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AFRO' <br />GOLDCOA-01 <br />CERTIFICATE OF LIABILITY INSURANCF <br />DATE (MWOO/YYYY) <br />10/14/2019 <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, subsea to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rl hts to the certificate holder In lieu of such endorsement s . <br />PRODUCER <br />Abernathy Insurance Agency <br />133 E Duarte Rd. <br />Arcadia, CA 91006x <br />C ACT <br />PHONE <br />A c Nc aal : 626 574-1000 FAX <br />Ne :626 674.1068 <br />INSURED <br />INSURERIN$URER131 AFFORDING COV RAGE <br />N <br />MercuryCalifornia Auto <br />SURER B <br />36342 <br />Gold Coast Appraisals, Inc. <br />11506 Telegraph Rd Ste 214 <br />Santa Fe Springs, CA 90670 <br />s RERC: <br />WSURE D: <br />INSURER E: <br />COVERAGES rcDTICIrATc au u.oCm. <br />INSURER F: <br />THIS CERTIFY THAT <br />REVISION NUMBER: <br />THE POLICIES UI <br />A D. <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />N <br />INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />TERM CONDITION OF ANY CONTRACTOR <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 <br />OTHER DOCUMENT WITH RESPECT <br />MAY BE ISSUED OR MAY PERTAIN, <br />AN <br />THE INSURANCE AFFORDED BY THE POLICIES <br />TO WHICH THIS <br />DESCRIBED <br />EXCLUCERTISIONSCATE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />OMITS SHOWN MAY HAVE BEEN REDUCED BY <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />PAID <br />LIB.WR- TYPE Of INSURANCE AODL <br />SUER F <br />POLICY NUMBER POLICY EF <br />CLAIMS. <br />POLICY EXP <br />UMRS <br />COMMERCIAL GENERAL LIABILITY <br />ClAIM3-IaAOE <br />EACH C RR NCE <br />OCCUR <br />DAMAGE TO RENTED <br />S <br />MED EXP (Ar,Iam araan <br />PERSONAL a A y INJURY <br />LqIMpIT- APPLI SPER: <br />El FLOC <br />ENERA AGGR GATLICY <br />JWLGGRE��ATI <br />JEL'T <br />P ODUC -COMP/ P AGg <br />R: <br />A <br />AUTOMOBILE UABIUTY <br />COMBINED SINGLE LIMIT S <br />u 1,000,000 <br />ANY AUTO <br />ONNED SCHEDULED <br />!t <br />X <br />X BA040000034684 6/2912019, <br />+6/29/2020-0 I YINJVRY Per anon II <br />AA1I�U�gqT��OS ONLY AUUTTOSS <br />pp <br />X AUTOS ONLY - X AUTOS ON1 <br />LY <br />qq JURY Pet Went S <br />Pw acEcXa AMAGE <br />UMBRELLA UAe <br />OCCUR <br />S <br />EXCESS LIPS <br />CLAaA3Z1A0E <br />EACH OCCURRENCE <br />DED RETENTION S <br />AGGREGAT E <br />3 <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LMEIUTY <br />PER OTH. <br />ANY PROPRIETORIPARTNERJEXECUTIVE YIN <br />A <br />OF�IaERIMPMMeV EXCLU <br />NIA <br />E.L. EACH ACCIDENT <br />S <br />1INlAalyyaf. Nuns' <br />tlaacnhe <br />E.L. DISEASE - EA EMPLOYEE <br />OESC IPTION F P TIONS below <br />DISEASE -POLICY UNIff <br />S <br />City of ant OF OPERATIONS I LOCATIONS (VEHICLES IACORD IOI. Addttlanal Roms a, Schadule, may ba aeachad II mwa span la nqul,,o <br />City of Santa Ana, officers, agents, employees, and volunteers <br />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 PFVIFW ... _. _.. <br />/City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />ACORD 25 (2016103) v ®1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />