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08-0304_ALL AMERICAN ASPHALT_Insurance111,118/120111 ]V20 FAII 71,11374185 HIIIC a118ai100191 ' ACORD. OR IaIABILIITYI IN SURANCB AM REQUIREMENT, TERNS OR CONDITION OF ANY CONTRACTOR OIFIEA DOCUMENT WITH RESPECT TO WHICH THIS 4 ERTIFICATE MY BE ISSUED OR CER"MRICA"NS POLICIES. AGGREGATE LIMITS SHOWN MAY HA11E E ISN RE]UO EO M I RP Io a LA MS. 071311�°"""Y' PRODUCER TYPE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ed% ealood Pa rtners Ins. (I a rtes PCATELICY ON l Y AN I CONFERS NO RIGHTS UPON THE CERTIFICATE I is #OB211371 (714) 937-11824 IOE DER. THU CERTIFICATEIIIF IG OR (ALTERR B GPPOO2265WO 0810'1/07 THE COVERAGE AllRORDEID THEAMEND£POLICIIEES BELOW. Cine Cit) I EIIvd West #100 ClRange, Cpl 978118.2947 This AOI rdf cite 1NSI RE RS An FORDING CCIVERA G9 I (AIC A I10 UREfl DAMAGES I �� b100 000 INSURER A: Arch Specialty Insurance Co. All Am aria an A! p halt MA OCC( R ILAIMI DE nX INSURER EI: Ina. Co. of the State of PA P.C1. Bax 2229 INSURER 4: Seabright Insurance Co Corona, Cpl 12878-2729 INSUREIIII1: Hartford Fre Insurance Co. supercedes II SI RE] 1: COVERAGES THEF Pal ICIE3 ON INSURANCE LISTED E ELOW HAVE SEEN 1551 ED TO THE INSURED NAMED ABO) IE ROR 'IH■ POU CY PERIOD INDICATED. NOTWITHSTANDING AM REQUIREMENT, TERNS OR CONDITION OF ANY CONTRACTOR OIFIEA DOCUMENT WITH RESPECT TO WHICH THIS 4 ERTIFICATE MY BE ISSUED OR W Y PERTAIN, THE INSURANCE AFFORDED I Y T1111 R OLICIE S DESO F HED HERIHII I R I LIBJMC71 IO A LL THEI TEMAS, EXCLI ISM NS AND CONDITIONS OF SI ICH POLICIES. AGGREGATE LIMITS SHOWN MAY HA11E E ISN RE]UO EO M I RP Io a LA MS. TR R TYPE OF INSURANCE Pl UC`IINUMBER D NDDIM F PCATELICY L011ITS AI GOMRALLMASILITY GPPOO2265WO 0810'1/07 08101/09 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LL4SILITY This AOI rdf cite DAMAGES I �� b100 000 MA OCC( R ILAIMI DE nX voids ar d ne MED EXP (My operson) S PERSONAL SADV INJURY $1.000.000 supercedes GENERAL AGGREGATE s2.000.000 prey a us GEN'L AGGREGATE Uhl IT APPLIES PEE: PRODUCTS - COMP/OP AGG 42 000 000 certN Cat1 POLIcY 7XI PRO Loc Issued 07/24/08 D AUTOMOSLEUIEULnI X AM ► ul O 72UENGK5491K2 This cartel cak 08101/08 08/01/09 (EEM e1 mW SING LE w IIT s'I ,001,011 BODII Y IN.II RrI I (per P—) ALL OWI E[ A UTO11 SCHOI LU 0AUTOS reflects ull c atecl Auto Lil t ilii I & X X FIRIID Alda nION-OWI EDA UTOS Workers Ca mp COVeralge a my BOCq Y III II IF `I I (Per @wide I) PRC A ERTI DAMAOI I $ (Pd ecCMden } GARAWLMA RM AUTO ONLY -EAACCI[)Wr $ 0 TNHR TFW EA ACC 8 AII'll AUTO A093 ONL1t AW S EXCESSIUMBRELLAU461UfY X OCCUF F] CLAIMS MADE 5686440 18111/07 0810'1109 EACH OCCURRENCE $10,000,000 AGGREGATE 410 OLIO 000 b $ 1EDUC1119u $ X RETENTION $10000 C wORKERscome ENIATmAmo BBI 080243 080,1108 0810'11119 °TM X wcsTRY Lurr 1. EMPLOYERS` LIATO 1 It ITY AFI' I PRG PRIETORIAARTII ERIE7CEal ITIVE OF 114 ERIMMEMB11 EX[ LUDED? nder S I describePRa VISIONS below E.L. EACH ACCIDENT $1,000,000 E.L DISE AkSE . EA EMPLOYEE $1,00,000 E.L. DISEASE- POLICY LIMIT I 41 000,000 OTH111 I EsaRIPTgM GI OPIRATIOMI I U ICA TIONS I VEF III I EXCU SMOFII ADI ED Ell ENDO114 I EMT I SPECJAL PROVISIONS RE: AHRP Ciel ahilite tion of Dei OI ispl Streel S Junill e ro Sera Rand - STPL 5377 (009) (CIP Na. 408) & STPI I -372 (110) (CIR No. 415) 12aAl a Q N1101 S an Juan Q apistrl nc 32400 A a sea Adeia nto San Juan C4pistrano, CAI 92175 ACORD 2.1 (2001101)1 a f 2 #N 32729 SMULD Al IY OF Tell ABOVE I EiSGREE] POI ICES ON CANIELLEI BEFORE THI EXPIiA TM DATE TIIER£DF,TNaLSSNwGINWRERyrLLX000800MFWL —3(L D►`IswRiTTEM NOTICE TO 7111 CER'MPrgM HDI IDM KAMED TO THE LP1T, SCCIi 0 ACORD CORPORATION '1988 1,/ C9/11ACC8 JUIC FAX 71 4 931-11 8 9 EPIU (oOoo ms AL;UtW 2b�-* tzoviros) 2 of 2 8432729 09,1'1 8 11 3 011 8 39°21 Hp% 1149371189 HHIC [?Iaai4/11009 I TH I:I EN DORSHMEIr 1110H1AINGSI-EcI 11111 E FIOLICIY. RLEASS READ 1111 CARIFL LLN. SLA NKEI AC DITIONAL INSU RED EN DC R:IEUHNT This en dors emenl modillies in s urc n cc piovided under the lollawing: CIOMMEIIRCIALI GENERAL LIABILITY C:CNERACIE FORM CIOMMEIRCIAIL GEINBRAL LIA>IILiTY SELF -HIL RED RETElN110P CO% EIRACI8 FORM SEKI1111CIN II - 1A IH O IS IN EIIJ RBD is ani o n dec to include as an additional insulted those persons on organizat is n s who aro required Linder a written con tnact v ith you to be named as an a c ditlonal ins tined, but only wth nespe c la liabilit} fon "bodill injury", °peoperty damage", of "personal and ad) isrl'sing injury" caused, in whole on in pari, by yawn acts or omissia ns or It a acts on omissions oil your subcon rac ors: Al. In the N rformance of your ongoing ope rations or °youn worV, inclUding "youn wank° that has been con pleled; or S. In connectior with premises owned b) a nenied to yau. As us ed in 'I his endorsement, the yr ords "you' ar d "1 our nelen 10 the F arr ad In s ured. Alll ottle n ierms and caaclilions olihis Policy remain unci angoc1. City of San Juan Ca,pistrwo, its elected and appointed off vials Hroi4a . AHRP Rehabilitation oil Dal C bispo Street & Juniper o Serra Road ­ SIML-537211009; (CIIP No. 408' & STPI-9372 (tl 10) ((IIA No. 419) Endorserneni Number: Tr is endorsement is effective on the in ce ption date of this pq licll un less otherwise stated herein (TI a irrlorma tion below is required only 0 en # is endorsemeni is issued sc bs equen'l to the p reparation alIhe policy) F a licy IS urn be r. GIPP0023 9 9800 Named Insuned: Alll Almeuican Asphalt Endorsement Elfilecthie dale: 84, X107 00 CGL0006 00 05 07 Rage 1 al 1 C9/.11,13(C8 J1'II FAX 114 931,1111 EPHI 2oov,100(5 TH IS EINDC REIEIMEINI CH AN CHIS TF E I R01110. PLEASE READ Il CAIREFIJ LL -1. Ol 1 EIR IN 91.1 RAN CEI — BROAD FORK, CIGII PCIUCIY EINDCIREIEMBNT 1 his endorsement modifies it f urar cA p roAded L nder tl a Hollowing: CCIL N BRCIIAL C113N 13RAL LIABILITY CIOVERAGE FC1RM CCIN h BRCIIAL GE P BRAL LIABILITY SELF -Ir EURE[l ROTEP 111On CIO% ERACIE FORM Under SEICTION 1% — OOMMERCIAL CIEIN URAL LIAEII11rn CON DITION9, the followingl pal agraph is added -lo Condition 4.Othler Insuiian ce: Whene ti a Named Insured i9 required by a written col' ti act to pi ori( a insul ance -I hal is p1 imary an (l nor-contr'hutory, and the written coni ract s o nequiring is executed b)l the Named Insured belone amt "o=irrence' on oflense, t1 is in$ L ranae w'11 bE primary, but only it and Ilo the extent required by tl at written contract. All other terms and conditions of this Policy I emain unchanged. Endorsement � urn km n: Tt is endorsement is efilectirie on the inception dale of -This poliay unless otherwise stated herein (The ii formatlon belomi is nequilied only wt en this endomiment is issued s L t sequenl to 9 e p reparation of the policy.) Policy Numbers: GPP001165804 Named Insulied: A Il American A:Iphalt Endorsement Effect've Date: &47 0 0 CIGL0130 00 09 06 Rage 1 of 1 09/118/21108 15°211 HILI 11 4 9 3 14389 EPIC �11erilcar Cooled Hdgewa& Partr. ers Xniurance Cer ]tea Licenu 9CEIM70 f1horr.le :11714) 9371-4366 • Fadi: 1�7: 4) 634-113:18 710: Khoon Tan Dale: 9il180008 flax: 149493 -125'1 1 ages: 5 Ca: ❑arrr en Ocboa I aa-: 951-739.401 RAI: Cie rdfieatel s ) of hJurat ae 009(1/0(149 Please find attached cert'ficau (51' as aegw sl ed. Please also note that the General Lial ility policy fon All Arrlericar Asphalt was written ilorn a tWo year term from 8111 x107 to 841(109; tl a ilenewa certific, le received by your offlce reef eated only update d Wo111'lers Compensad for and Automobile Biabili t31 cove age; Ni previa u513 -rel ceived cartiFcate and endorse mx r 1 foil General vi abi liq is still in effect. Hope fully this will be-sufiia i e n-1 I o lift d a insuranne Hold placed on1 owl client+ if yot should have any questions, do not be5itate to canta,ci me at 4714: 9371366. 1111 nki 0 m Citi lied West, 7 uile 700 Of on", CA 94866 EUCEWOW PARn ERS 4h: () 1,1)131-1624 Ira uranoe C40ter Fmr (1 14) 634-13: 4 Lie. No. 01121770