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._ <br />Cxw ( h'i _� �. <br />.��� v CERTIFICATE OF LIABILITY INSURANCE 8034 <br />04TE17/D201)2 <br />THIS CERTIFICATEIS 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 />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONALINSU RED,the policy(ies) must be endorsed. If SUBROGATIONIS 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 endorsem ent(s). <br />PRODUCER <br />CJN SNSURANCE SERVS CES /PHS <br />135212 P. (866)467 -8730 F: (877)905 - 0457 <br />PO BOX 33015 <br />SAN ANTON= O TX 7 8 2 6 5 <br />CONTA T <br />PHONE FAX <br />Ext: (866)467 -8730 1A /C, NOI: (877)903 -0437 <br />E -MAINO <br />ADDRESS: <br />P <br />CUSTOMER ID #: <br />INSURERISI AFFORDING COVERAGE <br />NAIC # <br />/ NSUREO � - <br />PSGS TAIL USA LLC AND PRO -CON <br />2NDUSTR2ES SNC . <br />INSURER A S2Rt 12121 Ir1 Ei CO LTD <br />INSURER B <br />EACH OCCURRENCE <br />INSURER C <br />PREMISES (Ea occurrence) <br />1601 E SANNT ANDREW PL <br />INSURER D <br />COMMERCIAL GENERAL LIABILITY <br />SANTA ANA CA 9 2 7 0 5 <br />INSURER E <br />INSUfl ER F <br />A <br />CLAIMS -MADE �X OCCUR <br />COVERAGES CERTIFICATE NUMBER: 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 ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH 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 />/NSR <br />LTR <br />TYPE OF /NSURANCE <br />/NSR <br />WVO <br />POL /CY NUMBER <br />POL /CY EFF <br />/MM /00/YYYYI <br />POL /C EXP <br />/MM /OO /YYYY/ <br />L /M /TS <br />GENERAL L /AB /L /TY <br />EACH OCCURRENCE <br />9 2 O O O O O O <br />PREMISES (Ea occurrence) <br />9 1, O O O r O O O <br />COMMERCIAL GENERAL LIABILITY <br />A <br />CLAIMS -MADE �X OCCUR <br />MED EXP (Any ono person) <br />9 1 O , O O O <br />PERSONAL e. ADV INJURY <br />S 2r 000, 000 <br />X General Liab <br />X <br />51 SBA AD7666 <br />01/18/2012 <br />01/18 /2013 <br />GENERAL AGGREGATE <br />4 4/ O O O r O O O <br />GEN'L AGGRE <br />TE <br />� <br />LIMIT APPLIES PER: <br />PRO <br />PRODUCTS - COMP /OP AGG <br />9 4 r 0 0 0, O O O <br />- <br />S <br />POLICY <br />® LOC <br />� <br />- <br />AUTOMOB <br />/CE L /AB /L /TY <br />COM9IN ED SINGLE LIMIT <br />IEa accident) <br />a 2 r O O O r O O O <br />ANV AUTO <br />BODILY INJURY (Per person) <br />S <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accitleni) <br />S <br />A <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />X <br />HIRED AUTOS <br />SZ SBA AD7666 <br />O1 /18/2012 <br />01/18/2013 <br />)par accident) <br />s <br />X <br />5 <br />NON -OWNED AUTOS <br />3 <br />UMBRELLA L /AB <br />OCCUR <br />A <br />TO �� <br />� <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />S <br />EXCESS L /AB <br />CLAIMS -MADE <br />IgppROt%�D <br />DEDUCTIBLE <br />5 <br />5 <br />RETENTION 9 <br />_ <br />WORKERS COMPENSAT /ON <br />LISA <br />WC STATU- OTH- <br />ANO EMPLOYERS' L /AB /L /TY �, / N <br />Ci <br />y Attorney <br />T RY LIMIT E <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />� <br />N/A <br />Assistant <br />E -L- EACH ACCIDENT <br />S <br />OFFICER /M EM 6ER EXCLU DEDi <br />/Mandaro ry .n NH/ <br />('� <br />E -L- DISEASE - EA EM PLOVE <br />S <br />If yes, tlescribe under <br />.. <br />E -L- DISEASE - POLICY LIMIT <br />5 <br />DESCRIPTION OF OPERATIONS below <br />r, <br />OESCR /PT /ON OF OPERAT /DNS / LOCAT /DNS / VEH /CLES /Airach ACORO 101. Additions/ Ramar/ra Schadu /a. i /more space /s re0u/rad/ <br />Those usual to the 2nsurad's Operations. Certificate Holder is an Additional <br />Insured per the Business Liability Coverage Form 550008 attached to this <br />policy <br />CERTIFICATE HOLDER CANCELLATION <br />® 1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />Exhibit C <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />City of Santa Aria <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />Attn • Purchasing Dept <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHOR /ZED REPRESENTAT /VE <br />2 0 C 2 V 1 C CENTER P L Z <br />SANTA ANA , CA 9 2 7 01 <br />/GLZ_ �a_�(,��,�� <br />® 1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />Exhibit C <br />