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�.•�� WITTENT -01 SJENKINS <br />AC`�RQ DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE _ 6/1912012 <br />j THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />i REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OG98480 —_ CONTACT <br />Western Elite Insurance Solutions PHONE 9l6) 259 -6900 �l FAX, No): (866 206 -8646 <br />PO Box 2980 LAIC. No. Extra (- ! —_.._ Li __..__. <br />E -MAIL <br />Rocklin, CA 95677 ADDRESS:_, <br />INSURERfSI AFFORDING COVERAGE NAIC p <br />INSURED <br />Wittman Enterprises LLC <br />PO Box 269110 <br />Sacramento, CA 95826 <br />COVERAGES <br />CERTIFICATE NUMBER: <br />INSURER 0: <br />INSURER 0:_ <br />Granite State Insurance <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VMTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />- - - -- <br />INSR - - -- -- "- " - "- - � "DL $UBk- _- -- -- -"�POLICY EFF POLICY E %P LIMITS <br />TYPE OF INSURANCE_ _ _ P_O_LI_CY NUMBER IMMIDDIYYYY_J (MM100IYYYYI <br />LTR ---- - - -... _ <br />GENERAL LIABILITY <br />- <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F-1 OCCUR <br />. <br />�i ,';�' <br />'WL, ! <br />•° <br />'r ��_ '� <br />\ <br />-" - <br />? f.`'� <br />' <br />.. - <br />, <br />EACH OCCURRENCE <br />S <br />"6A- i�7fAUc T6RER7E0 <br />-PREMISES _(Ea occurrence <br />ME EXP (Any one person) <br />- PERSONAL SADV INJURY <br />S -- <br />GENERAL AGGREGATE <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY [:J �R� LOC <br />� <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />_ AUTOS _ . AUTOS <br />NON-OWNED <br />- -. ",- HIRED AUTOS - AUTOS <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB CIAIMSWADE <br />PROOUCTS-COMP /OP AGG <br />.._._.. ._ <br />S <br />— -_ <br />COMBINED SINGLE LIMIT <br />_(Ea accident )" —._ <br />$ <br />1-- <br />BODILY INJURY (Per person) <br />5 <br />BODILY INJURY (Per accident] <br />$ <br />PROPERTY DAMAGE <br />$ <br />EACH OCCURRENCE <br />5 <br />$ <br />AGGREGATE - <br />S <br />DED I RETENTIONS <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN N <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />C065256372 <br />7/112012 <br />711/2013 <br />x WC STATU- OTH- <br />T RV LIMIT _ k <br />E.L. EACH ACCIDENT <br />' 000 <br />E.L. DISEASE - EA EMPLOYEd <br />.1,000,000 <br />S 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />S _ - 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />The City of Santa Ana <br />1439 S. Braodway <br />Santa Ana, CA 92707 <br />111NJYI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />