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R pwTEIMMiDU'YYYYI <br />AC'C I CERTIFICATE OF LIABILITY INSURANCE D3;o4+znzo II - <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pallcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the forms and conditions of the policy. certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in Ileu of such endorsemenf(s). <br />PRODUCER I NAME ' Regina Escuata <br />PHONE 81 R.CjgO-�0.0 FAX Bt iy-B40-7066 <br />CSCau'l0 In3llta'IYb' acrY lGaS IA'C. No. Ee!`: _. IA'C NI. <br />'712 'A'Magruka Blvd. nnoRfss: nelpdesK�lesGL CIO -I ns.CUm <br />Bur -ark CA 91506 INsURERISI AFFORDING COVERAGE _ NAICN <br />INSURER A. t;5L1 25B95 <br />INSURED INSURER a: <br />Cra'B T yrl - Tbc 'PVayn.ard ArliM INSURER C _ <br />Grand Central Arts Ccl i:CKE INSURER a -. <br />125 V Nnaadv.ay INSURER E. <br />Sane Ana, CA 927U1 INSURER F <br />rmrcewrCe CFRTIPICATF NIIMRFR REVISION NUMBER: <br />T Y CI-1 T T­= F + OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />-=2�uIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVH:UFI THIS <br />'ERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HFREIN IS SUBJECT TO ALL THE TERMS. <br />'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSS -7 - 4u-OL SVBR' POLICY EFF POLICY EXP LIMITS <br />LTR RI POLICY NUMBER MM,OOlYYYY <br />X CUM MERCIA'. CENE3A. L+=1-I i I EACH OCCURRENCE $ 1,000,ODD <br />x <br />��// CAnv;uE-a t 1 100.000 <br />PREMISES {Ee uccurren;al _ S <br />.V.EOEAT IAI'y 11, 1e'a01. 5 5,000 <br />1 ---- % NPP15797199 12'16i2019 1221&2020 PEHEONAL8 AUV INJURY s 1,000,000 <br />3[•.L.+]r_:-::Anti •.fr:•'F'.-5 ='E �. rFNFRAI AGGREGATE S 2.000,01)O <br />X r,. ...--uHr PRODuc c_covrrar AGc t INCLUDED <br />f:p4:arYFn $INGI c LBaI- <br />AUTOMOaRE4waa]iY � iCu :c_cerill � <br />AFY AL r.J I 500-Y N UK'1P01 pereael 5 <br />u `JELL SCIIEO.._E <br />ALTOE.CNL. AL'Oy bIVRYiPnr n::Pi::nnli-5 <br />H "_F`YJPI-.t;+;Nt'J FRG'EF rY DAVAbE _ <br />AL' cy ,:;^.:' AL-Ci5 Cd.LY ;Fir a;a anp > <br />X UMaftE_'-A LIAa X ;JrLrVH FA.H OCCJ:AReM]F 5 2.000,C OD <br />A EZL_ss LL li Ira==•apt X XL 1592459A 12.'21i2019 121'21?202D AGGREGATE c 2.000,C00 <br />I=O RE TEN -ION 3 S <br />WORKER'S C Or.1PEN5 A I ION PER ^- <br />H- <br />ANDEliGI'ERaLIABILITY YIN STA`LITE tR <br />ASrr'G'nit It t.=2F"Ar-:-,:i;:V n'vF NIAi EL EACH ACCIDENT t <br />C-fFIE \IE•,le F._arLL�pEEn <br />(Manea!ory in NH EL UIEtA5_-EA SMI'LCYEc <br />'rye colclta uI.V <br />GEECR ETC?. C: Cr E4P.iliM13 bvvc F p13FA$P- PC; I1-Y I.I0.11T <br />OL'SCRIPTION OF OPERATIONS I LOCATIONS: VEHICLES IACORD 131. Additional RamsrNg Sehedulx, may be attached If more space Is requlrsa) <br />City ul Santa Araoff.Cers, agents. employees. and volunteers are named as additionally insured on this policy pursuant to written contract, agreerr:enl, Or <br />rnurrumrcum rcf undars:anding. Such insurance as Is afforded by this policy shall be pr'mary, and any nsurance, carried by City shall be excess and <br />nonccnlntutor.. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic. Center Plaza, 4th floor <br />^k. A ­'en n�Trr, <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 />AUTHORIZED REPRESENTATIVE <br />Orl <br />i-is. Ci <br />reserved, <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />