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DATE refArooMNY) <br />0612612018 <br />/-ili C)IRL e <br />'.1��• CERTIFICATE OF LIABILITY INSURANCE <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, su"ac' to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer ti hts to the certificate holder In lieu of such ondersemant s . <br />PRODUCER 310-373-6441 NQ TesCT Mark F. Duncan, CPCU <br />ISU/The Olson Duncan Agency PHONE 310.373-6441 FAX 310.378.5336 <br />25550' Hawthorne Blvd., Ste 20J WC No; Exq: {A+c. No): i <br />Torrance) CA 90505. ss tndUncan@olsonduncan.com <br />Dustin Olson INSURERISIAFFORDINGCQVERAGE NAIC# <br />INSUrl Technology Ins CO <br />INSURED Public Law Center INSURER B: <br />80t civic i Canter Dr. West` <br />T... <br />Santa Ana, CA-92701 ' - INSURER.C: _ <br />INSURER DI <br />INSURER E: <br />INSURER F <br />'C".OVFRItGEF CFRTIEIRATE NumRFR.. RFV151nN NUMRPP. <br />THIS <br />INDICATED <br />CERTIFICATE <br />EXCLUSIONSAND <br />18 TO CERTIFY"THAT THE= POLICIES, OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD. <br />NOTWITHSTANDING ARW REOU RE�ENT TERM„OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />`M, 4Y;BFr,ISSUED_„OR MAY PER7A jJ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />bONbiTioNSj6FSUCH POLICIES LIMITS.SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF FISURANCE <br />ADDL <br />9UB <br />FOUCY NUMBER MPOLiCY EPF MMIDDl.EXP" LIMBS <br />COMMERCIAL GENERAL LIABILITY <br />CLAOMgMADE-flCS"UR' <br />H CCOJRRENCE. <br />M—'-n <br />LPEkSONAL <br />$&ARV <br />EXP AnV bh9ersoO R <br />$ <br />INJURE <br />--GEN'L'AGGREGA`(E UMT APPLIES PER:. <br />.PQL'ICY=Pt�T �L6G <br />_ <br />$ <br />GENERAL AGGREGATE <br />PR6GUC IS COMPIOP AOti <br />$ <br />_ <br />OrHER <br />:AUTOMOBILE <br />41ASILITI'. <br />COMBINEQ. SINGLE LtMI <br />Aride <br />� <br />ANYAUTO <br />OWNED: SDI. -III <br />AUITOS 014LY rAUTNGIgF.V�/ <br />BODILY INJURY leer 15011 <br />BROCIy.,Y dIIJURY Per eeci oat <br />$ <br />$ <br />Ep <br />AU ONLY ANDS f;11VLY <br />PPe$r lcident AMAGE <br />'UMeRELLAUAS <br />OCCUR <br />EACH OCCURRENCE <br />,%CESS LIAB <br />I <br />CLAIMSMACE.. <br />AGGRECATE. <br />.�........— <br />,pED <br />I RErENTws <br />A <br />WORKERS COMPSNSATIGN <br />AND EMPLOYER$' LIABILITY <br />YIN <br />AApMl PROPRIErORA`ARTNEP!EXECUTIVL <br />9M21%- H1 EXCLUDED? <br />If yea descntie udder <br />p RIPTION' F OPERALONGbeI <br />NIA <br />R 0 1 <br />X °' <br />TWC3622404 041O112018 04101/2019 ..TArpT E <br />EL EACH ACCIDENT <br />EL QISEAGE EA EMPLOYEE <br />E.L. 015EA1E POLICY l.lMIT <br />1,000,000 <br />$ 1,000,000 <br />.$ 11600,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101,Addidooal Remarks Schedule, maybe attached if more space is required) <br />Cert holder: Clttyy of Santa Ana, its officers, employees, agents, volunteers <br />and Tepresentaflves. *Policy terms apply.- <br />:CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />- City of Santa Ana, Its <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />officers, employees, agents, <br />volunteersandAUTHORIZED <br />representatives <br />20 Civic Cater Piz <br />REPRESENTATIVE <br />r r <br />i-,•`J�,45•!'�_ �"—L��yr~,+k_=__.�� <br />I.. <br />ACORD 25 (2016103) OO 1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />