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<br />From Darlene Ayala CIS.R. ,A.t: Dibuduo & Defendis Insurance Brokers, LLC FaxlD: 5594317941 To: Laura Sheedy Date 8/2212006 10:32 AM Page: 2 014
<br />
<br />SANJOAQ.02
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<br />AYDA
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<br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />OATE(MIol/DDlYYYY)
<br />8122/2006
<br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />AI.. TER THE COVERAGE AFFORDED BY THE POI..ICIES BELOW. _
<br />!
<br />~SURERS AFFORDING COVERAGE , ' NAIC _t_
<br />- ~1.:firT~,-'Am~ncan-_inter~atlon~~peCialtY'~lnesn=_J '-=- -=-
<br />I' 'lj",,jR'=~C:. Commerce & Industry Insurance Company
<br />TLc'::ri,~ State Compensation Insurance Fund
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<br />PRODUCER (559)432-0222
<br />DiBuduo & DeFend is Insurance Brokers, LLC
<br />License #OE02096
<br />P.O. Box 5479
<br />Fresno, CA 93755-5479
<br />
<br />~SUR[o -SanJoaquil1Ch-emicalslnc -- - -
<br />4684 East Hedges Ave
<br />Fresno. CA 93703-0000
<br />
<br />COVERAGES
<br />
<br />Tl1E POliCIES OF INSUKANCE LISTED BELOW HAVF BEEN ISSUED TO THE INSURED NAMED ABOVE FOR Tl1E POLICY PERIOD INLJICATED NOl\NITl1STANDING
<br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTtlER DOCUMENTWITI, RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN. TilE INSURANCE AFFORDED BY THE POII(";IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLIClc;; ^GGREGATE LIMITS SHOWN MAY HAVE BEEN HcUUCED BY PAID CLAIMS
<br />INSRADD'L ----,-- -TpOLICYEF-FECTivF MLiCYEKPIRATIONC--- - - --- -.-
<br />L TR NSR TYP FINS N POLICY NLIMAER , M NY MI .01YY1 LIMITS
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<br />GENERAL LIABILITY
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<br />2,000,00
<br />2,000,00
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<br />4/30/2007
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<br />5,000,000
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<br />EXCESSIUMBRELLALlABILlTY
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<br />, WORKERS COMPENSATION AND
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<br />6129/2006
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<br />6/29/2D07
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<br />OlHIOR
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<br />UI=SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I E)(CLUSIONS AUDED BY ENDORSEMENT I SPECIAL PROVISIONS
<br />C<'Incellation: Ten day notice of cancellation for non-payment of premium
<br />ertificate holder is named as additonal Insured as respect to general liability per attached company form 85421 (05196)
<br />
<br />Its officers, employees, agents, volunteers and respresentatives are also named as additonal insureds
<br />
<br />CERTIFICATE;: HOLDER
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />Building Maintenance Oivision
<br />20 Civic Center Plaza #M-11
<br />Santa Ana, CA 92702-
<br />
<br />SHOULD ANY OF THE il.BOIIE OIOSCRIBE'f1 POLICIES BE Cil.NCELLED BEFORE THE EXPIRATION
<br />DATE niEREOF niE ISSUING INSURER WILL~~ilieMAIL 30 DAYS WRITTEN
<br />NOTICE TO n<E CERTIFICATE: HOLDER NAMEDTOniE LEFT BI)tX:JO:MI1.:~.l\("iX-
<br />_Nj(l<O(~~K~lOOt_~_X"X-'XX
<br />XI<'X~l(
<br />AUTHORIZEDREf'RESEmATIVE --.2. ,/ ' . =~~_._J.
<br />~-~?~.~?L___-
<br />- ",,--, ,"-' ,---- --- ,-- ---
<br />@ACORDCORPORATION 1988
<br />
<br />ACORD 25 (2001108)
<br />
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