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DATE(MWDDNYYY) <br />t�o CERTIFICATE OF LIABILITY INSURANCE <br />O6/26/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER <br />THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br />INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: It the certificate holder Is an ADDITIONAL IN9UREU, tho Poncy(les) must have ADDITIONAL INSURED Provlslens 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 <br />on <br />this certificate does not confer rights to the Certificate holder in lieu of such endorsament(s). <br />PRODUCER <br />Automallc Data Processing Insurance Agency, Inc. <br />NAME <br />P <br />No: <br />1 Adp Boulevard <br />E-MAT <br />AOOREES: _ - <br />Roseland NJ <br />INSURER9 AFFORMOCOVERAOE NAIC0 <br />INSUREn A: AmvuYTechnobay lmaenco <br />07068 <br />INSURED ..--. <br />MANAGEMENT LLC <br />BLU4131 <br />NSURERS: <br />INSURMC: <br />-- <br />GLY <br />4131 GLNWOOD 57 <br />INSURER 0: <br />INSURER E: <br />IRVINE CA 92604 <br />INSURER F: <br />COVERAAFR rcorlernnTv wn..,..... .r <br />rtcNMMtU IYUV1±FO <br />THIS IS TO CERTIFY THAT THE GANYPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN 166UED TO THE �DWK NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM AN CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L <br />TYPE OF INSURANCE <br />INSVEAOHOCCUmiENCE <br />D <br />POLICYNUMBER <br />pip yy� <br />M P <br />LIMITS <br />GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />3 <br />ETOT01711 <br />_PR[MmEB raaelpmo <br />--' <br />s <br />MEDEXPIAerawpeaon) <br />$ <br />PERSaNALAADVINJURY <br />$ <br />GEN1A0(N1ECvVEPIppo- <br />.. - <br />APPLIES PER <br />POLICY ❑ JECT LOC <br />OTHER <br />OENERALAGORWATE <br />_ <br />PRODUCTS •COMP/OP A00 <br />t <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />AUTOSOWNESCHMUL90 <br />HIRED AUTOS AUTOS <br />ED <br />ARTOSONLY AUNBONLY <br />_ n I <br />S <br />S- <br />__ <br />e <br />BODILYe1JURY(Papeaml <br />66001% 14JURY Tw.uJdanp <br />For LAB <br />S <br />$ <br />A <br />UMBRELLA UM <br />EXCESS LIAR <br />OCCUR <br />CIAIMSMAOE <br />NIA <br />N <br />TWC3778799 <br />02/10/2019 <br />0211102020 <br />EACHOCCURRENCE <br />$ <br />AOREOATE <br />—. <br />S <br />DED RETENTIONS <br />ON <br />ANYPROMIIETOW ABILRY <br />"a EEI'LOYER' LIABILITY <br />ANYPERiMEMBEn EXCLUEP/E%ECUTNE YIN <br />OFHCEf.q 1. MR)Exccuosm �N <br />(NyyaMelory In NHl <br />I= MPTIONaCW OPERATIONS Wow <br />ppSE _ <br />s <br />S 1,ODO,000 <br />E.L. EACH ACCIDENT <br />E,L OISPASE-EA EMPLOY <br />S 1,000,000 <br />E.LOmEASE-POLCYLIMIT <br />j 1.000,000 <br />OESCRWTCNOPOPERATIONSILOCADONSIVENICLES(A <br />R da ,M SohedolgmayboaaavhetlUmore apaooNreyueetl) <br />' <br />I 0 <br />k M <br />nag men D Vlslon <br />CPRTIFIrATE unt ncR <br />-------- <br />City of Santa Ana, Risk Management <br />Attn: Risk Management <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />AUTINORIZEB Rum <br />— ..uu m unn mgv ary regls[erBq 'am, OT AOUKU <br />