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ACORV CERTIFICATE OF LIABILITY INSURANCE FbATE MMGomm <br />05115/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />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(5), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: H the Certificate holds, Is an ADDITIONAL INSURED, the policy(lea) must have ADDITIONAL INSURED provlelona or be endorsed. <br />If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certaln policies may require an endorsement. A etalement <br />on <br />this certificate does not confer rights to the certificate holder In lieu of such endoroemont(a). <br />PRODUCER <br />Cenificeto Issuance Team <br />CompMAME: <br />Insurance Services <br />xo (049I TOO.8800 Ib: (949)709.1068 <br />26429 Rancho <br />Rancho Parkway South <br />aryS <br />aooaeee: Jeremy®1MrgmprenensNelnsurance.com <br />Suite 120 <br />Suits <br />WSURERISIAFFORDINO COVERAGE <br />MAKE <br />Lake Forest CA 92630 <br />Stale Com w WsuRER A: penOon lnetaencs Fund <br />35078 <br />xaU0.E0 <br />Orange Count' Fair tbuairp <br />INSURERS: <br />NSURlR c: <br />2021 E. Sill St. Ste. 118 A 122 <br />Nunn P: <br />Santa Ana CA 8270E <br />NsuREae: <br />Nausea r: <br />COVERAGES I.rr <br />nevl*IUN 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 OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br />CERTIFICATE WAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCHES 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 />im <br />LTR <br />TYPE OF NNJRANCE <br />OENEIIAL W LRY <br />POLJCYNUMPER <br />MW 0 <br />MMIGO <br />LIMITS <br />CWMSMAOE OCCUR <br />EACH OCWRRENCE <br />{ <br />F71E <br />PREMIS <br />{ <br />MEO EXP I an wnml <br />i <br />PERSONALSADVINJURY <br />{ <br />CEm.ACGREWTE <br />LIMTAPILE8 PER <br />PDUcY ElMCT 0LDD <br />OTHER: <br />GE.NERALAOGREDATE <br />3 <br />PROOUCTS•COMPIOPAGG <br />S <br />f <br />AUTONONLl <br />LIABRIi'I <br />ANYAUTO <br />"Ume SCNEOULEO <br />AUTO 00KY AUTOS <br />HIRED <br />N L LI <br />Pnl <br />f <br />BWILY NJURV IPu pFnenl <br />i <br />60OLY INJURY IPar.mJpmU <br />f <br />AUTOS ONLY AUTTY' <br />PR ER <br />3 <br />uMaReku LMe <br />EXCESS WB <br />occua <br />CWNSMADE <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />{ <br />DEG RETENTION { <br />WORKERS COMPENSATION <br />S <br />A <br />AND EMPLOYERS' UABILITY YIN <br />ANYPROPRIETCR EXCLU RID%ECUTNE <br />OFFICEn,y In NK) E%CLWEOi �N <br />It .na.m,y In xM <br />If »s.aNOA. Nq.r <br />NIA <br />9099740-20 <br />05/1 N2020 <br />OSH62021 <br />STATUTE Elt <br />E.L EACH ACCIOFM <br />f 1.000.000 <br />EL.OSEASE •FAEMPIOYlE <br />i 1.000,DOO <br />DESCRIPTION OF OPERATIONS NIv.. <br />EL.DISEASE-POLIOYLBeT <br />f I'000.0DO <br />DESCRIPYRIN OF OPERATIONS I LOCATIONS I VEMCUES WORD IN. AaexNnal R.m.Aa Soo"L, may M a1Ntl,M a mare spate N ISWlrae) <br />The City of Santa Ana, its ol8cers, employees, eganls, volunteers and representatives. 30 day notice of Cancellation with 10 day nolica of cancellation fw <br />nonpayment of premium per policy provision. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Sane MB (The) ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Divlaon <br />20 CIVIC Center Plaw AUTHORL EB REPRESENTATNE <br />Santa Arlo CA 92701 �!.77.0 <br />/i7' PP " <br />m 1980-2015 ACORD CORP a ZOVt._ <br />ACORD 25 (2016/03) The ACORD name and logo are rogletered marks of ACORD BY :ZISk MAYAC F7f'nT D <br />R1I1VE <br />JU 9 020 <br />hKA N VI LARFAL <br />