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ACORD CERTIFICATE OF LIABILITY INSURANCE —op.D ,Md DATE 7'MMI'DDIYE^/Y) <br />Select Programs Ins. Services <br />249 E. Ocean Blvd., Ste. 712 <br />Long Beach CA 90802 <br />Phone: 562.216.9016 Fax:562.216.9028 <br />INSURED SI fi�bb .�_ ,([ <br />Madison Materials b L0(.0, <br />P.O. Sox 6206 jt <br />Newport Beach CA 92656 <br />ONLY AND CONFERS NO <br />HOLDER. THIS CERTIFIC, <br />ALTER THE COVERAGE) <br />-. INSURERS AFFORDING COVERAGE <br />INEURERA. Discover• evapaxty c casaalcy <br />INSURER B Llberty tne�rance unaesweitmxe _ <br />INSURER C <br />INSURER D <br />ND OR <br />BELOW, <br />NAIC # <br />36463 <br />THE POLIC IEE OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOU IREME NT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1 TH RESPECT TO W HI CH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFF 0 RD E0 BY THE POLICIES DESCRIB EO 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 />NER�T'—...... "POLILYEPF'ECTIVE IPDLICV EkpIR.ATION __.. ..—_ ...._._. _..._ <br />LYR YNSR TVPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE NIT <br />GENERAL TY <br />ENCE <br />CE <br />EACHOCCURRENCE1,000,1000 <br />CCUR <br />A "� X �X COMM COMMERCIAL GENERAL LIABILITY D225P00084 <br />_.Q2/28/Q7 <br />02/28/06 <br />-EACH .$ <br />EN <br />LE, <br />PREMISES (Ea.wcuron ) $1,000,000 <br />� I <br />_J CLAIMS MAGE X OCCUR <br />MEO EXP Aly ons p nI I $ 10 F 000 <br />_ <br />PERSONAL B ADV INJURY $1,000,00() <br />GENERAL AGGREGATE s2,000,000 <br />GENI.AGCREGATE LIMITAPPLIES PER <br />f PROOUCTSCOMP/OP AGG $1 OOO ODO <br />' POLICY �, <br />JECT <br />_.. _ ......._ <br />LOG <br />AUTOMOBILE UASILITY <br />1 <br />A IX.ANv nuro <br />D225A000BB <br />SINGLE LIMIT <br />DoU1,000,000 <br />02/28/06 02/28/07—__ALL <br />OWNEDAUTOS <br />LIRV$ <br />SCHEDULEDAUT09 <br />� <br />rOOM81yNED <br />�nnlHIRED <br />AUTOS <br />AUTOS <br />NJURY$NON-OWNED <br />deOC <br />- <br />PROPERTY DAMAGE $ <br />(Per auitlenl) <br />GARAGE LIABILITY <br />AUTO ONLY EA ACCIDENT $ <br />ANY AUTO <br />... <br />OTHER THAN EAAOC I S.... <br />',i <br />AUTOONLY- AGO 5 ......, <br />'E%OESSlUMRRFLA LIABILITY <br />.._..I <br />- EACH OCCURRENCE S4,000,000 <br />A X OCCUR �. CLAIMS MADE <br />_ <br />Lg1B71183717025 <br />_._. ..... <br />02/28/Q6. 02/28/07 ACE'RE ATE $4 4ppQ IQPO <br />DEDUCTIBLE. <br />� <br />X RETENTION $NOnE! <br />S <br />WORKERS COMPENSATION AND - <br />- ' <br />�iORY LIMIT'S LED <br />EMPLOYERS' LIABILITY <br />ANTPROPRIETOR/PARTNCUTIVE <br />f $ <br />E.L. EACH ACCIDENT <br />OFFICERIMEMREft EXCLUDED?DEDI <br />I <br />_ <br />EL E - EA EMPLOYEEE <br />SPECIAL PROVISIONS bnlnw <br />E . DISEASE POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS l LOCATIONS l VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />*10 Days Notice of Cancellation if Cancelled for Non -Payment of Premium. The <br />Certificate Holder is includedasAdditional Insured per attached Additional <br />Insured Endorsement for Commercial General Liability policy. <br />City of Santa Ana <br />Attn: Teri Cable <br />20 Civic center Plaza <br />Santa Ana CA 92702 <br />25 <br />CSANTAA 5HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />BATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />IMPOSE NO OBLIGATION OR LIABIF ANY ON THE INSURER, ITS AGENTS OR <br />