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CALIFOR-01 LABRO CERTIFICATE OF LIABILITY INSURANCE DA3118/2019 YyYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER `-""""'°" ^ w' — — NFP Property & Casualty Insurance, Inc. 1551 North Tustin Avenue Suite 500 Santa Ana, CA 92705 INSURED California Forensic Phlebotomy Inc. 22762 Antonio Pkwy Ste L1-647 Ladera Ranch, CA 92694 (Pe)VFRArFC r`FRTIFICATF NI.IMBER- REVISION NUMBER: 1 447.0011 _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOROTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDp; yyyp POLICY NUMBER POLICY YFFr POLICY EXPITo LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS -MADE ❑X occuR X SM928506 1111712018 1111712019 DAMAGE TO RENrco J?MACETO n 50,000 X'Prof Llab-Claims Ma qrr MED EXP An onaperson $ 5,000 2000,000 PERSONAL &ADV INJURY $ 3,000,000 GEN'LAGGR-GATE UMITAPPLIES PER: GENERALAGGRECATE $ X POLICY L� JEcT 11 LOC PRODUCTS-COMPtDPAGG $ Included PROF LIAB AGG 3,000,000 OTHE : $ A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY Fa acc dent ANY AUTO! SM928506 11/1712018 11/1712019 BODILYINJURySPer erson)_ 5 - OwN1 SCHEDULED AUTOS ONLY AUTOS INJURY Per accident -- AUTE X AtO1TOS ONNE Ix p6p0DILY aoc tlent A(iE $ S ONLY _t„WeOr $ UMBRELLALIAB W OCCUR EACH OCCURRENCE_ $ m EXCESS UAe CLAIMS -MADE AGGREGATE S FORD RETENTION$ __...- B WORKERS COMPENSATION X STATUTE �RH- AND EMPLOYERS' LIABILITY BNU WC0138098 10/1/2018 10/1/2019 YEN 1,000,000 ANY PROPRIETOR/PARTNER/E%EL"IJTIVE E,L EACH ACCInEN7 _T pFFICER/MEMp ER EXCLUDED2 u N/A 1 1,000,000 (Mandatory In NN) E,L DISEASE -EA EMPLOYE If yes, deadbe UmIkr 1,000,000 DESCRIPTION OF OPERATION$ below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS t LOCATIONS / VEHICLES (ACORD idi, Addlttonai Remarks Schedule, may be attached if more space Is required) The City of Santa Ana, its officers, employees, agents & representatives are named as additional insureds as respects to the General Liability policy limits per endorsement included in the policy. Coverage is Primary and Non -Contributory, as required by written contract. a4gsw 3h,s h" / eF J City of Santa Ana Attn: Purchasing Division 20 Civic Center Plaza Room 429 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD