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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />�/ <br />DATE (MM OD YYY) <br />02/15/2019 <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(ies) 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 lieu of such endorsement(s). <br />PRODUCER 866-591-5050 866-791-2715 <br />CIA Insurance Services <br />1510 Park Avenue Unit C <br />Long Beach, CA 90815 <br />CNAME:ONTACT Hal Reniff <br />PHONE 866-591-5050 ac No:866-791-2715 <br />n ua'Es : hal@oi'ainsuranceservice.com <br />INSURERS AFFORDING COVERAGE <br />NAICIf <br />INSURER A: Oak River Insurance Company <br />INSURED 800-599-7385 <br />Card Integrators Corporation <br />3625 Serpentine Drive <br />Los Alamitos, CA 90720 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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. 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 />MISR <br />LTR <br />rypE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYY <br />POLICY EXP <br />MMIDDIYYYYJ <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIALGENERAL LIABIUTY <br />DAMAGE OR D <br />PREMISES Ea occunence <br />$ <br />NED EXP(Any one person) <br />$ <br />CLAIMS -MADE D OCCUR <br />PERSONAL& ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GENT. AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS.COMP/OPAGG <br />$ <br />POLICY <br />r I PRO-JECT MLOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Me accident <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS IAUTOS <br />BODILY INJURY(Peracodent) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per acciden <br />$ <br />UMBRELLA LIAE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAE <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />TORY LIMITS FIR <br />A <br />AND EMPLOYERS' LIABILITY YIN <br />ANY <br />OFFICEPoMEM EREXCLUD EXECUTIVE❑ <br />MIA <br />CAWC929839 <br />12/20/2018 <br />12120/2019 <br />E.L. EACH ACCIDENT <br />$1 000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1 000000 <br />(Mandatory in NH) <br />If <br />OF OPERATIONS be. <br />E.L. DISEASE- POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Addibmal Remarks Schedule, if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana - Police Dept <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />60 Civic Center Plaza <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) <br />The ACORD name and logo are registered marks of AC _ <br />UuI) C /2E�i s i v 1'9� --ct 1-7- . �I G�if 7� PIS f C �o t� <br />