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J&RTOWI-01 ECHAVEZ DA ODIVYYV) CERTIFICATE OF LIABILITY INSURANCE 4 /18/ 4/16/2013 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 policy(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 endorsement(s). PRODUCER CONTACT NAME: Esther Chavez RSI Isar Ste o ers, Inc. CA Lic#0782244 2801 HONE EXt ; (714) 546-6616 FAX A/C No: (714) 546-4457 Costa Mesa CA 92626 EMAIL , ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Liberty Insurance Underwriters, Inc. 19917 INSURED INSURERS: Burlington Insurance Co. 23620 J & R Towing, Inc INSURER C : 3307 S Main St INSURER D: Santa Ana, CA 92707 INSURER E ; INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 3 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 CLAIMS. INSRR TYPE OF INSURANCE INSR WVD ! POLICY NUMBER MM/DDmYY MMDD/YYVY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X CAT0005430113 3/912013 512012013 PREMISES Ea occurcDence $ 100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 3,000 000 , GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS - COMP/OP AGO $ Included POLICY PE OROT LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT _Maaccjt $ 1,999,999 A X ANY AUTO X CAT0005430113 319/2013 5/20/2013 BODILY INJURY (Per Person) $ X ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ HIRED AUTOS _ NON-OWNED AUTOS PROPERTY DAMAGE PER ACCIDENT $ -All ??T°o?V11'? T4r1 $ UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ _ d& 1It1 $ WORKERS COMPENSATION - WC STATL- OTH- AND EMPLOYERS' LIABILITY Y/N '1$d? lLY ? -: $A:>'I p tYOI'YD C TORY LIMITS ER ANY PROPRIETOWPARTNER/EXECUT V ,. _ . t1 . ? I E OFFICER/MEMBER EXCLUDED? N I A E.L. EACH ACCIDENT $ (Mandatory in NH) If es describe under E.L. DISEASE -EA EMPLOYEE $ y , DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $ A Garage Keepers Legal CAT0005430113 34/2013 5/20/2013 $500 Ded Per Auto 250,000 B Garage Liability 65080005279 4115/2013 4/15/2014 $1,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) On-Hook Coverage $100,000 Limit With $1,000 Deductible The City of Santa Ana, its officers, agents and employees have been requested to be named as additional insured in respects to the auto and general liability ,coverage. *"THIS CERTIFICATE SUPERSEDES ANY & ALL PREVIOUS ISSUED CERTIFICATES- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza P. O. Box 1988 M-6 AUTHORIZED REPRESENTATIVE Santa Ana„ CA 92707.4010 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD