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CERTIFICATE <br />OF LIABILITY INSURANCE OATEPAINODIYYYY) <br />THIS CERTIFICATE IS ISSUED AS <br />CERTIFICATE <br />N MAT <br />R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DOES NOT AFFIRM <br />BELOW. <br />TIVEL <br />HOLDER18T/HI$19 <br />OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY <br />THIS CERTIFICATE OF It <br />REPRESENTATIVE <br />SURO <br />THE POLICIES <br />CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />OR PRODUCE <br />I. AND <br />HE CERTIFICATE HOLDER. <br />IMPORTANT: If the oertificato hol <br />If SUBROGATION 13 WAIVED, sub) <br />er is an <br />Ct tot <br />ADDITIONAL INSURED, the polioy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />a terms and <br />this certificate does not confer rig <br />is to th <br />conditions of the policy, certain policies may require an endorsement. A statement on <br />certificate holder m ileu of such endorsement a. <br />ONTO <br />NBMe;_..�. Nica LLorin <br />PRODUCER <br />B2 Insurance Service <br />1426 Aviation Blvd, S <br />Ito 20 <br />_ <br />HONE 'f-�---._..-.__..�. <br />I 424 2O 400 ( gn11424)888.766@. <br />Redondo Beach, CA 9 <br />278 <br />4-MAIL <br />cooapas_.._ ,Ica 1) ineurance._com <br />License #: 0122661 <br />INSURPWRI AFpnenlun cnvenxnv <br />INSURED <br />Brightlife Designs <br />16291 Gothard at <br />Huntington Beach, <br />rnvPaencc <br />INDICATED,MAYBISSUE ANY <br />INDI A E CERTIFY THAT THE NOTWITHSTANDING LICIANY <br />CERTIFICATE MAY BE ISSUED OR MA <br />EXCLUSIONS AND CONDITIONS OF SU <br />LTR TYPE aF INSVMNCE <br />A X COMMERCIALOENERALL ARIDTY <br />CLAIM&MADE L� OCCUR <br />-..-.._.. ___ _.._. <br />--- s.m..v._......� <br />GFN'LAGGREGATE UqMITAPjjP``U�EE <br />)S PER; <br />X POLICY n JEtT LOC <br />0 HER: <br />_•-•••• <br />S OF IN <br />EQUIR <br />H RTAI <br />-POU <br />A OL8 <br />I ( <br />._ <br />Y <br />•�•-•-..,.,�,:,., vvUUvv,U-U REVISION NUMBER: 26THI--_-- <br />ENT, E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />MENT, TERM OR CONpIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IES. UM ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />a OLIC Mean T')'OLI DN - PO DITCYLIMITB <br />Y BL358766204 100/31/2019'08131/20201I� E�ACHOCCURRENCE 5 1 0000 <br />j DA1YrAGF T-d I:NTEo `-"' L —, <br />EMI E Ee occurmnc� 8 600,900 <br />.MEDEXP(Nlyone pennon) .... 15,U00- <br />SONALa <br />PER 1 -- �Q00 <br />> AW INJURY i--000 000 <br />OENEftgI AGGREGATE S . 2 U00010 <br />iPRODUCTS-COMB/oPAGG S_ _ 2100Q1000_ <br />$ <br />Y BRAU048580 �1010912019 10/09/2020 (Eaa TEE' - LIT s 10 00 0 <br />g AUTOMOBILE LIADIL <br />ANY AUTOy� <br />OPMFD SCHEDULED <br />AUTOS ONLY AUTOS <br />. <br />BODILY INJURY(PR parson) S <br />! <br />xHIRED NON -OWNED <br />90DILY INJURY (Pon accen ne l i- <br />AUTOS ONLY AUTOSONLY <br />C UMFIRE LLAL4IB ,OCCUR <br />XC <br />ERS8 LIAR <br />Y <br />Y ESA58766204 0813112019 08/31/2020 EACHOCCURRENCE S 2000,000 <br />-- <br />WIIMGMA <br />D D X RETENTIONS N <br />E <br />_....-_._ <br />__�„ <br />I AGGREGATE. ___� S .2 000,OOU <br />�S <br />WORKERS COMPENSATION <br />AND EMPLOYERfr'LIga141TY YiN <br />_ <br />FR OTH- <br />S TATIlTEa___�._E.B..._ <br />ANY PROPRIETORIPARTNER)EXEMIVE <br />OFFICEWMEMBER EXCLUDED? <br />N/A <br />I E.L EACH ACCIDENT $ <br />(Marnafury in Min <br />Ryyes, tleswibe tnl0er <br />DESCRIPTION OFOPERATIONa pel <br />(L DISEASE -FA EMPLOYE S <br />^T EL DISEASE•Pou IMIT 8 <br />C'9-- <br />DESCRIPTION OF OPERA¶ONS I LOCAngNS/VEI <br />City of Santa Ana, its officers, em <br />IDLES (A <br />loyoo <br />OR0101, AAtlinonal Rem I oa hetl it mamapapa le roRUlretl) r <br />( �{� j0 i�'tv- tilti@nai Insureds with respeoloo�C <br />and Auto Liability per the attache <br />Non•C@ntributory <br />- end <br />Shera�l Liability <br />do of} ,�rtag�tjy jdtttttfDontract. insurance is Primaryaf , 1 <br />232019 CD-4 2 <br />C:S-- <br />CERTIFICATE HOLDER <br />City of Santa Ana - <br />4th Floor <br />20 Civic Center Pla <br />Santa Ana, CA 9271 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />©1988.2015 ACORD CORPORATION. All rights reserved, <br />name and logo are registered marks of ACORD <br />Printed by NU. on October 18, 2019 at 09:05AM <br />i <br />