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From: Darlene Ayala, C.LS.R. At: Dibuduo 8 Defendis Insurance Brokers, LLC Faxl D: 5594317941 To: Thao Vue Date: 7/92008 10:54 AM Page'. 2 of 7
<br />SANJOAQ-02 AYDA
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE DnT7/912008
<br />PRODUCER (559) 432-0222
<br />DiBUduo & DeFendis Insurance Brokers, LLC
<br />License #DE02096 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />P.O. Box 5479
<br />Fresno, CA 93755.5479 '
<br />INSURERS AFFORDING COVERAGE
<br />NAIL #
<br />INSURED San Joaquin Chemicals Inc. INSUeEeA American International Specialty Lines
<br />4684 East Hetlges Ave INSUREF R Commerce & Industry Insurance Company
<br />Fresno, CA 93703-0000 msuaER c State Compensation Insurance Fund
<br />I ws~aEH u
<br />i INS~RERE
<br />COVERAGES
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTM'ITH5iANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY COMRACT OR OTHER DOCUM ENi WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR DO'L POLICY NUMBER POLICY EFFECTIVE POLICY E%PIR0.TON LIMBS
<br /> GENERAL LINBILfLY 'EACH O:,CLRRENCE $ 1,000,000
<br />A X X COMMERCIAL GJJEWt ~IAal_Ilr 7004964 4130!2009 4130!2009 ~PeEmisas (Ea c«urancel $ 300,000
<br /> CL°JIdS MMF ~ OCCLR i MED EXF (Any ore xm~) $ S, DDO
<br /> '~ PEROCNh dPD'J INJIJn'Y 5 1,000,00
<br /> GENEPALtiGREGATE $ 2,000,00
<br /> 3ENLAGOFE5.4T2'JNIT APPLIES PER PRODUQS-COMPlOP AGG $ 2,000,000
<br /> ~~ PR0.
<br />X
<br /> POLiGY
<br />LO"
<br /> AUTOMOBILE LIABILITY ', C`MBMED SWG FIJ~IT $ 7,000,00
<br />~
<br />B ~ ANr Au-o 7004966 (Ee aoom6M7
<br />413012009 413012009
<br /> uL OwrvLD AUros HOOILr mvuar $
<br /> SCk£DULED AJrOS '~ 'i (Fer J°rsa~)
<br /> X ~ HFED PLT:'S
<br /> OO_ILY IN.,UFY $
<br /> X NOIaOWNFD:WTCS
<br />Per eco eenry
<br /> -.... __..
<br />' '6GPERTI'DAMAGE I5
<br /> ;Par ecceenry
<br /> GARAGE LINBILITY Alf OCNLY-EA ACCIDENT ~5
<br /> ,ANY Al1T0 ETHER THAM1 EA ACC $
<br /> AV OCNLV. ~~ $
<br /> E%CESSNMBRELLA LIABILITY FACT CCCUFREVC
<br />_ '$ S,000,OO
<br />A ~ occua ~ CLAIMS rwD=_ 7004965 4130@008 4130@009 __. _
<br />AGeREG.mE $ 5,000,00
<br /> 1
<br /> ~
<br />DEDUCrIELE $
<br />- _.._ _.
<br /> _
<br />X FETEVrlala g 10,000 s
<br /> JJC 5'A1L- o H-
<br />Y
<br /> WORHERSLOMPENS0.TIONANO ` TOFU LIMITS EP
<br />L. EMPLOYERS' LIABILITY 168187509 612912008 612912009 e L. EFo- Accl°ENr $ 1,000,000
<br /> ANV =RGPRIETOreIFARTNEfaEfECUTIVE 000
<br />000
<br />1
<br /> ORICEFMIE+ABER EACLJDEDI EL. DISE,YE-EA EMPLQYEE ,
<br />,
<br />S
<br /> Il~ee beambe~aba,
<br />SPECL4. PROVISIONS belsn
<br />EL DISEASE-POLICi LIMIT 1,000,000
<br />$
<br /> OTHER
<br />A Pollution Liability 7004964 4/3012008 413012009 St,DOD,ODD S25,D00 Ded
<br />OESCRIPTON OF OPERATIONS I LOCATIONS / VEHICLES! E%CLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
<br />Cancellation: Ten day notice of cancellation will apply for non-payment of premium.
<br />eRlilcate holder is nametl as additional Insured as respect to general Ilablllty per attached AIG Company Form.
<br />Its oiflcers, employees, agents, volunteers and respresentatives are also named as atltlitonal Insureds
<br />CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIDN
<br />City of Santa Ana O0.TE THEREOF THE ISSUING INSURER WILLAWL~jHMAIL 3O DAYS WRnTEN
<br />Bui Itling Maintenance Division NOTICE TO THE CERTIFICATE HOLDER NAMED TD THE LEFT, BDt7tXC(DtQCltlTh71{Xd(iH7DL
<br />20 Civic Center Plaza #M-17
<br />' -t '`%'~1
<br />a~~x#~'~K121ffiX`X~XdEl6ttd(dtrMD4d~FXdPd~L~(X~Dt~Y+1~dkXXX
<br />Santa Ana, CA 92702- ~
<br /> x8l')EiLtOfd'iXEidE9(
<br />
<br />~ _ _
<br />AUTHORIZED REPRESENTATIVE /y- ~,.
<br />^
<br />ACORD 25 (2007108) ~ ~ACOnu coI%HUH,cI Iorv Taaa
<br />
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