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.. <br />ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYI~ r <br /> 10/23/2009 <br />PRODUCER Phone: (626) 854-9541 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Master Insurance Agency, InC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />18053 Valley Blvd., HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Cit <br />of Indu <br />t <br />CA 91744 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />y <br />s <br />ry, <br />License #: 0603663 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Oak Rlver Insurance Com an <br />Softmaster, InC. INSURER B: <br />20640 OakCrest Drive INSURER C: <br />Diamond Bar, CA 91765 INSURER D <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />, <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR ADD' <br />POLICY NUMBER POLICY EFFECTIVE <br />ATE MIDD POLICY EXPIRATION <br />D TE MMID <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMA E T RENTED <br /> PREMISES Ea occurence $ <br /> CLAIMS MADE ~ OCCUR <br /> MED EXP (Any one person) $ <br /> PERSONAL & ADV INJURY <br /> $ <br /> GENERAL AGGREGATE <br /> $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO PRODUCTS - COMPlOP AGG $ <br /> POLICY <br />LOC <br /> AU TOMOBILE LIABILITY <br /> <br />' COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> ~ BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ <br /> $ <br />A WORKERS COMPENSATION AND 2200000037-091 10/27/2009 10/27/2010 OTH- <br />TA <br />X W <br /> EMPLOYERS' LIABILITY IT <br />RY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 <br /> OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br /> <br />E.L. DISEASE - EA EMPLOYE <br /> <br />$ 1 OQQ 000 <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 000 OQ~ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BYENDORSEMENT /SPECIAL PROVISIONS <br />TO FARM <br />Subject to Policy Terms, Conditions and Exclusions, Insured for Location at : APPRU V ~~ AS <br />23 Peters Canyon Rd <br />Irvine, CA 92606 <br />~~ <br />L <br />~~~ <br />* 30 Days Notice should the policy cancel for non-payment _ <br />Laura Stitt Sheedy <br />eGOTlnrnro .,ter ~~o '" v Attorney <br />'- ""`-"~^ CANCELLATION <br />City of Santa Ana <br />Its Officers, Agents and Employees <br />20 Civic Center Plaza <br />P.O. Box 1988-M12 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) <br />AC~RU'~QRPORATION 1988 <br />Printed by C Con October 23, 2009 at 10:54AM <br />