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Jan 05 09 10:41a T agl <br />p.l <br />~•~ ~~ <br />ACpRD„ CERTIFICATE OF LIABILITY IN URANCE DATE(MM!°°/YYYY' <br />PROpUCER 02~1512OU8 <br />USI NORTHEAST THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT~lON <br />555 PLEASANNILLE RD. STE, 201 N, ONLY AND CONFERS NO RIGHTS UPON THE CCftTIFICATE <br />$RIARCLIFF MANOR, NY 10510 AOT DR TTHEHCOVERAGE AFFORDED B~TTHEEPOLIC ESE RFLOW. <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED 4440 - CA ~ INSURER A: TWIN CITY FIRE INSURANCE COMPAN <br />STRATEGIC OUTSOURCING, INC INSURER B: <br />UClF PACIFIC BUILDING CARE, INC. INSURER C: <br />PO BOX 241448 CHARLOTTE, NC 28224 INSURER D: <br />INSURER E' <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEF.IOD INpICATED. NOTWITHSTANDING <br />ANl' REQUIREMCNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE fSSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR ADD' <br />T INSD TYPE OF INSURANCE , POLICY NUMBER PDALICY EF n CTNE POLICY eX o TON LIMITS <br />GENERAL LIABILITY <br />COMAIERCIALGENERALUA8ILITY EACHGGOEECTCURRENCE 5 <br />PR~MISE5~ a occur 9n S <br />CLAIMS MADE nOCCUR <br />GEN'L.4GGREGATE LIMIT APPLIES PER: <br />POLICY jECOT n LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTO$ <br />SGHEDIJLED AUTOS <br />HIRED AUTOS <br />NUN-ONMEO AUTOS <br />MED EXP (Any one person) g <br />PERSONAL 8 AbV INJURY S <br />GENERALAGGREGATE S <br />PRODUCTS • COhAPiOP AGG S <br />COMeINEO SINGLE LIMIT <br />(Ea Accident) S <br />UOOILYINJURY <br />(Per person) S <br />BODILY INJURY <br />(Peracadenl) S <br />14339 <br />IAGE LIABILITY <br />ANY.4UT0 <br />EXCESSfUMBRELLA LIABILITY <br />OCCUR ~ CLAIMS MADE <br />f I DEDUCTIBLE <br />(~^-~RETENTION S <br />WORKERS COMPENSATION AND <br />A EMPLOYERS' LIABILITY 16WBRJ8484.I <br />ANY PROPRIETORfPARTNERlEXECUTIVE <br />OFFICERIMEMBER EXCLU DEO? <br />If yes, desaibo under <br />SPECIAL PROVISIONS below <br />orNER <br />PROPERTY DAMAGE <br />Peraccitlenl) 3 <br />AUTO ONLY-EA ACCIDENT S <br />OTHER THAN EA ACC 8 <br />AUTO ONLY: AGG g <br />,•~~. ~ EACH OCCURRENCE 3 <br />AGGREGATE g <br />S <br />S <br />5 <br />0301 /2008 0301 X2009 TORY... .S E`R~ <br />E.L. EACH ACCIDENT S 1 <br />E.L. DISEASE • EA EMPLOYEE 5 1 <br />_ E.L. DISEASE -POLICY LIMIT S 1 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />LIMITED TO EMPLOYEES LEASED TO PACIFIC BUILDING CARE, INC. BY STRATEGIC OUTSOURCING, INC, <br />JOB: THE CITY OF SANTA ANA, 20 CfVIC CENTER PLAZA„ SANTA ANA, CA 92701 <br />SHOULD ANY OF THE A30VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THE DEPOT AT SANTA ANA bATE THEREOF, TH6ISSUlNG INSURER WILL ENDEAVQR TO MAIL 3O p <br />1000 EAST SANTA ANA BLVD AYS wRIrrEN <br />NOTfCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />SANTA ANA, CA 92701 IMPOSC NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REf'RESENTATITIVE9~ <br />AUTHORI2EQ REPRESENTATNE <br />ACORD 25 (2001108) ~~ ~ <br />©ACORD CORPORATION 1988 <br />