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OP ID: CI 110. - `r`J' CERTIFICATE OF LIABILITY INSURANCE °'12116°""""' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 12116!11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Poficy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo s . PRODUCER 818-7CONTACT 064=0 Alla Bezkrov3 CANWny 818-7 30423 CANWOOD ST., SUITE 228 AGOURA HILLS, CA 91301 ALLA BEZKROVNY NAM, Pmm Fax No E ADDRESS: ®r WCSTRM- Il W AFFOROIIG COVERAGE MAIC x GENERALUABIUTY INSURED WEST COAST STORM INC. 1188 LEISKE DRIVE RIALTO, CA 92376 94SURMA: ENDURANCEAMERICAN SPECIALTY IN 41718 misumm INSURANCE GROUP 11150 INSURER O: AGCS MARINE INS. CO. INSURER D: INSURER E : INSURER F: VVVG"w,,FN� a skin ,azF[FY- ,tri N,V�� nVNrrr7GR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. ILT R TYPE OF IN ADM SUBA yumLIII7S POLICY NUMBER POLICY EF POLICY EXP GENERALUABIUTY EACH OCCURRENCE $ 2,OW,0001 A X COMMERCIAL GENERAL LIABILITY ECC101004981-02 01110f11 01110112 PRENmS renee 10 -NTE $ 50. MED EXP (Arr/ am) $ 5,000 CLAIMS -MADE X� OCCUR X CNTRCTRS POLLUTIO PERSONAL & ADV INJURY $ 2,0001 X PRFSSNL CL IS MADE RETRO DATE 01/17/07 GENERA. AGGREGATE $ 2,000,0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,00 POLICY X PRO- LOC $ AUTOMOBILE UABI IiY COMBINED SINGLE UlIff ANY AUTO (Ea aocklent) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNER AUTOS SLY INJURY (Par ) $ B X SCHEDULED AUTOS FBCAT0099003 01/11/11 01M V12 PROPERTY DAMAGE (Perms) S X HIRED AUTOS X NON -OWNED AUTOS S B X BROAD POLLUTIONBCAT0099003 01MIM1 01MR2 $ UMBRELLA LL48 X OCCUR EACH OCCURRENCE S 51000,000 A X EXCESS LIAR clAws MaoE 101004982-02 01M0M1 01110112 AGGREGATE DEDUCTIBLE X 1 RETENTION S 5000 s WORKERS COMPENSATION AND EMPLOYERS! UAB&" S WC STATU- OTH- ER ANY PROPRIETOR/P� Y I N OFFICERR�IENBER EXCLUDED? F-� MIA E.L. EACH ACCIDENT $ (Mandatory in NH) N yes destx�e under E.L. DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS b eiaw B PHYS DMGILSD-RNTDE T0099003 E L DISEASE -POLICY LIMIT S 01111/11 01M1M2 1,000 C CONTRACTORS EQUIPii[ 01110111 01 yDEDUCTBLE :e I t DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLES (Attach ACORD 191 Addtional Remits Sd*dLds, Mane space Is regtdr� ORANGE COUNTY AND THE CITY OF SANTA ANA AND THE■2 OFFICERS, AGENTS AND EMPLOYEES AS ADDITIONAL INSURED PER FORM FE1.319-ECC-0708 AND DOES NOT APPLY TO PROFESSIONAL LIABILITY. ! -- ITHIRTY DAYS WRITTEN NOTICE OF CAe1CF1 I AT1e%M SAN1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PUBLIC WORKS AGENCY ACCORDANCE VWH THE POLICY PROVISIONS. DESIGN ENGINEERING P.O. BOX 1988, M -M AUTHORG!ED REPR E SENTATIVE SANTA ANA, CA 92702-1988 ®1988-2005 ACORD CORPORATION. AN rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD