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~~R~ CERTIFICATE OF LIABILITY INSURANCE <br />O <br />LA <br />HZ DATE (MM/DDIYYW( <br />R <br />C <br />3 03/11/10 <br /> HIS CERTIFICATE IS 9SUED AS A M T ER OF INF RM TION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Van Wagner Group Div. Sterling HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . O. Box 9017 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Woodbury NY 11797 <br />Phone: 516-487-0300 Fax:516-487-0372 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: ACE: American Ins. Co. 22667 <br /> <br />Re <br />h E <br />l <br />i INSURER B <br />ac <br />mp <br />oyee Ass <br />stance, IAC <br /> <br />Marcus Dayhoff INSURER C: <br />101 East Lincoln Ave. , Ste 230 <br />Anaheim CA 92805- INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEp ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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 TFiE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE tMMlDD/YYYY) DATE (MMIDDIYYYY( LIMITS <br /> GENERAL LIABILnY EACH OCCURRENCE $ 1, OOO , OOO <br />A X COMMERCIAL GENERAL LIABILITY 149446 02/17/10 02/17/11 PREMISES(Eao~rence) $ 100,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 , 000 <br /> PERSONAL 6 ADV INJUf@Y $ 1 , OQQ ~ QQQ <br /> GENERAL AGGREGATE $ 3,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1 , OO O , OOO <br /> }{ POLICY PE0. LOC <br /> AUT OMOBILE LIABILRY <br />COMBINED SINGLELIMIT <br /> <br />ANY AUTO <br />IEa accident) $ <br /> ALL OWNED AUTOS O ~ <br />~ BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />" ~ <br />(Per person) $ <br /> HIRED AUTOS <br />D1 <br />l <br />N <br />URY <br /> NON-OWNED AUTOS `S~ <br />`1 BO <br />8 c <br />d <br />n $ <br /> O i~~' ~`~ DAMAGE <br /> 4 S~ (Pe~acaden $ <br /> GARAGE LIABILITY og !'~~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />O <br />~~ <br />EA ACC <br />F <br />iA <br />N <br />$ <br /> ' AUTO ON <br />L <br />Y' <br />AGG $ <br /> EXCESS !UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ^ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />TORY IMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE r~ <br />OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> u <br />(Mandatory In NH) <br />If <br />r <br />es <br />describe und <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> y <br />, <br />e <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> <br />A OTHER <br />Professional Liab <br />149446 <br />02/17/10 <br />02/17/11 <br />Each Occ. 1,000,000 <br />Ag negate 3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCAT10N51 VEHICLES 1 EXCLUSIONS ADDED Y ENDORSEMENT f - P CIAL PROVISIONS <br />All Client Companies are included as additional insureds but only as <br />respects to the operations performed by the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Personnel Dpt. <br />20 Civic Center Plaza <br />M-34 <br />Santa Ana CA 92702 <br />ACORD 25 (2009101} <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 />©1988-2009 <br />All rlahts reserved. <br />The ACORD name and logo are registered marks of ACORD <br />