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REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />A 2 8 2020 <br />ANC{IE ACEVECIO <br />A O d CERTIFICATE OF LIABILITY INSURANCE -A---vD2mwoYYn <br />THIS CERTIFICATE IS 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 ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: H the certificate holder Is an ADDITIONAL INSURED. the pollcyles) must have ADDITIONAL INSURED Provisions or be endorsed. <br />H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require an andonsament. A statamerd on <br />this certificate does not confer rights to the certificate holder in lieu of such andorsemen • . <br />N ODUCEa <br />A T <br />aANU <br />!7 0, (8881202.3007 e <br />Hiscux Inc. d/b/s/ Huo. Insuance Agency In CA <br />520 Madison Avenue <br />Floor <br />aIAL opntactQhlscom <br />x.co. <br />ntaDrtE s AIFORBNOCOYEMOE <br />Nave <br />Now <br />N. Vak, NV 10022 <br />_ <br />MSURERA: HiscoX Insurance Company In <br />10200 <br />INSURER B: <br />IMWAED <br />Carry Kiu mark through the Art Nor <br />NBURER L_ <br />PO BOY 567 <br />anURER D. _ <br />Trabuco Canyon, CA 92678 <br />INSURER E' <br />INSURER G' <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 DESCRIBEO HEREN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />add <br />Ta TYPEOF WURANC! INIMseum uND0YEFY Vb40 IXtl <br />X COYYFACV,LGEHERN.LWYIEY <br />IXWMs.NADE OCCUR <br />/ EACXOCCIIRPEYCE <br />/ PREMISES LEE. <br />If1,OW.DDD <br />i 100,000 <br />i 5,ODO <br />MED ExP IAnr oro 1.1 <br />A <br />V <br />UDC400981!18-CGL-19 <br />12/03/2019 1VG3/2020 PERSONAL a MVIINmRY <br />iIDDO,ODl1 <br />I,2,ODO,DDD <br />WNLAGGREGAMpURWpAP eSPFA <br />X POLICY F7 T 7LOC <br />GENERALA_GGREWTE <br />PRODVCTS-COMWOPAGO <br />f2,DDO,ODO_ <br />OTHER. <br />3 <br />AMTOMOBX.ELYeEI1Y <br />COMBINE 61N EtIMIT <br />i <br />3 <br />Y AUTO <br />BODILY INJVRV IPw prfml <br />AUTOS CILY S AUTOS <br />9001LY NlURYIRrayfenl) <br />i <br />HIRED NONONIaRD <br />AUTOS ONLYAUTO6ONLY <br />PnOF£RTY bAMA13E <br />L OeM <br />i <br />i <br />UMBRELLALW <br />OLLUfl <br />EACHOCCURRFNCE <br />i <br />i <br />FACESSLIM <br />CyyM&MADE <br />AGGREGATE <br />DEC RETENDLM <br />i <br />WORRERSCOMPENSAiIOM <br />EMROYEAE'L LRY Y/N <br />M19ROPRiETORryARTNEWE%ECVfIYE <br />OFFICERMEMSEREXCLVCEDT <br />NIA <br />STATUTE _ <br />EL EACH AMOUNT - <br />S <br />i <br />rMwMwwYmNMI <br />EL. DISEASE - EA EMPLOYEE <br />er EeuaiUv uMw <br />DE6C 1i'8N Lf OPERATIONS ONow <br />El OI6FASE-PCL LIMIT <br />3 <br />DEBCIUPTMN W OPEMTXlN31LOCAMMMIvIDIRIU a (ACOMOIN, MClllwl Renu,lu acAMuh mry W aeKMa XnWapwA brppke� <br />Csy Of Send Mla Rick Management DYle , ON Fitt d PM ea add al In3uR Per de P kny l aW mO RX s. ✓ <br />CERTIFICATE HOLDER CANCELLATION 5U Day Notice WIII De Sent t0 the Dower <br />City 0 Sand ARM Risk ManagameM DnI AU Floor <br />2D CHID Center Plaza Sand 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 WRH THE POLICY PROVISIONS. <br />AUTHORIZED REPREffiNTATNE <br />C 1988-2015 ACORD CORPORATION. All rights mENrvad. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />