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AC AGJ DATE(MMmDrvvvY) CERTIFICATE OF LIABILITY INSURANCE 8045 8 THIS CERTIFICATES ISSUED ASA 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(les) must have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER AUTOMATIC DATA PROCESSING INS AGCY CONTACT NAME: PHONE FAX (AIC, No, Ext): (AIC, No): 250717 P: F: E-MAIL ADDRESS'. PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIGk SAN ANTONIO TX 78265 INSURER A, Hartford Fire Ins Co 19682 INSURED INSURER B'. INSURER C: EACH OCCURRENCE $ EVANBROOKS ASSOCIATES INC INSURER D: 1030 S ARROYO PKWY STE 106 INSURER E: PASADENA CA 91105 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPEOFINSORANCE ADDL SUIR POLICYNCMDER POLICYEFF NM/DD POLICYEXI, LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED $ PREMISES Ee occurrence) MED EXP (Any one pereon) $ PERSONAL &ADO INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT GENERALAGGREGATE $ PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par ee.d.oh $ HIRED NON-OWNEDPROPERTY AUTOS AUTOS ONLY AUTOS ONLY DAMAGE (Par accitlenq $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ WORAEftf CRUPENTA TIONX AND EMPLOVERS'LlueRITV PER ODD GTATUTE ER ANY PROPRIETORIPARTNEWEXECUTIVE YIN E.L. EACH ACCIDENT $1 000, 000 r A OFFICERIM EMBE R EXCLUDED? (Mandatory In NH) NA 76 WEG KU0017 05/25/2017 05/25/2018 E.L. DISEASE -EA EMPLOYEE $lr 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 , 000, 0 0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Those usual to the Insured's Operations. CtK 1111: HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Santa Ana AUTHORIZED REPRESENTATIVE 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 v 7 j © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD