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aftTIPICATE OF LIABILITY INSUMN95PIGHar9r2g19 <br />1J0TAFFIRMA� OFINEGATIVELYAMEND EXTEND OR IIEFtDFIN:ORNj lollACONFERLTER HE CTOVERAG AFFORDED BY THE POLICIE—S-U-p-0-N THE —CERTIFICATE HOLDER. Y ANDS <br />=IcgTE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />2 PRODUCER, AND THE CER7IFlCATE HOLDER. <br />rtlficate holder le an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />um w,nm ana commons of the policy, certain policies may require an endorsement A statement on this Corti Cato does not confer rights to the <br />certificate holder In lieu of such endorsement(s). Manuel Berea, <br />GOUGER A�_aenn f._.._,. mlaadl-B3u <br />itnight Insurance Services <br />535 North Brand Boulevard <br />Suite 1000 <br />Glendale OIL91203 <br />INSURED <br />E-MAI manuelhBItnightIns.net <br />AD0ae8s: <br />INBU AFFORDING <br />ill 1 <br />INSURER A: Phc - 8hiladelPhia I <br />INSURER 8:IC5 - Inaurenae COME <br />Orange COuntY Museum Of Art <br />INSURER c: <br />1661 W. Sunflower Ave <br />INSURER D: <br />Santa Ana CA 92704I INSURER F: REVISION NUMBER: <br />COVERAGES UERI11-I1,AIC IYwROM --- <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDIS <br />AWHICHTO <br />NTCIIN <br />CERTIFICATE MA E ISS DORMAY PE AIHE INSURANCEAFFRDED BY THE POLICIES DESCRIBED HERES SUTHHE TERMS. <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />II <br />TYPE OF INSURANCE <br />W.D <br />MIDPOLICY <br />NU S <br />E <br />'A <br />POLII <br />LIMITS <br />A <br />X <br />COMMERCIALOENERALLIABILITY <br />CLAIM6J.IADE M OCCUR <br />X <br />VHYK1735143 <br />al/12/2018 <br />I <br />11/12/2019 <br />EACH OCCURRENCE <br />S 1,000,000 <br />PUMISESM'ET B�q.!-• <br />S 100F000 <br />MED EXP My are paean <br />S 5,000 <br />PENSOYAL a ADV INJURY <br />t 2,000,000 <br />1ENLAGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑ JEOT L� <br />O IEW <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS -COMWOPAGG <br />$ 2,000,000 <br />Uq..r UgARV <br />$ 1,000,000 <br />A <br />AUTDMOBRALUBBITY <br />X ANYAUTO <br />ALL OWNED 9CHEOJLED <br />AUTOS NONAUTOS <br />AUTOS <br />X HIREDAUiOS Mx <br />X Compvm cm,51MG <br />2NPK1 T351a3 <br />11/12/2012 <br />11/12/2019 <br />QUM <br />Ea ed i i <br />S 1,000,000 <br />BODILY IN.URY (PIN person) <br />S <br />SWILY Ii'JURY (Per acdden0 <br />S <br />PRCPERTYpAM GE <br />era en <br />S <br />MadYAI .I. <br />$ 5,000 <br />UMBRBLWLIAB <br />EXCESS UAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />DED <br />I <br />I RETENTION <br />$ <br />B <br />WORNERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETONPARTHEWEECUTIVE <br />OFFICMMEMew EXCLUDED? <br />(Mandatory M NH) <br />If yyees, deaU Inder. <br />DESCRIPTION OFOP'_MTIONS OMaM <br />NIA <br />NVB502494e OS <br />11/12/2018 <br />11/12/2019 <br />X <br />E.L. EACH ACCIDENT <br />S 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />S 11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />S 1,000,000 <br />DESCMPnON M OPERATIONS I LOCAnONS I VEHICLES (ACOR0101, Addlllonal Ramwkn SCMdule, may M altnched Ir mare apace la required) <br />Certificate holder is completed to read; City of Berta Ana, it-s officers, employees, agents and <br />reprensentives <br />Certificate holder is included as Additional insured where required by written contract. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />l7LI <br />I SHOULD EXP ATION DATE THEREOF, NOITICE WILL BED POLIBE DELIVERED IN <br />ES BE ED BEFORE <br />2019 THER <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Mashhoud/,IENBURA....A+-Z <br />MIWM� AD IAVTwvq 1 no ACUNU name ana logo are reglstered marks of ACORD <br />INS025 12014011 <br />