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A K CERTIFICATE OF LIABILITY fY INSURANCE _ �TE � Y, <br />12201 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGITIC UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIWELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED RV THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT REMEN THE ISSUING INSURERON, AUTHORIZED <br />REPRESENTAIWE OR PRODUCER, AND THE CERTIFICATE, HOLDER. <br />IMPOR'FART; it the certificate Harder Is an ADDITIONAL INSURED, the PORCYFOS) need he" ADDITIONAL INSURED POVlaions or CO ondomed. <br />If SUGROGATION IS WAIVED, subject to ME tans and conHtttor s of the petRy, corlatn Potioiam May NquIm an mekMemonL A atataMoot on <br />ShUCAMETI STE,VE DWIGHT, STATE FARM AGENT <br />4625 E.ANAHEIM ST <br />LONG BEACH, CA 04804 <br />INTERVAL HOUSE <br />RO, BOX 3356 <br />SEAT. BEACH, CA 90740 <br />COVERAGES CEF <br />THIS IS TO CGRTIFY THAT THE: POLICIE, <br />01DICATEO, NO'WATNSTANDING ANY R <br />CERTIFICATE MAY BE ISSUED CA MAY <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />OF IMURANCE <br />._.'I etienrVAC'iaz asrcNunw. wanlpairr <br />._�.� - cuAlrasMAl� �,� ac`cTxl <br />%N`LAWREGATt U RrAPYttaey}s Pcn'. <br />.— 1 POLICY. w� GT f{ LU4 <br />ii EWLO <br />AUTOS ONLY ... AMMI <br />PIIneo > MC4# omr"D <br />AMO5 ONLY AUMS ONLY <br />o"'e C" "A a ...._. OCCJr4 <br />axcaaFa- �LIAa GAte!bNtaOE <br />ARnelAv.arERs°twcMaw � <br />J,NY ppC'#Wip'fC}rt�VApiNMSStFP u'iI4YNE <br />kaxslcruanrPenrlarx sxcusoPor <br />A I { g76.7;30aCp7.75ii <br />iijE 003-p09S-F^2U7:S1 <br />[ 032-4;i;�-C2176i <br />Y%iT_2671-Ci9-750 <br />ANY CONTRACT OR OTHER <br />BY THE POLICIES DE.SCMIN <br />MRIElumm <br />0 <br />NAIL N <br />25143 <br />'TO WHICH THIS <br />ALL THE TERIAS, <br />aCSCRN*nON DF OPERAnaNBlfACATtaN9ltiaWCLkB iAsaan iat, Addllaapci aARh&adlafWk, NRY kB BlCmana{uCw is nrpiand$ _.__............ <br />RE'CONTRACT *A,2017-072,01 <br />CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS ARE NAMED ADDITIONAL. INSURED VIA TH RESPECT TO THE <br />GENERAL LIABILOITY POLICY OF THE NAMED INSURED, SUCH INSURANCE IS PRIMARY AND NON•tONTRIBUI'ORY. WAIVER OF SLEROC°.,ATON <br />FOR WORKERS COMPENSATION POLICY APPUES IN FAVOR OF C;E:RTIFICATE. HOLDER, <br />NJ <br />$HMO ANY OF THE ABOVE DESCRANS) POUCIBS BE CANCELLED BEFORE <br />OM EXPIRATION DAIS THEREOF, NOTICE WILL OE DELIVERED IN <br />CITY OF SANTA ANA COMMUNITY DEVELOPMENT ACCORDANCE WITH THE POUGY PROVEMAE; <br />AGENCY (1425) ADMINISTRATIVE SERVICES DIVISION <br />AGTla%n%k,O AePauaEnTATNC <br />A'T7N: TERRI EGYC;ERS 20 CIVIC CENTER Iat.AZA M,25 &AC6RD <br />SANTA ANA CA 02701 <br />0 09B&-2nOOORiTTON. All rWRS rsocrraa <br />ACORD 25 (2016M3) The ACORO mow and Toga are registered marks of ACORO <br />IW14W 13260.12 Mffl2019 <br />