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BLUEMAN-02 <br />CERTIFICATE OF LIABILITY INSURANCE D031221201YY) <br />�......--� D3razrzol$ <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 INSURERS),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polloy(les) 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 rights to the oertificate holder in lieu of such endorsement(a). <br />PRODUCER License # OG19 MY," <br />Momentous Insurance Brokerage Inc - PNDNe ' PAX(AfC.,Nu, EFn: ($18) 833-2700 (Pic,sol:(81$) 533-2701 <br />5990 Sepulveda Blvd., 0550 <br />Van Nuys, CA 01411 N-2019-023 d�ea: <br />' INSURERISIAPPORDINO,COVHRAOe NAICS <br />INSURaRA:Philadelphia Indemnity Insurance Company ..18068 <br />INSURED I CVINSURERS tSentinel insurance Company,11000 J Lau 'U <br />Biueray Management LLC Iaau,RERc: <br />P.A. Sax 12629 INSURERa: <br />NowportBeach, CA92668 ;INSURERS:. .. .. <br />NlSURERF: <br />C!lll1L-RArSRe r'�tOTlCif!ATl=NS1BARRa• RRVLC[fSN NtiMRFR• <br />THIS I$ 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIOH 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 SHOVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />waftLTR'. TYPE OF INSURANCE APD4 aR. POLICYNUMBER <br />'POLICY aPP -aamLIMITS <br />A : X COMMERCIAL GENERAL LIABILITY <br />EACH OECC7pURRENCE, S <br />2.000,000 <br />. CLAIMS•MADE X OCCUR X PHPK1794789 <br />0312412018 0312412019 PONAfOHS;EaxalreMe) ; r <br />100,000 <br />. t�D EIw iAnrana PerAml . S <br />0 <br />_ <br />PERSONALBAOV INJURY S <br />2,000,000 <br />. <br />GEN'LAGOR90ATE PER: <br />,. ORNERALAGOREPATS. „4. <br />4,000,000 <br />pLRIMDIT.APPLIES <br />POLICY .tECT Loa <br />DINER: <br />_ PRODUCTS•COMPIOPAGO S <br />4,00%000 <br />A AUTOMP81L8I <br />%0MBOaWdartfINED LELIMIP S _ <br />11000,000 <br />X AAN+�Y�AEE000rb PHPK1794789 <br />03t2412018 0312VOIS gooJYDuuFYpwpwvM) <br />gCyEpp <br />UA TOSONLY X AUpTN ULEDp <br />AAIUliTOO <br />BODILY INJURY tPor acdgene.A <br />X .AUTOS ONLY ONLY <br />rPeQPaeEddRriWpANAO@ : S <br />LIORe"MAE, OCCUR - <br />EACH OCCURRENCE .8 <br />. ..EXCESSLWB CLAIMS•MAOE <br />AOOREOATE <br />. CEO I.. RETENTIONS <br />-FI�HIR g vemkNSAnaN <br />�k4LOYERB'tMgqB1UEETYRR <br />pE pTN. <br />STATUTE : ER <br />AANryryYBY <br />gpFIC�Wt�Mn�E%C100061T ECUIIVE NIA <br />,EL EACHACCIDENT. .. .: 5.... <br />l mtlat <br />EL,DISEASE-RAEMPLOYEES <br />H asernbauMar <br />i i G <br />B usineas ers Poli 728SA 1 <br />(131`10018 0311 019 BPP <br />50,000 <br />BESCRtP80N 6F OPERATEORSt LOCATIONS tYEHiCLE9 (AGGRO 101, Addllldnat REMarks Sandula, <br />MAYM&EMIRSR wen spa" 14111100d) <br />yy�•�``ff <br />City of Santa Ana <br />Dan Stocker <br />20 Civic Center Plaza <br />Santa Ana, CA 92TO1.4058 <br />ACORD 25 (2010103) <br />98NUCLLATIUN <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 />AUTHORRW REPRESENTATIVE <br />01988.201E ACORD CORPORATION. Ali rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />