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<br />From:Ellen Begun
<br />.
<br />
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 EB \ DATE (MMfDOIYYYYI
<br />CONSO-2 12/17/08
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Butwin Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />suite 414 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />60 cutter Mill Road ALTER THE COVERAGE AFFOROED BY THE POLICIES BELOW.
<br />Great Neck NY 11021-3104 I NAlC #
<br />Fhone:516-466-4200 Fax:516-466-4213 I INSURERS AFFORDING COVERAGE
<br />INSURED Ill"SiJRERA ..tiond Union riu :InlI. co. I
<br /> united Testing corporation
<br /> dba united Inspect10n ~tjRERB- AIG --- ----r- --
<br /> and Testing I'N\:URER c: Houston casualty Co,_ _I_~___
<br /> 22620 Goldencreest Drive
<br /> suite 114 INS'JRERO
<br /> MOreno Valley CA 92553 IINSLJRERE "
<br />
<br />FaxID:516-466-4213
<br />
<br />Date:12/17/2008 11:Zb AM ~4~O.
<br />
<br />,
<br />
<br />COVERAGES
<br />
<br />WE ?jLI",Ec; ()F IM,II~,AN(E '_IS1;::0 8L.:.l"'W HAVE B=:EN ,%I.C[c. TOTI-IE INSIIR~D NAME[' ABOVE f:..:P THE POLin PER IuD lND',CATED t<OTWITrlSTANDI"'lG
<br />A\\! fOE.,UIRE\lEI"I, 'ERM OR '::OI~DITION 0= ANY CONTRACl OR OT--lER DOUJ',1Et'T Wild RE;;Fi:CT TO '\"JnICHTHIS ~ERTIF'CATE MAY BE IS::;IIED OR
<br />MAl FER1,AICI. THE Ir,S'JP}l.t.CE A,FFORDE[I BY ,HE pe'L'CIt:5 OE5CRI13EO HE:REIN IS SUBJf.:'~T TO AlL ThE TERMS, c,~e~'JSIONS AND r~ONLJITIOt>;S OF SUCH
<br />l-'(lL''-;lt3 AeGRE(,A1E LItv'11S 5HcVVNMAY HAv'E:: 8EHI REDJr.EJ BY P,IO CLAIMS
<br />
<br />LT' ~ - -~PE~'NS~RAN';; ~ - POUCYNUMB.'- - PJ'A~f(.r~68ml' DATE(~~,b'1f~N
<br />
<br />~NERAL LIABILITY
<br />
<br />A r X l CJMMFP'~AI ,:.;:-r,ERf.1 llAE'ILI'l 4022676
<br />
<br />O-~ ,-I M\I'S MAr,;:: ~ ,-,ecup
<br />
<br />
<br />H
<br />
<br />~'::~"'C-;'_':R~"'TC:~~;IT ;:Pr-'LI~P~ I
<br />I D(j~I':.Y il jE2~ '~X
<br />
<br />LIMITS
<br />
<br />3853974
<br />
<br />
<br />EACH I"J(CIJRREN::E
<br />
<br />$ 1,000,000
<br />'500,000
<br />$10,000
<br />, 1,000,000
<br />1J,000,000
<br />$ 2 ,000 ,000
<br />
<br />07/01/08
<br />
<br />A
<br />
<br />AUTOMOBILE L1ABILlT't'
<br />~il,NYP-LTC'
<br />I I ALL (IVVI'jEO"IITCS
<br />Il S''::HEDiL:::O AUT2:';
<br />L H,RE:[IAUT,)S
<br />I-It,:ol\. JvVNEO AI IIOS
<br />[l
<br />
<br />
<br />$ 1,000,000
<br />
<br />I,
<br />1.- -
<br />
<br />A'.ITOONLY flI,ACCiDE'JT
<br />
<br />
<br />AGG
<br />
<br />,
<br />I
<br />~4 ,000 ,~OO
<br />$4,000,000
<br />I
<br />$
<br />,
<br />
<br />ANY AUT'"
<br />
<br />OTrlFKTHM
<br />A'JTOONLY
<br />
<br />E,I>.ACC
<br />
<br />GARAGE L1ABILIT't'
<br />
<br />B
<br />
<br />EXCESS/UMBRELLA L1A8\LIT't'
<br />~~ I~,,-CIJF< [.=:J CLAIWS MAC'c
<br />
<br />HCEDI:e"',8LE
<br />X RETEI..rTIOI\ $10000
<br />WOR\<;ERS COMPENSATION ANO
<br />I EMPLOYERS' LIABILITY
<br />B ANI ""ORFOR:PARTNOR:PIHUmE
<br />1)=FI~Ert!MctI8ER E...(LUDED~
<br />
<br />I B1I:3128610
<br />1
<br />
<br />07/01/08
<br />
<br />I. 8l.0i'Jr_C~REN~_
<br />07/01/09 AGGREGATE
<br />
<br />
<br />EL DISCP,SE EAl:MPI~OYEE I 'i 1000000
<br />~~ [i,Sl:ASE"POLlC,'L'MIT $1000000
<br />
<br />If ,'e', ,j"e,,':i~8 l.rdp;
<br />~PE~IAL PR8VI:iIOI~S CHlo\o\l
<br />
<br />1 WC7578176
<br />1
<br />
<br />07/01/08 I
<br />
<br />07/01/09
<br />
<br />I OTHER
<br />C professional Liab
<br />Retro Date 9/1/85
<br />OESCRIPTION OF OPERATIONS I LOCATlONS I VEHICLES I EXCLUSIONS AODEO BY ENDORSEMENT I SPECIAL PROVISIONS
<br />city of Santa Ana Corporate Yard, 202 south center street, Santa
<br />92102, job statinq 3/28/08
<br />
<br />I H 707-15549
<br />
<br />10/01/08 \
<br />
<br />10/01/09
<br />
<br />Ea Claim
<br />Agqreqate
<br />
<br />1,000,000
<br />2,000,000
<br />
<br />Ana, CA
<br />
<br /> CITYSAA SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br /> OATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL 30 DAYS WRITTEN
<br /> -
<br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
<br />City of Santa Ana IMPOSE NO OBLlGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS A.GENTS OR
<br />F.O. Box 1988, M-22 REPRESENTATlVES.
<br />santa Ana CA 92702 A~ REPRESENTATlVE
<br />
<br />CANCELLATION
<br />
<br />CERTIFICATE HOLDER
<br />
<br />@ACORDCORPORATlON1988
<br />
<br />ACORD 25 (2001(08)
<br />
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