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Rpr 03 09 11:44a T11ag1 <br /> <br />p.l <br />_ACORD CERTIFICAi'E OF LIABILITY INSURANCE sil~i2o oY' <br />PRODUCER (866) 544-8273 FAX: (866) 594-3486 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Elizabeth Souther Insurance Group HOLDER. TH13 CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />29395 Agoura <br />Suite #202 <br />A ours Hills CA 91301 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED PaCit'ic Building Cars Ina, PBC Janico INSURERA First Mercu insurance 10657 <br />PBC Solution one InC, $BC A&D Bllllding <br />Inc NSURERB:Hartford CaBUalt 29'424 <br />, <br />Maintenance DSA A&D Hldg Maint INSURERCAmerican Alternative Ins 19720 <br /> <br />3080-8 Airway Avenue INSURER D' <br />Costa Mesa CA 92626 INSURER E. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN5URE0 NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME7dT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br />REQUIREMENT <br />, <br />THE INSURANCE AFFORDED BY THE pOUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. <br />I A NR D I <br />INSR D' <br />TYPE OF INSURANCE <br />POLICY NUNA3ER POLICYEFFEGTIVE <br />DATE MM/DDfYY POL{CYEJCPUU>,TION <br />GATE MMI~D/YY LIMtTS <br /> GENERAL LtAB1DTY EACH CC RENCE S 1, OOO, O00 <br /> X COMMERCIAL GENERAL UABIUTY P AGE TO REN~~ED~ 3 $Q r 000 <br />A X GLAIMSMApE a occuR SfMi016035-2 3/17/2009 3/17/2010 MEDEXP An one ort 3 5, 000 <br /> X firrors 6 Omissions PERSONALdAOYINJURY S 1,000,000 <br /> X {/iC8ri0U8 Crim ACt8 NERALA RC=A S '?.DOD. OOD <br /> GEN'LAGGREGATELIMITAPPLIESPER' PROD TS-COMP/OP i 2,000+000 <br /> X POLICY JROT LOC <br /> AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 1 , OOO, 000 <br /> <br />X <br />ANY AUiO iEe acadeniJ <br />B ALL ONMEDAUTOS adOENIE1966 3/25/2009 3/25/2010 BODILY INJURY S <br /> <br />SCHEDUL60AUTOS (Per peraonj <br /> <br /> X HIRED AUTOS OODILY INJURY s <br /> X OWNEDAUTO5 ~ i` jv i (Par accgoru) <br /> X NON- <br />51,000 Ded Comp c ~O <br />~.7 ~ PROPERTY DAMAGE ~ <br /> Qv ~ (Par trCCldentl <br /> X $2 000 Oad COIL <br /> GARAGE LIABILITY AUT ONLY-EA •~CCIDENT S <br /> <br /> ANY AUTO d <br /> SLIt "She y ~ ONLYw A G : <br /> EXCESSIUMBRELLA LIABILITY t C~Lty H RR a S S, 000, 000 <br /> X OCCUR ~ CLAIMS MADE A$~t ap Afl GATE 3 <br /> <br /> s <br />C DEOUCiIBLE 82A2UH000082600 10/1/2000 10/1/2009 S <br /> <br /> X RETENTION IO 000 3 <br /> YJ(i STATU• 0 - <br /> WORKERS COMPENSATpN AND <br /> EMPLOYERS' LIABILITY <br />VE <br />E.L EACH ACCIDENT <br />S <br /> ANY PROPRIETORJPARTNERIEXECUTI <br />OFFICER/MEUBER EXCLUOEDT E L. OI EA - EA EMPLOYE 1 <br /> {I yam, desaibe under <br />VI IONS Detaw <br />E L. DlSE~SE - POLI Y LIMIT <br />3 <br />g oTNEa Business personal 44WNIE1791 3/25/2009 3/25/2010 Limit $930,000 <br /> Property DedaatiLla S1, 000 <br />DESCRIPTION OF OPERATIONA+LOCATIONSNEHiCLESIE7(CLUStON3 ADDED BY ENpORSEMENTISPECtAI PRDVISIONS <br />xE: Job 10080 The Depot of Santa Alva <br />The City of Santa Ana (20 Civio Center PlaeB, Santa Ana, CA 92701), its officers, employees, agents and <br />represantativea are named as Additional In=ured, but only as respects General Liability arising out of the operations <br />Of the Named insured per Porm CG 20 10 07 04 attached. <br />CFullerton@santa-ana.o::g <br />The City of Santa Ana <br />Tho Depot of Santa Ana <br />Attn: Carolyn Phllerton <br />1000 E. Santa Ana Blvd. #108 <br />Santa Ana, CA 92701 <br />ACORO 15 (2001!08) <br />Iacn~a,..,~e...o_ <br /> <br />SHOULD ANY OF TN6 ABOVE OESC188ED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL a(IXT~1I~I~A~C~C MAIL <br />SO DAYS WRITTEN NOnCE TO THE CERTIFICATE HOLDER NAMED ro THE LEFT, ~~ <br />AUTHORIiED REPRESENTATNE ~ t <br />Bruce MonteithlJEANIE <br />i <br />ra ACORD CORPOFiATiON 1988 <br />Onnn ~ M ~ <br />I <br />I: <br />