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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />IS ISSUED AS A MATTER OF INPORMATION ONLY AND DnNFKn¢ kin DUML TC Ilb,
<br />DATRIMMIDONYYY)
<br />11121/2010
<br />wM ncaars"V=Lj MwlCNIJ, CAILNU OK ALHZK TtIE COVERAGE AFFORDED BY THE, POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certiflcate holder is an ADOITIONAL.IN$URED, the policy(lee) must have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED subject to the terms and conditions of the policy, cartel" policies may require an endorsement. A statement on
<br />Tito- ,..,.
<br />IFax: (212) 948 0360
<br />LLC
<br />Carl Named Insureds)
<br />Suite WO
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE: BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE. POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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 />.______ _____^^^�q
<br />ILm NSR TYPE OF INSURANCE"Dki PO IGYN MBEft PM1DO EFF ! MOODY E%F LaA1T3
<br />A
<br />X
<br />COAIMERCIALGENERALLIABILITY
<br />082695264
<br />11/0112019
<br />iHU0112020
<br />EACH OCCURRENCE _
<br />$ 10000,000
<br />CLAIMS•MAOE OOOCUN.
<br />,
<br />DAEMAGSEY'r1 BENTE�n�t�''5�
<br />{0.000.000
<br />00.000'
<br />Professional Valentin, Is Included
<br />-
<br />MED EXP i____ A6no parAo�
<br />X
<br />SIR$1,75Q000
<br />In the General Liability Limih
<br />PERSONALSADVINJURY
<br />S 10'000koo
<br />GENLAGGREIGAT�EUMIT
<br />APjP`UE)SPEIL
<br />(
<br />GENERAL AGGREGATE
<br />3 10,D0D,000
<br />L,X
<br />POLICY L___1 J COT Loa
<br />PRODUCTS-CbMP10PAGG_
<br />& 10.000,Ot)0
<br />OTHER:
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<br />AUTOMOBILE
<br />LIABILITY
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<br />BODILY INJURY meracdeAnt)
<br />$:
<br />X
<br />HIRED X NON OWNED
<br />AUTOS ONLY _._ AUTOS ONLY
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<br />UMBRELLA UAR i X OCCUR
<br />RE59437994
<br />11V0112019 f11Ni020
<br />EACHOCGURRENCE
<br />8 10,00JADO
<br />7
<br />EXCESS LIAR CLAIM84ADE
<br />`�
<br />i
<br />EXCESS OF GENERAL UA81LITY
<br />AGGREGATE
<br />g-m�10,0D0,000
<br />DED RETENTIONS
<br />S
<br />WORKERS ENSATIONLIASILITY
<br />(RWD3
<br />1103.03(A0S)
<br />1, f 2U
<br />X STATUTE_
<br />ANDEMPLO ERS0
<br />ANYPROPRIETORIPARTNUNEXECUTIVE YIN
<br />JRWR3001204-03(WI)
<br />1IM112019
<br />11401t2020
<br />„-�ERH _
<br />_._ _ _ _
<br />1.000.000
<br />OFFICEMMEMBEREXCLUDED4
<br />NIA
<br />`
<br />E.L, EACH
<br />$
<br />(Mandatoryin NH)
<br />EL, DJSEASE,EAEMPLOYEE
<br />�S 1,WO,WO
<br />Ilyes daunba under
<br />DESGIRIPTION OF OPERATIONS below
<br />_
<br />BAWL.
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<br />DISEASE-POUCY LIMIT
<br />5 ,Q,O
<br />A
<br />PROFESSIONAL LIABILITY
<br />�082695264
<br />i11012019
<br />NA?1P2020
<br />LIMIT
<br />2.000,000
<br />00MBINED WITH OIL LIMIT
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD dei, Additional Romarks Sebodula, may be aft dirad if mot¢ apaca Is rsquia,d)
<br />The City of Santa Ana, its officers: employees agents; volunteers and representatives are included as additional Insured where antiond bywdltan canhactwilh respect to General Liability and Auto Liability. Liability
<br />coverage shall be primary and non-mntnbemy where required bywnaen CONVIO. WBtvorsfaugrogotbn is applicable where required by aftenconsatl,
<br />REVI & APPROVFn
<br />Risk Manage Ann 20�9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Risk Management Division L THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />20 Chic Center plaza ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, GA 92702
<br />4SAAtNTM. LAMIBERT AUTHORIZED REPRESENTATIVE
<br />of Marsh USA Inc.
<br />Maneshi MUkherlee ..i+tnwnoor.: ,,yvl(ww-7.Leu;na.Ea.,
<br />AUUKU Zc (ZUTeyu3) The ACORD name and logo are registered marks of ACORO
<br />
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