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e <br />,acoR <br />L! - CERTIFICATE OF LIABILITY INSURANCE ,MWDD,YY, <br />THIS CERTIFICATE IS ISSUED qS A MATTER OF INFORMATION I AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, INS 1 <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E%TEND OR ALTER THE COVERAGE AFFORDED BY THE (POLICIES 127I I /20 ( 7 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(6), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: Ir the cW IV D, holtl-r is an ADDITIONAL INSURED, the pollcy(Ies) must have ADDITIONAL INSURED provisions or be endoraetl. <br />It SUBROGATION IS WAIVED, subject to [he terms and conditions a( the polic certain policies ma <br />this certlFlcate does not cooler rights to the cortiffcate holder In Ils11 of such endorsement(-). <br />PRODUCER y YeGWYe all aOdDY-ement, q statement on <br />LOCKTON COMPANIES <br />3657 BRIARPARK DRIVE, SUITE 700 unl romp1 -- .,,,.. _. <br />1306000 RELATED& SUBSIDIARY COMPANIES INCLUD NG ILIATE <br />5101 E.lA PgLMA AVENUE 4—o014,-10 j <br />ANAHEIM CA 92870 -'p� <br />�oY 14,1 6A <br />COVERAGES CERTIFICATE NUMBER: I" <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COP <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE A <br />EXCLUSIONS AND CONDITIONS DF SUCH POLICIES. LIMITS SHOWN <br />INR TYPE OF INSURANCE <br />soB <br />A X COMMERCIAL OENERgL LIABILITY I POLICY1 <br />CLAIM&MgBE � OCCUR Y Y HDO G2787309 <br />X XCII INCLUDED <br />X ISO FORM rG O110 <br />GEN L AGGREGATE LIMI r APPLIES PER: <br />POLICV� PER T C' LOC <br />OTHER: <br />A AUTOMOBILE LIABILITY Y Y NIMT1125097890 <br />X ANYAUTO <br />II{{ <br />X AUT030NLY AUTOSULED <br />X AUTOS ONLY X NONOWNED <br />X MCS-90 <br />A X UMBRELLA LI <br />OF ANY CONI'PAC I' OR OTh <br />:D BY THE POLICIES DESCR <br />1VE BEEN REDUCED BY PAR <br />f IDD <br />OLICY FF POLICY! <br />/1/2018 I/I/2019 <br />1/1/2018 11/1/2019 <br />AB <br />EXCESS LIAR <br />X <br />OCCUR Y <br />Y X0002792 9-003 <br />I/I <br />CLAIMS- MADE <br />/2018 <br />I/I/2019 <br />DEO RETENTIONS <br />R WORKERS COMPENSATION <br />BEERS <br />A AND <br />YIN <br />AN. PROPRIETOR11ARTNEaIaxEGITIve <br />C <br />Y WLR C6462278A AO,S <br />o <br />/ /.0 8 <br />OFFlCEFIM E'I EANLOOE-) NIA <br />I &torymNH <br />WLR C6462278 ((AQ,S) <br />A,&MA <br />SCFC64622791(Wq <br />1/1/2 <br />1/I/2019 <br />I/I/2019 <br />n r'c IIPT eo„aF <br />oescrtlanory of aeeaAnorvs <br />I/1/3018 <br />I/1/2019 <br />oelow <br />A LABIITj UTO <br />Y <br />Y XSA H25097889 <br />1/I@0I8 <br />I/I/2I119 <br />11076601 <br />CITY OF SANTA ANA <br />DEPARTMENT OF PUBLIC WORKS <br />ATTN' CHRISTY KENDIG <br />20 CIVIC CENTER PLAZA, M-21 <br />SANTA ANA CA 92702 <br />iD 25 (2016mR1 <br />be <br />NT WITH RESPECT T <br />IS SUBJECT TO ALL <br />LIMIT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />The ACORD name old logo are registered markstlof ACORD ACORD CORPORATI All <br />-5) <br />