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p OLDCOA•01 L <br />i 1 PATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITNSURANCE <br />1011412019 <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 policyll si 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 rirOhts to the certificate holder in lieu of such endorsement s�, <br />PRODUCER CONTACT <br />Abernathy Insurance AOencN�i , xf : SAS' S7ERJS <br />„ N : S2S 5T4= <br />133 E Duarte Rd. E-AI <br />68 <br />Arcadia. CA 9100_. <br />INst�Cs Ci +dEf A nE �IAloakINS rRER r Illler t Uuto_ 34 <br />INSURES INSURERB m <br />Gold Coast Appraisals, Inc. INSURER C <br />11506 Telegraph Rd Ste 214 INSURER D <br />Santa Fe Springs, CA 90670 __.. <br />tusUR� E� <br />INSURER.. F-......- <br />COVERAGE CERTIFICATE NUMBER; REVISION NUMRERn <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. 'NOT'AlITHSTANDING 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 DEDUCED BY PAID CLAIMS, <br />NSR ADOL SUBR POLICY EFF pCiLICh EXP <br />TIC. TYPE iSr=INStJRAtACE. Pi�}LIGYtAUMeER - --LIMITS <br />COMMERCIAL GENERAL UASIUTY -- EACH OCCURR .NCE � S <br />CLAINIS-MADE OCCUR DAMAGE 10 RENTED <br />a`ti~IL"tt.'5..LE ztspT�ncg' S <br />EUEIrP Art a.rarer�rsaro' <br />'ER'.iClNALSADVINJURY mm <br />Rr Ct <br />GEN'L AGGREGATE LIMP APPLIES PER OENFRAr ACFYEC AiE <br />LPOLICY PCrrG RC1L I_SC MIP,rCPA Cd; S <br />OTHF R'. . <br />A A TOMOSILE LIABILITY t2OMMNIFO SINGLE LIMIT t 1,000,000 <br />ANY AUTO X X BA040000034684 6/2912019 612912020 EsQCiLY <br />INJURY IPA r��, L . <br />• <br />AT SrONLY AcUTOS iqY w P� <br />ALILtff Y Crt Y TINEN Fir I nt AMA iE.. S _. <br />UMBRELLA LIAR ')CCUR --_- - - EAr L3CCUFiR1'~NC"" <br />EXCESS:LIAS CLAIM9S-MrAGC'. AutiaREGaA'rk' S . <br />DF43 93E7F�Y P`ICTrT S S <br />WORKERS COMPENSATION pETd wCTH- <br />AND EMPLOYERS' LIABILITY Y f N � kC ,® <br />ANY PROPRIETOR/PARTL ER EXECUTWF E:;L -AC I AGCILf -NT S <br />0F"PICELiAJr'at-d�filTER FXCLUDIEL>T'm N I A .--.--._.i A <br />lwndatoryTn RI <br />E;L,UISEAS-EAErVP;4:YE 5 <br />It nr, deserartarartlarr <br />t SCRIPTTTdnFCiPP62ATLEhS lmv E. 2ISEASE-6`0L1CYUNIIT S <br />DESCRIPTION OF OPERATIONS + LOCATIONS! VEHICLES LAC ORD 101, Add thmal Remarks Schedule, may ha:attached If more space Is requIracs <br />City of Santa Anal, officers, agents, employees, and volunteers are named as additionally Insured on this policy pursuant to written contract, agreement„ or <br />memorandum of understanding. <br />Such Insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory <br />CERTIFICATE HOLDER • .•m CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Agra THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Risk Management Division <br />20 Civic Canter Plaza�@ <br />Santa Ana, CA 9 1D2 CI JkREA . AUTHORIZED REPRESENTATIVE <br />ACOI D 25 (2016/03) C 1968-2015 ACORD CORPORATION, All rights reserved, <br />The ACCORD name and logo are registered marks of ACORO <br />