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Francine <br />Digitally signed by <br />Francine R. Villareal <br />R. Villareal <br />Date: 2021.03.22 <br />11:27:58 -07'00' <br />' <br />6---- CERTIFICATE 'OF LIABILITY INSURANCE <br />—THM k5emocATE IS ISSUED AS, A MA`r"TEn OF INIFORMA"I'lON ONLYAND, CONF"CHS NO F41GIlTS UPON WE CErinFicAre, "OLDER. 11115 <br />CERTIFICATE DOES ROT AFFfflMATIVELY OR NECATIVELY AMEND, EXTEND OR ALTER THE QQVERIACE AFFORDED BY THE PoLtrijIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES INOT CONSTITUTE A CONTRACT BETWEEN THE MSUING INSURERNS), AffrHORIZED <br />Ht,PRL5LN'rATIVL OR PRODUCER, AND THE CtIRTIPICAIr E HOLDER. <br />IMPORTANT-- If the cerWicate holder iq an ADDITIONAL INSURED, the pixkyIjes) must have AND DrrMNAL INSURED proyisions or be ondorsad,, If <br />SUBROGATIOPIISWAhVED,:sub.ieat io the tum,, and unridifions of the polipy, pertoln pofloies may reqw[re an endorgemewil, Astalortrent on thIs <br />1101 CGFIfur rinhis Io the cwtiftale Iroldor in 110011 01 SUch andorsementfO. <br />Aul I R 5k I n1juf allue 5e IV i ces We N L Irc <br />......... <br />PHONE ......... <br />�Ihoelflx A off <br />1pr, N. F. <br />25Sr, Ea S 1::ZC.'.;C�:@:Lcf Pd. <br />Al' L <br />S L! i re 7100 <br />R;016 us'� <br />In 'IIn Ell <br />W51IRTS A <br />'Vxo I) E1110.1'pi` Se. 711M <br />17800 t� 03-d-i F, 't <br />L'-9L <br />`�.c:ott s {Ia 1' v AZ 82}5 'USA <br />USURER 0! <br />. IAITIET-Ili <br />145LIRLF.' I-: <br />IhAR'I,AIkE'Ar F.: <br />COVERAGES CERTIFICATE NUMBER: <br />(Ui.". 1'.' I /1"% <br />irtsunf. ni:5M wouqro cgvErmcf. <br />u r I 4 IIATI, I I Idoilill i r niIIIIAn <br />REVISION NUMBER. <br />NMC K <br />1,"IDICAIED 0~!01 IMP] ISTAND ING ANY 9E(.RJIR.Er%4E NT TEMAGA COINJE',ITIDN',.)FANY CONTRAG'TOfI 0'rH,RL-UUMEFII'%'d17,I]T�ESPECI'0W",IGII 11-1,181 <br />C EIA I 11' 1(.:A b MAY B L LJ LD ()II PJAY I'LFI Llklfl, ,FIE 111,"RAMANC L A FMiIJ 1- 1) BY III h, K,)L.KAl-.;! 13 L$(' I'l BLIJ H1.1 I EIN IS Sk J K I tn-t:k T I r) AL, L, I'l I I: I r ITLIS, <br />Urrilia shown am ris w,eq wesled <br />Mr <br />A10 qpjqR 14 POI Icy FFF KIC ICY I: 9p <br />N$1 'eiva POLIG (MJVVf4�VVVYi 1FAWDD,YVV'4 LIPAIIG <br />X � COWMERGIALGENERAILLIA1311-iry G141 uQuQu Lb Cj.1"uu1wJ IJSNL�'' <br />GI exclwd�'rqj IlroV'T5 . ..... <br />?,,,�in Fx—1 -(a,� S f"FA 0 I'pl I k�!' pk-IL pi, I y J:�! 11" 1. '�nd -[I pill-j"fist . Oro , —'m 1"). <br />I611y Ana o On <br />. .............. <br />F1 �IWRXJAL % ADI; III �JRY <br />. .. . ...... . .. ........ . . ..... ... . . <br />G(A'Il �� <br />JHA <br />00- 1:1( m r 1: OIN X� I R - EKC I�IfP <br />DIHILP. \Cf Pr�OCJ�'Ce.rp k')Ii% 00. (*0 <br />AUT1:RM014IL1:.ILIADIL11Y coulwjku LIM"I <br />4FI) <br />t, r i ek p r: nT F t-! T�A I, uk s F <br />—, <br />It 0�rIn NOF <br />dJ'{A,.V ONLY <br />. ..... . ........ <br />. ........ . .......... .. <br />I <br />t' <br />UMULLALIAD A <br />GUI000000-1 5 3 so 112 n J, <br />ki J 75 1 T67 <br />$9,000, <br />fK Opp I lg�r jkt�l iry I I�v 1�� k'orvi i <br />'wil." <br />A-rIC91IF(W IF <br />$9, 000, <br />UtLt�' LIAIJ CLAII,154JAUCE <br />T7111L 1'�.h I (AIN <br />OOMPF14SAN I OANIA <br />TdW0I1KF,'IkS <br />(.1 (1 5 I�; fu 1 7 5 vi - <br />EMPLOYERS LIABILITY V u im� <br />L " <br />EX101ri-A <br />1: 1. <br />'a 1� I �;A IPM 1. 141, A <br />D <br />I <br />CL. OUAU NN @-'V LIA I <br />PHUIRTION OF ORETIAToNS,' LOCATIMS i'qFHKN FSJfiC0FIG 101, Addiihi,Ikl Rtowk,kI Sk1'ueh,4, ,,kiv hki Hmurtii Ix .46-11 <br />R I. -' Ilk I, I:: h;k +, e , 'v y 1' 60 ) v &� i t i u ',a I body y wo 1 -11 c;kknc 1 1,5 a nd I i c km 5 e s R114k, 7, tip: po'. t i nrl equ , iy��,nL , Aq,i,(!wn1L Nvrnber:� A-2017-1.13. <br />(J LY QI` AMR, Qh i tC'I:s I a(�Q:'A� . kluo lovee,a and vcfl kintrers are nclded as �,kdcff6aknll Insvred In accordance vdth 1:11e polfcy �jj ri ow, i) l hv r� Ill v 1. a I I lo I., I I i 1. V II'Aicy, U!Iwra� Liabili ',"'Nioeced hvicin i-, �Irjmjjry and Mull-U.MiLlibutury V, othel <br />V i!6hk , . L yj I pa I: y k� <br />�'v III Akk�il iur?�Il Irly,Invil, bwz unly ir� ackikida cc -'jL 1.11v pkjTj V'S <br />CERTIFICATE HOLDER CANCELLATION kp; <br />1 11 <br />SHOULD ANY OF iNt. ABOYT 1ACGRIdER '0110:1ES HE GANGELULU OLIF0111L 'kIIL <br />EKP:RA,Tk0N DATE THEREOF, NOMF WIIA, HE PEINFIREP IN ACCOWDAKE WIN THE <br />PDL CY PROV1910N.5 <br />k. I U r " ,Vl Ld. AMI AILITH10HIZED REFH:E SENIAI IVE <br />I"{is1d vanagaaien:. i)�Osiori <br />20 civic concer Plaza <br />.Sarrii Ana CA W?112 JSA <br />ew <br />91988-21015 ACORD CORPID <br />ACORD 25 (20,16*3) The ACORD name and logo are Tegistered marlks of ACORD Risk Mamgement DMsLan <br />REVIEWED & APPROVED BY. <br />F44ft'U4 Z VXA'Ad <br />Risk Management Analyst <br />