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Digitally signed by Francine R.
<br />Francine R. Villareal Villareal
<br />Date 2 020.10.29 09 13 33 -07'00'
<br />DATE ePJ?4iDDffVY`Yl
<br />THIS CEIRT[PICA]'L IS ISSUIED AS A MATTER OF INFQRMATIION QNL,Y AND CONFERS NO RIGiH,rs UPON THECERTIFICATE HOR.,DER. THIS
<br />CERTIFICATE 00ES NOT AFFIRMATIVELY OR NEOATIVELY AMEND, EXTEND OR Al TER THE, COVERAGE AFFORDED BY THE POLIC1ES
<br />BELOW. 'THIN CER'1'11VICATE OF lNSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER,($), AUTHORIZED
<br />R E P R ESE NTATI VE OR. P'ROID UCER, AND TKE CER TIF I CAT E HIOLQ E R �
<br />.. . .... ..... ....... . . ........... ....... .............
<br />IMPORTANT: If tllp certifiicale holUdor is an ADDITIONAL INSURED, the policy(kis) must hawle ADDITIONAL INSURED provisions or baertdorsad-
<br />11 SLISROGATION IS WAIVED, siubjecl to, the, terms and conditions of the I)OJJCY,, Gomain, palicies, rmay rOCILIke an endQrs,ernent, A Statement on
<br />this certiffoate does not confer r
<br />W . . ........... .. .. . .......... . .... . ... . .......
<br />P R 0 111 Ill C� r5 R, Lirense # alll 0131 GQNTAC I Victoria Foster
<br />NAM�::
<br />Moirneniou,i Insurance Brokerage, A Marsh & IMIGLeninan Agency LLC PHONE
<br />Company W�n(8 1 �) 93 3-9 868 (811 2287
<br />599'a #550
<br />Van Ku Y,5:, CA 4) 14 11 MMRER'(S) I,FFORDING COVERAGE NAIL 0:
<br />m2 ')!Y$PRER A Northfield lnsur�q,ncc., Coppqy 7981
<br />MUR El D
<br />Goodies LLC
<br />12 158 FI raslorlia Soulavard
<br />Units Ai, B. C & D INGURER 0
<br />Norwalk, CA 904350 ,N-LI-SRENR E
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<br />COVERNOR5, . . .. ... ... 9RTIrICATE NUMBER; . . .. .. ..... .............
<br />EVIL tQ ',R-
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<br />1111a IS 10 CFRFIr,Y jlrN IA1 PIE PCLIC�ES OF INSIJIFRANCE USTED BEI-0141 HA'1JE RiEM TitE IWsivo:'LI)
<br />NAMEDABOVE FOR THEPOLICY PERIC,10
<br />INDNCATED, NOTHITHSTANDING ANY REQI flRE.XJ�ENT', I EIRM OR C)NDI NON 01" AN'e CCIN I 13AC I OR' 11 H�R DOCUMENT MPH RE&PEGT' TO Ti duz
<br />CERTIFICATE MAY BE G381JED OR MAY F`PRTAIN, I'Hl,-,' BY IFIE FOLK.111S DESCRIBED HEREWnSlJF1JEC.7 ['0AU-1)-iiElLmos
<br />INADOL SUORf FoUCV KFF pn�, ICY
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<br />A X c oM MERGIAL GENERAL UABILITY
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<br />EAGI I OCCLIRIMACE
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<br />i3ENEIRAL AGGRAT
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<br />UNIRRELLA L IAB (XXI.P1
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<br />EAC.Ij
<br />EXCESS UAB (AiWASMADE
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<br />AND F= KIP U�YfliR,9: LkAWL I T Y
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<br />FIEKRIP71CIN CF GPERA71ONS rr VEHICLES MCORD B01, Addifiumi� Re -marks SC1101,11LAn, 1111-V Itma,limcmM H var.? rx rpa, Is roclor(id:i
<br />01ty of Santa 4a, officois. agonts, ornployoUS,illld VOILIOINkOM are named as additionally insured on this polloy pursuant to writton Contract, ag.reernent, or
<br />memnolandum Of Understanding. Suc4 insurance as is afforded by this pnlicy.9hall be pffinvy, and any Insma(10) Ctafriod by City shall be excess and
<br />non,contribulory.
<br />Curtificato of lmil.trance shall pravide thifty 1301 day prior wriften nafice of canC�II,ajInn,
<br />. . . . . . . .............. . . . ........ . ........ . .... . .. . .................... . ..... . . ..... ..... .... .... . . ............................
<br />. . . . .......... . .
<br />'SHOULD ANY OF1'HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Anin
<br />THE EXPIRATION DATIE T"FRFQF, NOTICE WILL
<br />BE DELIVERED IN
<br />Risk Wanageirn en t D i w is ion
<br />AC CORDAN CE W11'RTH E I)CLIC Y PROM
<br />ON$,
<br />20, Civic, Center Flake, F 14
<br />. . ...................... . . ........... .
<br />......... ...........
<br />Santa Ana, CA �12702
<br />AUTHORIZED REPRESE N7ATYVE
<br />RJAMwagmedE)Msiun
<br />. .... . ...... ................ .. ....... . . .... ........ ........
<br />1°
<br />REVIEWED & APPROVED BY. -
<br />ACCORD 25 �2010,103�
<br />CQ 198B-2015 ACORD CO
<br />.
<br />P, v, &*,a
<br />The ACORD name and logo are registered marks of ACORD
<br />Risk Pjanagement Analyst
<br />
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