AUTOMATED VENDING TECHNOLOGIES, INC. (AVT) -2013

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f %. � CERTIFICATE CIF LIABILITY INSURANCE �.-�'' DATE (MM/DDIYYYY) 7/12 /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: New Century Ins Srv, Inc. New Century Insurance Services 16 N. 2nd Street PHONE (626)300-9000 FAX (AINc:1626)$70-090E EMAIL ,info@usnci.com / License No. OB07085 ADORE INSURERS AFFORDING COVERAGE NAIC N INSURERA:Golden Eagle Insurance Corp10836 Alhambra, CA 91801 INSURED INSURER B:National Union Fire Ins Cc Pa 19445 INSURER C Assurance Company Of America 19305 AVT, Inc. INSURERD: DBA: Utique Shop INSURER E: 341 Bonnie Circle Ste 102 Corona CA 92880 INSURER F: COVERAGES CERTIFICATE NUMBERALL 13-14 REVISION NUMBER: 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. LTR TYPE OF INSURANCE i LSUBR POLICY NUMBER MMI�lOY� MMIDONVYPV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES Ea occurrence $ 500,000 A CLAIMS -MADE OCCUR BP8283936 5/31/2013 5/31/2014 MED EXP(Any one person) $ 10, 000 PERSONALSADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000,000 RO LOC X POLICY PPOT $ AUTOMOBILE LIABILITY COMBINED MBI EDt SINGLE LIMITRe 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO BODILY INJURY (Per accident)$ ALL OWNED SCHEDULED AUTOS AUTOS A2442759 /22/2013 /22/2019 NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accitlent $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ BU014260408 11/4/2012 11/4/2013 C WORKERS COMPENSATION X WC STATU- OTH. AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 04007748 /6/2013 /6/2019 E. L. DISEASE - EA EMPLOYE $ 1 000 OOQ f as, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED PER POLICY FORM NUMBER: GECG602. THIS CERTIFICATE IS VALID ONLY IF THE CERTIFICATE HOLDER REQUIRES IN A WRITTEN CONTRACT TO BE NAMED AS ADDITIONAL INSURED. THIS POLICY IS PRIMARY & NON-CONTRIBUTORY. 10 DAYS NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM. 30 DAYS OTHERWISE, ApppOVED AS TO FORM CERTIFICATE HOLDER CANCELLATION a. (714)571-4211 "-' �(��, IORCK SHOULD ANY OF THE ABOVE DESCRIBE P LI $ E BEFORE �t;l��D THE EXPIRATION DATE THEREO,RS�y9$$jdQ.`d WIX f 169BERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Executive Director of Parks, AUTHORIZED REPRESENTATIVE Recreation and Community Services 26 Civic Center Plaza (M-75) P.O. Box 1988 Santa Ana, CA 92702 Michelle Shen/BIH A95 ACORD 25 (2010105) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025 rgmnnm w 'rho Ar-nan r,-r,ao --a n,.ettri Pf Arnan