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<br />AUG-13-2003 WED 02:16 PM <br /> <br />FAX NO, <br /> <br />p, 01 <br /> <br />. <br /> <br />SANJOAQ.02 <br /> <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />l'RepUCeA License # OE02096 (559) 432-0222 THIS CERTIFICA'TE IS ISSUED AS A MATTER F <br />. ONLY ANO CONFERS NO RIGHTS UPON THE <br />DIBuduo & DeFendlS In5ur~nce Brokers, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEN, <br />License #OE02096 ALTER THE COVERAG AfFORDED 8Y THE POLICI <br />P.O, Box 5479 <br />Fresno, CA 93755-5479 <br /> <br /> <br />src <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />IN&IJRaI <br /> <br />San Joaquin Chemicals Inc. <br />4684 East Hedges Ave <br />Fresno, CA 93703-0000 <br /> <br />IN5U...A, meric n Intern al S eclal\Y. Lines <br />INSlJ~" B: Commerce & rtdustrv InsunncB ComDilnv <br />IN5U..- c; State Comoensatio'llnSurance Fund <br />l~uRER 0: <br />INSUReR e: <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BE"OW HAVE BEEN ISSuED TO THE INSURED NAMED ABOVE FOR THE POI.ICY PERIOD INDICATED, NOTwITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 011-1ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIt'. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HeREIN IS SUBJECT TO A1.L THE TERMS, eXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEet' REDUCED BY PAID CLAIMS. <br />INI~ . - POUCY EFF&C'mI& PR~.fIl!Y UPlAATlQN - <br />T'l'P& Of' INSuRANCE fIIOUCY NU"'IER L.IMlTs <br /> r!!NERAL I.tAoElILrr1' EACH OCCURRENCE $ 1.000.001 <br />A X COMMEA.CIAL GENeRAL LIASI!,!,..,. EG1957706 4/30/2003 4/30/2004 .E.!.~ DAMAGe (Any Qne nre) $ 100,001 <br /> I CLAIMS MAOe [i] OCCuR 1 0 DAY NOTICE FOR NON-PA Y ENT OF PRE! IUM, MEO eXP (MI,I On; pcr&Oft) $ 5 DOl <br /> PERSONAl.. &. A"" IttJURY $ 1 000 001 <br /> I-- -"- <br /> I-- G&NERAI.,AOGREGAT5õ $ 2 000 DOt <br /> ñ'LAGG~ñE LIMIT AñS PER; PROtlUCTS - CO,",pIOP AGG $ 2,OOO,DO( <br /> POLICY ~~ I.oe <br /> ~UTOM08tl.e LIABILITY COMBINED SINGLE LIMIT $ 1,OOO.OOD <br />B ..x. ANV AUTO CA5053817 4/30/2003 4/30/2004 (Eaaccii:ler'll) <br /> I- ALL CWNEC AUTOS BOOII. 't' INJURY <br /> $ <br /> SCHeOUlED AUTOS ~:~ ~ (Porpmon) <br /> - .. <br /> ~ HIRED AUTOS BOD!L Y INJURY <br /> IPO!I'sc:cidlltl1t} $ <br /> - NO lJ.()WNED AUTOS 1--- .. <br /> - ~-A '1. PMF'ERTY DAMAGE $ <br /> (Pti'.9ccil;le:nl) <br /> ~~G' UAaIUTY I I ~~ ./,. U..:..- AUTO ONLY - EA ACCIDENT $ <br /> ANV AUTO OTHER.ntAl'4 iA ACC $ <br /> AUTO ONI. Y: AGG S <br /> EXCESS LIABIU'N EACH OCCUAAE;NCe $ 1 000 00 <br />A ~ OCCIJR 0 CLAIMS MAPE EGU19~¡ROVED AS °4Æ0iè80'sI 4/30/2004 AGG~~IL-~ $ 1 000 DO <br /> ( .ry:n 1--.. - $ <br /> 8 eeCUCTlBl. /7......-1-:P1¡", -,lid $ <br /> X ReTENTleN $ 10 000 TaM" !<',¡f, êv -" .. '..- <br /> $ <br /> WO!l:KERS COMPEtllSATlON AND Deputy Cil) Auornc/ X I WCSTATV, ,..fIt - <br />C EMPI.,OYIERS' UAIi!III.JTY 6/29/2003 6129/2004 1 ODD,OO <br /> 168187503 ri.~~' eACH ACCIDeNt S <br /> , <br /> e.L. ~SEASE - I!A EMPLOViE $ - 1.D0Q.~ <br /> E.L. OISf;ASE. fIOLICY LIMrr s 1 ODD DO <br /> OTI- EA <br />DESCRlPT!ON OF OPERA 'T'IONSlLCCATIONSN&:"'IC"èlEXCLUSto~ ADOED IY E~DORSI!NENT/SP¡¡¡CIAI. PROVISIQNS <br />City of Santa Ana, its officers, employees, agBnts, volunteers and resprBsentatives are named as Additional Insured por form 65386 <br />(2/98) attached, Such insurance as is afforded by this polley is primary and is not additional to Dr contributing with any other <br />Insurance c..med by Dr for the benefit of the additional insured, <br />CERTIFICATE HOLDER J X I ADO TIO~AL INSURED; INSU!U:R I.EiTER: CANCELLATION <br /> City of Santa Ana SHCULD AIIIY QF T) E AeOVE "ESCRlall) POLrCJIS BE CANC.lI.LGC BEFORIE 'THE EXP8AAnoN <br /> UATE THIJR&OF. THE ISSUING INSUqA WILL ENð~VO'" TO MÞ.II.L-ÞAYS WRfTT1¡N <br /> Building MalntBnance Division NOTICE TO TI'1Ii CERtrFlCATJ, HOLDER NAWEO To THE LE". BUT FA,/I.UM. TO 00 IQ SHALL <br /> 20 Civic Center Plaza #M-1 <br /> Santa Ana, CA 92702- IMPOSE 1110 08UGAT1DH 0" UAfllUTY OF AtIY KIND UPoN THE NSURER, 111 AGENTS O~ <br /> REPRiSIiN1ATIVES. <br /> AUTHOIUZEO RIEPRESENTATlV! .... ~- =' .£>. <br /> I -- <br />----- <br />