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CALIMAN-02 JM. <br />ACO OR TE (MMIDOffYYY) <br />CERTIFICATE OF LIABILITY INSURANCE oA0510212018 <br />�.....—�� 0514212018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License If OTST776 I CONTACT.Kristie Koehrer <br />NAME:.. <br />INSURED <br />Services Inc. <br />CA 92660 <br />California Manufacturing Technology Consulting <br />690 Knox Street, Suite 200 <br />Torrance, CA 90502.1337 <br />779.8558 <br />nnvco nn_oc mE0TIFIn TTF rJnnnGFC. RFVISInM NI IMCFR. <br />231-2572 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_, <br />DY LIMITS <br />INSR TYPE OF INSURANCE ADDL BUBBINSD MO. POLICY NUMBER POLICYEFF POLICY EXP9�ccid.ntlA <br />A <br />GENERAL LIABILITY <br />P.O. BOX 1988 <br />Santa Ana, CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE <br />{/J7 <br />RRENCE $ 1,000,000CLAIMS-MADE <br />CjOCCUR <br />X <br />72UUNKC8257 <br />11/0112017 <br />11/01/2018 RENTEDcu19m $ <br />TXCOMMERCIAL <br />10'000 <br />n one arson <br />1'000'000 <br />PERSONAL INJURY <br />2'000'000 <br />GEN'L AGGREGATE APPLIES PER: <br />GGREGATE <br />�LIMIT <br />X POLICY F-1 JEL�T � LOC <br />-COMP/OP AGO 2,000,000 <br />OTHER: <br />$ <br />SINGLE LIMIT 1,000,000 <br />AUTOMOBILE LIABILITY <br />accen $ <br />ANY AUTO <br />72UUNKC8257 <br />11/01/2017 <br />11/01/2016 BODILY INJURY Perp©reon $ <br />_ <br />OWNED SCHEDULED <br />AUpTOSONLY A.�TTT <br />BODILY INJURY'Per accident $ <br />X.. AUTOS ONLY X.. AUTOS flNEOY <br />Pe�a7v-iRdentDAHSAGE $ <br />UMBRELLA LIAR <br />OCCUREACH <br />OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION$ <br />B <br />WORKERS COMPENSATION <br />X sTARTUT 6TTH- <br />AND EMPLOYERS'LIABILITY <br />YIN <br />72WEZR1099 <br />1110112017 <br />1110112016 1,000,000 <br />AApNNpY PROPRiETOERg1PARTNER±EXECUTIVE <br />o <br />N t A <br />E.L. EACH ACCIDENT $ <br />in SH) EXCLUDIFDP <br />1 <br />(J.F'1%ory <br />YE r000,000 <br />E.L. DISEASE-EAEMPLO$ <br />If yes, describe under <br />1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />EELIMIT <br />LDISEAS-POLICY <br />DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES{ACORD lei, Additional Remarks Schedule, may As attached if more space is required) <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured with regard to General Llab it h it by <br />written contract per the attached endorsement form HGO001 09116, Primary & Non -Contributory included. - <br />} <br />ncp,lmin AT. Uni nCD PAMPPI i ATInM I { I _ t <br />ACORD 25 (2016103) U 1968.2015 AGURD CUKPURA TION. An rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cit of Santa Ana <br />Y <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />P.O. BOX 1988 <br />Santa Ana, CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE <br />{/J7 <br />ACORD 25 (2016103) U 1968.2015 AGURD CUKPURA TION. An rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />