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A RA CERTIFICATE OF LIABILITY INSURANCE o oz112 /20 s' PRODUCER (925)688 -0733 FAX (925)688 -0737 T THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INSURERS AFFORDING COVERAGE N NAIC # INSURED Downey Vendors, Inc. / Eagle Vending, Inc. I INSURERA: Travelers Indemn Company of CT INSURERS: INSURER C. INSURER O: NSURER E: VE:HAIJEN THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE JUMMOMI DATE (mmann"i GENERAL LIABILITY 6601430075208 02/09/2008 02/0912009 EIACHOCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00 pocaI CLAIMS MADE C OCCUR MED EXP (Any one pereon) $ S,000. A PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,00 X POLICY PJECT RO LOG AUTOMOBILE LIABILITY BA3395CO9508 02/09/2008 02/09/2009 COMBINED SINGLE LIMIT ANY AUTO (Ea accment) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Peraccident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAJMBRELLA LIABILITY CUP3619Y73608 02/09/2008 02/09/2009 EACH OCCURRENCE $ 5,000,000 OCCUR El CLAIMS MADE AGGREGATE $ 5,000,00 A $ DEDUCTIBLE S X RETENTION $ 10,00 $ WORKERS COMPENSATION AND IACRUB1215L86707 04/01/2007 04/01/2008 X WCSTATU- EMPLOYERS' LIABILITY El. EACH ACCIDENT $ 1,000,0 A ANY PROPRIETORIPARTNER'EXECUI OFFICERMEMSER EXCLUDED' El DISEASE - EA EMPLOYE $ 1,000,00 If yes, describe under SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Santa Ana City Hall, Santa Ana Police Dept., Santa Ana City Yard & Santa Ana Library City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured per attached form CG20110196n & primary wording per attached form C000011001 page 11 Of 16. 10 days notice for non - payment. rAUrCI I A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Santa Ana BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center, 8th Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATI Santa Ana, CA 92702 AUTHORIZED REP ENTATIVE OPP ex it ACORD 25 (2001108) C/ _- - �// VAGORD GVIKI UV AI IUN TBtfN rAUrCI I A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Santa Ana BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center, 8th Floor OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATI Santa Ana, CA 92702 AUTHORIZED REP ENTATIVE OPP ex it ACORD 25 (2001108) C/ _- - �// VAGORD GVIKI UV AI IUN TBtfN ACORD 25 (2001108) C/ _- - �// VAGORD GVIKI UV AI IUN TBtfN