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<br />
<br /><.
<br />. .. AG~.llIt.
<br />
<br />CERTIFICAT~F INSURANCE
<br />
<br />No
<br />
<br />ISSUE DATE (MM/DDIYY)
<br />92570.04/02/03
<br />
<br />VAL56226
<br />
<br />PRODUCER
<br />Barney & Barney,
<br />Barney & Barney,
<br />P.O. Box 85638
<br />San Diego, CA 92186-5638
<br />(858) 457-3414
<br />Mst#: 5564
<br />
<br />LLC-CA
<br />Inc-CA
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br />LicOC03950 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />L' 0 C2 4 31 0 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />l c POLICIES BELOW.
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />f~~~~NY A
<br />
<br />HARTFORD-HARTFORD FIRE INSURANCE CO
<br />
<br />TRAVELERS-TRAVELERS INDEMNITY CO
<br />
<br />.",-,-~,"~-'--"-~-~__'-_M-~_----~------'---'---~~~-----~._,---_._--_.- COMPANY
<br />INSURED VALLEY DETROIT DIESEL ALLISON LETTER B
<br />(A CORP)., ETAL, SEE ATTACHED
<br />
<br />f~~~~NY C
<br />
<br />MONT LAKE CASUALTY CO - ACE AMERICAN
<br />INSURANCE COMPANY
<br />NO COVERAGE ON THIS DOCUMENT
<br />
<br />CITY OF INDUSTRY
<br />
<br />425 S. HACIENDA BOULEVARD
<br />
<br />CA 91745
<br />
<br />f~~~NY E
<br />
<br />f~~~~NY D
<br />
<br />NO COVERAGE ON THIS DOCUMENT
<br />
<br />-----~-_._---------
<br />
<br />COVERAGES
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
<br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
<br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND
<br />CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />
<br />TYPE OF INSURANCE ! POLICY NUMBER --^._-'-'---!--;g¡~~~~~~~g~r;g~~E;;~ib;t~~~ ------~--~-~~-~- LIMI;~
<br />I
<br />
<br />'-,
<br />CD'
<br />
<br />i GENERAL LIABILITY
<br />r~
<br />Lx I COMMERCIAL GENERAL LIABILITY
<br />A' -._-- i ~.J CLAIMS MADE~J OCCUR.
<br />L----loWNER'S & CONTRACTOR'S PROT,
<br />L_J----_.._---
<br />
<br />AUTOMOBILE LIABILITY
<br />~..~
<br />L..X.I ANY AUTO
<br />i 1 ALL OWNED AUTOS
<br />[=] SCHEDULED AUTOS
<br />, '
<br />B I HIRED AUTOS
<br />i -'---1 NON-OWNED AUTOS
<br />¡-------1
<br />L-. -..I GARAGE LIABILITY
<br />! i
<br />i EXCESS L.IABILlTY
<br />r---
<br />L-..--1 UMBRELLA FORM
<br />I I OTHER THAN UMBRELLA FORM
<br />
<br />1
<br />C
<br />
<br />WORKER'S COMPENSATION
<br />AND
<br />EMPLOYERS' LIABILITY
<br />
<br />OTHER
<br />
<br />GENERAL AGGREGATE - -¡~--~,.2_,_no.o,o 0 °1
<br />PRODUCTS-COMP/OP AG~: . - ~~__~2_,_.o.o_O _,00 °1
<br />04/01/04/ERSONAL&ADVCINJURY . j '*_1, 000 , 0001
<br />tEA.S:!-ig~C_l!F=I_F=l.~~S:.E__--:-_- ------~_~__~_l_, .nOD" 00°1
<br />:_FI_F=l_~- ~~~_~9_~_!~~--?-~:=: _fl:e)--_----j -$-~--~--~3 0.0, 0 0 °1
<br />MED. EXPENSE (Anyone person)' $ * * * * :
<br />I
<br />:$ -
<br />.1..<:1,000, 0001
<br />
<br />
<br />I:::::::::: :1
<br />
<br />
<br />1$********* I
<br />--l~-~-~-*--~-~--~--- ( * * 0:
<br />- -i-~ -- (--~.!!.-~_?:.~,- ( * * 0,
<br />
<br />72CESOA1988
<br />
<br />04/01/0
<br />
<br />I
<br />1
<br />,
<br />,
<br />I
<br />I
<br />I
<br />
<br />I 810525D5839
<br />,
<br />I
<br />
<br />; COMBINED SINGLE
<br />: LIMIT
<br />
<br />BODILY INJURY
<br />(Per person)
<br />
<br />I
<br />04/01/03. 04/01/
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />PROPERTY DAMAGE
<br />
<br />I
<br />I
<br />I NO COVERAGE
<br />I
<br />I C4346822
<br />
<br />,
<br />, EACH OCCURRENCE
<br />! AGGREGATE .-.
<br />f - - - - -
<br />
<br />I
<br />i
<br />04/01/03:
<br />
<br />X_;_S!~Ty~q~'(_~I~_I!? -
<br />04/01/ 04 EACH ACCIDENT .-
<br />¡ DISEASE - POLICY LIMIT
<br />'DISEASE EACH EMPLOYEE
<br />
<br />NO COVERAGE APPROVED AS TO FORM
<br />
<br />
<br />DESCRIPTION OF OPERATIONS / L.OCATIONS / VEHICLES / SPECIAL ITEMS
<br />
<br />CERTIFICATE HOLDER
<br />
<br />1
<br />i . I
<br />1'*1,000, 000,
<br />),.._1., DOD , 000,
<br />is *
<br />
<br />
<br />....
<br />=
<br />=
<br />~
<br />
<br />~c->
<br />0-
<br />;:0-<
<br />;>;-<
<br />
<br />:t>
<br />=
<br />
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<br />CJc.ñC/)
<br />rrI.,...,þ
<br /><oz
<br />rr13:~
<br />
<br />...J
<br />
<br />):>
<br />CANCELLATION . -
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICiES BE ëANCELLE~OAE THE
<br />EXPIRATION DATE THEREOF, THE ISSUING COMPAN'f""'V<JILL X~~~
<br />(X)
<br />MAIL 3iL.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br />LEFT, MX*W!?!KJ:lXM*!X:¡;!!~JM('lì!R'X~M-X!M~!O~~~~lì!!!'XR'X
<br />l}(':Rtg!~MXM~~~M~1I'XIDt~~~ID!X'lì!~X
<br />
<br />CITY OF SANTA ANA, ITS OFFICERS,
<br />AGENTS, EMPLOYEES AND
<br />REPRESENTATIVES; P.O. BOX 1988
<br />20 CIVIC CENTER PLAZA M11
<br />SANTA ANA CA 92702
<br />
<br />ACORD 25-S /90
<br />
<br />
<br />@ACORD CORPORATION 1990
<br />THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACH D ENDORSEMENT.
<br />
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