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ACo/Zo CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM)DDMYY) <br />0=112618 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polioy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in Ileu Of such endorsement(s). <br />PRCDUCEfl <br />Automatic Data Procossing Insurance Agency, Inc. <br />1 Adp Boulevard <br />Roseland, NJ 07068 <br />NA E: Or <br />P ONE <br />o .( A c Nu : <br />M <br />DDRESS: <br />INW R S AFFoaolNC DoyeRApe <br />HAD 0 <br />tNSURERA: Slat. Camponsallan lrmurnnoa Fund <br />35678 <br />_ <br />INSURED <br />NEUTRAL GROUND <br />INSURER 81 <br />'--- <br />INSURER c______ <br />1733 VALENCIA <br />INSURER o I <br />Santa Ana, CA 02706 <br />118URERe: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 910597 REVISION NUMBER' <br />THIS 15 TD CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTfi TYPE OF INSURANCE KV➢L SOSTY �Y3 p <br />IN90 D POLICY NUMBER MMIDOMlYY MMIDO P LIMITS <br />CO MMERCIALGENERAL LIAeLLITY <br />__ CLAIMS MADE D OCCUR <br />EAC14OCCURRENCE <br />_ <br />$ <br />—too' <br />A A E ERTED'— <br />PREMISES 8n..unenne)_ <br />$ <br />MED FXP(Any one person) <br />$ <br />_ <br />PERSONAL d ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY❑ PROT T ElLDC <br />JEC <br />GENERALAGOREGATE <br />_ <br />$ <br />GERL <br />PRODUCTS. COMPIOP AGO <br />$ <br />$ <br />o1rleR; <br />AUTOMOBILE <br />LIABILITY <br />Gw nNdaytDs GLEL <br />.. <br />'$ <br />— <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS Al H'OS <br />HIRED ADTOS NON <br />80DII..Y INJURY (par prawn) <br />_ <br />$ <br />BODILY INJURY(Par.Wdenl) <br />_ <br />$ <br />PR PER DAMAGE <br />aPsr eccit — <br />$ <br />UMBRBLLALIAB <br />EXCESS DAB <br />OCCUR <br />CLAIMS MADE <br />_ <br />EACH OGCURRF,NCE <br />$ <br />AGGREGATE <br />$ <br />GEO RETENON <br />AND I(ERS COMPENSATION <br />AND EAtP RIETO'LIABILITY YIN <br />ANYPROPRIMBER EXRTNENEXEGDTIVE <br />OFPICEH/MEMR lil EXCLUDE'o9 <br />(Mandataryln and <br />byes,RIPTIONunder <br />DESCRIPTION OF OPERATIONS bnlnw <br />E <br />X ST lRE ER <br />$ <br />A <br />NIA <br />N <br />fl2292682017 <br />1111312017, <br />a1111,312019 <br />C.L.EACH ACCIDENT <br />_ <br />$ 11000,000 <br />E.L, DISEASE -EA EMPLOYE <br />$ 1,000,000 <br />E,L.OISrgSE- POLICY LIMIT <br />$ 110001000 <br />Va <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addil.n.lR.marhs Sahs6d.,mey b. attaohpd If mmo aPnrr is r.1.11.d)ANP <br /><ae <br />d�(ZN <br />SHOULD ANY OF HE ABOVE QS RISED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Torrl Eggers <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza <br />AUTHORIZED REPRCSCNTATIVE <br />`ll(7IL" <br />Santa Ana, CA 92701 <br />AO 1988.2014 ACORD CORPORATION. Ail rights reserved, <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />