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SANJOAQ-02 AYDA <br />~1CORDTM CERTIFICATE OF LIABILITY INSURANCE DA5/15/2009 Y) <br />PRODUCER (559) 432-0222 <br />DiBuduo 8r DeFendis Insurance Brokers, LLC <br />License #OE02096 <br /> <br />~ 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 />~~ ' _ L~-~ <br />Fresno, CA 93755-5479 ~~ ~'~ ~ ~-) r> - ~- ~ ~`-~ ~ <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC # <br />INSURED San Joaquin Chemicals Inc. INSURER A: American International Specialty Lines <br />4684 East Hedges Ave INSURER B: Commerce & Industry Insurance Company <br />Fresno, CA 93703-0000 INSURER c: State Compensation Insurance Fund <br /> INSURER D: <br /> INSURER E: <br />RAVFRArFC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X X COMMERCIAL GENERAL LIABILITY 7004964 4130!2009 4/30/2010 PREMISES (Ea occurenc~ $ 300,00 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5,00 <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2+000,00 <br /> X POLICY PRO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 1 <br />00 <br />000 <br />B X ANY AUTO 7004966 4/30/2009 4/30/2010 (Ea accident) $ <br />, <br />, <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS q ppROVED A TT ~~; <br />'l 0 1' Ul~1V BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> ~ l ~ PROPERTY DAMAGE <br /> / `.,~ ~ ~~ , a (Per accident) $ <br /> GARAGE LIABILITY -' L3Ur2 lltt 0 Y <br />~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO 4SS1St1I1C Clt 'l~YiOI'11Cy' EA ACC <br />OTHER THAN $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,00 <br />A X OCCUR ~ CLAIMS MADE 7004965 4/30/2009 4/30/2010 AGGREGATE $ 5,000,00 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND ~( WC STATU- OTH- <br />TORY LIMITS ER <br />C EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTI`/E :1591$750ti 6/29/2008 6/29/2009 EL. EACH ACCIDENT <br />--- $ 1,000,00 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT 1 000 00 <br />$ > > <br /> <br />A OTHER <br />Pollution Liability <br />7004964 <br />4/30/2009 <br />4/30/2010 <br />sl,ooo,ooo Szs,ooo De <br />DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Cancellation: Ten day notice of cancellation will apply for non-payment of premium. <br />Certificate holder is named as additional insured as respect to general liability per attached AIG Company Form. <br />Its officers, employees, agents, volunteers and respresentatives are also named as additonal insureds <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL~~MAIL 3O DAYS WRITTEN <br />Building Maintenance Division <br /> <br />20 Civic Center Plaza #M-11 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BDf>~XIKi~CXdG~i(l~(L <br />Santa Ana, CA 92702- K~i~~i~li~()~C~(~Jbl(XiXdG~6'l(X~tCXii~4lkXelC~GK>G4 XX <br /> )(i1(~)Eii(1~K <br /> AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001108) ©ACORD CORPORATION 1988 <br />