION/PROF. 2,000,000 all losses <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/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 /> I <br /> -fls l - __ a in; ,-4a. any _t'ka 'I---- --1-A 1... L-r 1.M- <br /> benefit of the additionalinsured. r <br /> CERTIFICATE HOLDER Y ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION l <br /> APPROVE€PsAQP ii GW04R3Vf THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WIL11WuuB39TOW4a MAIL ..a_.DAYS WRITTEN <br /> City Of Santa Ana ' -NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTpMEX XN5EXAYOCS1J 11_X <br /> ,v.y,FEREIXECOXIBWOOMBIMIXIBIENSIXacfnaing* <br /> its officers, employe“- - 4,. <br /> await z':_ �, _ :..,,, <br /> & representatives ie ad,Vlg]iotta 1 EBSPXO SEIXIWEEL <br /> 20 Civic Center Plataa73Wf.lty City Attorney ADTNORLSED REPRESENTATe-- <br /> ISanta Ana CA 92701 Tim Bunsold 7C-71/1 ✓ � <br /> ACORO 25S(7/97) OOACORD CORPORATI 7980 <br />