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O <br />" CERTIFICATE OF LIABILITY INSURANCE °" /'' <br />kt <br />---?' <br />' 11/ v18/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER <br />THIS <br />. <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER P One: (707)996-291 2 <br />Fax: (707)996-7912 CONTACT Jerliee Lewis <br />NAME: <br />Apollo General Insurance. Agency, 1. PHONE FAX <br />(Air., NQ. Exth A/C No <br />P. O. BOX 1508 ADDRIE S: Jerileel@apgen.com <br />Sonoma, CA 95476 PCUSTOMER ID RODUCER . J&GI001 <br /> INSURERS AFFORDING COVERAGE NAIC 0 <br />INSURED INSURER A : Interstate Fire & Casualty Company 22829 <br />J&G Industries, Inc. <br />18627 B <br />kh <br />S INSURER B : The American Insurance Company 21857 <br />roo <br />urst <br />treet #302 <br />Fountain Valle <br />CA 92708 INSURER C : Torus Speciality Insurance Company 44776 <br />y, W <br />h <br /> <br />'ty -1,V estc <br />ester Surplus Lines Insurance Company <br />INSURER D: 10172 <br /> INSURER E : <br /> INSURER F <br />---"'- --""- "-'-'--'?' -- RCY1.71VIV IYUIYI6CK: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED <br />B <br />A <br />OVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE <br />SPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE <br />CT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR A DL U POLICY EFF POLICY EXP <br />LTR TYPE OF IN POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> GENERAL LIABILITY DAN1000187 11/1/2010 11/1/2011 EACH OCCURRENCE <br />_ $ 1,000,000 <br />A ? COMMERCIAL GENERAL LIABILITY ?j/ <br />Al t ?, Addi <br />' I N G <br />i PDAMAGE TO REMISES a occurrence) TEIT $ 300,000 <br /> CLAIMS-MADE F OCCUR ' • : .f <br />t <br />onal urcd Sta us only <br /> MED EXP (Arty one person) $ 5,000 <br /> VB 1 f r4't f l (I I eII 3\ '??'1-Mcn contract exe <br />t PERSON 1 <br />000 <br />000 <br /> cu <br />e AL & ADV INJURY $ <br />, <br />, <br /> r f <br />h <br />( GENER 2 <br />000 <br />000 <br /> p or o <br />l <br />l <br />. w crao t l11211te as <br />er AL AGGREGATE , <br />$ <br />, <br /> GEN'LAGGREGATE LIMITAPPLIESPER: <br />PRO- <br />tC 1 <br />1I1b y <br />:1110 C<)n <br />( <br />1 p PRODUCTS -COMP/OPAGG $ 2,000,000 <br /> POLICY <br />LOC . <br />Ul <br />1OIl7i 111 p0 C}. $ <br /> AUT OMOBILE LIABILITY <br />,. - <br />rs92815$3 -.. :' <br />1.1,1/2010 <br />I1/1/2011 <br />COMBINED SINGLE LIMIT <br /> <br />B <br />? <br />ANYAUTO . <br />(Eaacddent) $ <br />1,000,000 <br /> ALL OWNED AUTOS '\ BODILY INJURY (Per permn) $ <br /> <br />SCHEDULEDAUTCS j <br />/ f 3 <br />-L r ( <br />-- BODILY INJURY (Pera(ccident) $ <br /> <br />HIRED AUTOS °- <br />- PROPERTY DAMAGE <br />$ <br /> - (Per accident) <br /> NON-OWNED AUTOS $ <br /> $ <br />C UMBRELLA LIAB <br />EXCESS LI ? OCCUR 06803AI01ALI 11/1/2010 11/1/2011 EACH OCCURRENCE $ 5,000,000 <br /> AR CLAIMS-MADE <br /> AGGREGATE $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY W C STATU- OTH- <br /> Y I N LIMITS EE <br /> <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? r--7 <br /> <br /> <br />/A _ <br /> <br /> <br />E.L. EACH ACCIDENT <br /> <br />$ <br /> (Mandatory In N <br /> nd <br />If yes, tlescribe under E.L. DISEASE - EA EMPLOYE $ <br /> DESCRIPTION OF OPERATIONS below <br /> E.L. DISEASE - POLICY LIMB It <br />D Pollution Liability 622063959007 era <br />11/1/2010 11/1/2011 Gen I Aggresate. 1,000,000 <br />Contractors Po1111mn: 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: Multi Site Demolition 2 Project. The City of Santa Ana, it's officers, agents, & employees. Additional Insured coverage is included if re <br />uired b <br />written <br />t <br />q <br />y <br />con <br />ract per <br />endorsement hereto. <br />CFRTIFICATF FJnl r%=0 <br />Holder's Nature of Interest : Certificate Holder <br />City of Santa Ana <br />20 Civic Center Plaza M36 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />©1988-2009 ACOR RPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD