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Insurance - Curbside - 2006-08-25 ACORD CERTIFICATE OF LIABILITY INSURANCE Y) 8/23/2006 PRODUCER FAX (949) 851-8802 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GSM Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License No 0D15612 R E C EWE") ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 30 Corporate Park #307 Irvine CA 92606 AUG 2 5 2006 INSURERS ,â– FFORDING COVERAGE NAIC# INSURED INSURERA Steadfast Insurance Curbside Inc COSTA MESA SANITARY DISTRICT INSURER B Zurich American Insurance 1160 N Armando Street INSURERC _ INSURER D Anaheim CA 92806 INSURERE COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR INSRD TYPE OF INSURANCE POLICY NUMBER POLICY DATE(EM/DDYyL POLICY DATE(MM/DD/YIY)N LIMITS LTR INSRD A GENERAL LIABILITY GPL 543 5554-02 08/2_/2006 08/23/2007 EACH OCCURRENCE Is 1,000-1000 DAMAGE TO RETED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100 000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 25,000 PERSONAL 8 ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 1,000,000 POLICY JECT LOC $ AUTOMOBILE LIABILITY BAP 543 5553-02 08/23/2000 08/23/2007 COMBINED SINGLE LIMIT X ANY AUTO (Ea Sent) $ 1 000 000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AU-0S (Per person) HIRED AUTOS $1 000 LIED COMP BODILY INJURY (Pe accden° NON-OWNED AUTOS $1 000 LIED COLL PROPERTY DAMAGE (Pe accident) GARAGEUABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ l l RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS OER EMPLOYERS LIABILITY ANY PROPRIETOPJPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' E L DISEASE EA EMPLOYEE If PE de unde SPECIAL PROVISIONS NS below E L DISEASE POLICY LIMIT $ A OTHER Contractor s GPL 543 5559-02 08/23/200 08/23/2007 $1 000 000 Each incident Pollution Liability $1 000 000 Policy aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVI OHS The certificate holder 1s included additional insured with regard t, work performed by or on behalf of the named 'insured where required by written contract 10 day notice for ncnpayi It of premium. CERTIFICATE HOLDER CANCELLA t ION SHOULD AN) OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Costa Mesa Sanitary District EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn Tom Fauth 30 DA/ /RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 77 Fair Drive FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE P 0 Box 1200 Costa Mesa CA 92 62 8-120 0 INSURER,ITS GENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Sandra Dodge/SED ACORD 25(2001/08) ©ACORD CORPORATION 1988 INS025 pas)08 AMS VMP Morlga Solutions,Inc (800)327-OL4S Page 1 d2