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ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 01/28/2010 PRODUCER (925)934 -0505 FAX (925)977 -1591 Insurance Associates of Northern CA 1550 Parkside Drive, Suite 120 Walnut Creek, CA 94596 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Downey Vendors, Inc. 6814 Suva Street N -2006 -106 Bell Gardens, CA 90201 N- 2008-097 N- 20INIa7 -001 INSURERA: Travelers Indemnity Company INSURER B GENERAL LIABILITY INSURER C: 02/09/2010 INSURER D. EACH OCCURRENCE INSURER E: A 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. ILT R RS! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY I660143OC752TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 1,000,0001 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED PRFMIRFS (Fa MED EXP (Any one person) $ loo' o00 $ 5,000 PERSONAL & ADV INJURY $ 19000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS BA3395C09510SEL 02/09/2010 02/09/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 A SCHEDULED AUTOS HIRED AUTOS APPROVED S To i O T FORM M INJURY (Per person) $ X X NON -OWNED AUTOS Laur t BODILY INJURY (Per accident) $ X PROPERTY DAMAGE DAMAGE (Per accident) $ tt Sheedy GARAGE LIABILITY Assist. nt C Ly Attorney AUTO ONLY - EA ACCIDENT $ ANY AUTO H OTHER THAN EA ACC AUTO ONLY AGG $ $ A EXCESS/UMBRELLA LIABILITY X OCCUR FI CLAIMS MADE ISMCUP3619Y736TIL10 02/09/2010 02/09/2011 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ S.000.00 $ DEDUCTIBLE X RETENTION $ 10,00 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IACRUB12151_86710 04/01/2010 04/01/2011 X WC STATU- OTH- ER E.L. EACH ACCIDENT — $ 11000,000 A ANY PROPRIETOR /PARTNER,!EXFCUTIVE OFRCER/MEM °ER EXC!_UDFD? If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - EA EMPLOYEE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1 , 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate holder is included as additional insured as respects to General Liability subject to the conditions, limitations and exclusions of the policy. 110 Day for payment non - payment of premium f.. ATE.-wow City of Santa Ana 20 Civic Center Plaza, M -30 Santa Ana, CA 92702 J.VV „maul 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, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS AUTHORIZED REPRESENTATIVE rrie Lazaro /CHERNE ITS AGENTS OR REPRESENTATIVES. ©ACORD CORPORATION 1988