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/^" 1 EILUEMAN-02 O❑ <br />XIIYYYYI <br />CERTIFICATE OF LIABILITY INSURANCE DAT12512019 <br />6125l201S <br />THIS CERTIFICATE 19 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 ISSUINGINSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the Certificate holder Is an ADDITIONAL INSURED, the poliey(las) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />ehla narltncato, dens cat confer rinhts to the certificate holder In lieu of such endorsemaid(s). <br />PRODUCER <br />INSURED <br />Brokerage Inc <br />s560 <br />1311 Management LLC <br />P.O. Box 12529 <br />Newport Beach, CA 92068 <br />enma: <br />jeeri��iuuO,N1��IEI, mp (818) 933-2700 INNC, eq,(818) 933.2701 <br />RONNne9: <br />INSURORISI AFFORDING COVERAGE NAICN <br />HISURERAIPhllade)phla Indemnity Insurance Company 18058 <br />INSURER e, Sentinel Insurance Company 11000 <br />INSURERC1 <br />HHER RE't D; <br />INSURER e: <br />Pe\\ICOAQFC FCRTICIr]ATF MIIMRFF• RFVISICIM MIrMRFn• <br />THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER <br />DOOUMENTWITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />AR? TYPE OPINSURANCE - DL <br />BRi POUCYNUMBER PO C POLICY BXP <br />vt <br />LIMI76 <br />A : X COMMERCIAL 6ENSRAL LIABILITY <br />EACHOCCURRENCE 6 <br />2.000,000 <br />CWM9M1MOE X;OCCUR X <br />YHPK1938138 312412019 " 312412020 <br />PgeMleses°rooew once) a <br />100,(00 <br />MEDEXPIAnya,e PeleM) .t <br />0 <br />PERSONAL SAM INJURY a <br />2,000,000 <br />GENL AGGROATE LIMIT APPLIES PER <br />GENERALAGGREGATE S <br />4,000,000 <br />' POLICY, kjEpT :LOC <br />PRODUCTS-CGAP/OPAGO L <br />e <br />4,000.000 <br />A : AUTOMOBILE LIANIUTY <br />p <br />(Eele'Mod) INGLE LIMIT .6 <br />1,600,006 <br />X'ANYAUTO <br />PHPK1938138 312412019 312412020 <br />eoDILYWJURY(Perp~) S <br />' X <br />IAUIpRTM�O��S ONLY , : LrIpp��rJ�jgII11p <br />X PUT06 ONLY. IIUIOCf <br />_ <br />pHOODILYINRI,RYIPeramMeny S <br />: PRaOQE L DAMAGE S V' II <br />9 <br />UMBHELLAL1A9 (OCCUR <br />', <br />EACH OCCURRENCE ,F <br />UCESS LIAS CLAIM -MADE <br />AGOREGA7E a <br />CEO RETENTION <br />,WO HSCOMPENSATION <br />:AN EMPLOYF,RWUABILITY <br />A <br />tiTAIUTE UR <br />YIN <br />ANYPR iMINPPt EXCLUD EED CUTIVE ..NIA. <br />EL EACH ACGOENT _! <br />IMAn a arY n 1 <br />EL WSEASE-EAEMPLOYEE $ <br />III• .RI'TIONaro RAE TIONS M1UI <br />EL.DSEAS+-PQQCY Ulan f <br />B �Buslnesa Owners Pall <br />72SBAAR11881 31116120119 1311612020 <br />-EPP <br />5D,000 <br />OaSCMpTN)NOFOP9NTxlN91 LOEpTWRB/V WRCI,E9 pICORp 7P1, AddllNpFl RaelarlB BtlnDldq wyee WxlMtl Yarn IpAteh ngWndl <br />R <br />EDB <br />(0 212b <br />SHOULD ANY OF THE ABOVE DESCW0EI1 POLICIES BE CANCELLED BEFORE <br />City of Santa Ana, Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Cantor Plain ACCORDANCE WITH THE POLICY PROVISIONS, <br />Santa Ann, CA 82702 - — -. <br />AUTHORMID nBPREBENTATNS <br />9R IgneRMq) Q ; VOo-LU la AV VRU UVRr'VRHIIUIV. ALIT reams reserved. <br />The ACORD name and logo are registered marks of ACORD <br />