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OR' + CERTIFICATE OF LIABILITY INSURANCE aATelMaaDDMryyJ <br />Oui"Sj 20 <br />THIS CERTIFICATE IS ISSUED AB A MATTER OF INFpRPAATION 4NLYANp GONPERS NO RIOHT8 UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT APFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE APFORDED DY 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. Nlhe ceHlflCa $ older to an ADDITIONAL INDVREO, the pollCy(ie$j mua NaW A DITI AL S RED provRlons or a andarae , <br />If $UBROOATION 1$ WAIVED, subject to the lama and condition$ of the poppy, Corwin Poltaiae may require an endorenmanf. A statement an <br />this eanipaata does not Confer rights to the oeNiflcats holds, in [in.nf.HeL aeNer...,.,.u.l <br />Comprat101131 a Insurance Il"Ce9 <br />26429 Rancho Parkway Siam <br />Suite 120 <br />Lake Forest CA 02630 <br />INSURED <br />Orange Courtly Fair NcusIng <br />2021 E.Ith SL %a. Ito 812E <br />Santa Ana <br />- KmVIe1VIN NUMBER: <br />THIS ISTNOTIFYTRATTHEPOLIC]ESOF INSURANCE LISTEDEELOW NAVE PEENISSVEOTOTHE INSURED NAAIEO ABOVE FOftTME POLICYpER10O <br />INDICATED, <br />0, NOTWITH97ANOINpANYtiEGVIREMENT,TERM ORCONDITION OFANY CONTRACTOR OTHER DOCUMENTWITH RESPECT -TO WHICH THIS <br />CEHTIFICATe A%Y Be ISSUED OR MAYPERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN 1$ SUBJECT TOALLTHETERMS, <br />E%CLV910NSAN0 CONDITIONS OF BUGit pOLICIE5. UL1ITS8NOWN)YRAVB, BEENREUUW CEDOYPAIOCMS. <br />�CTSfl N•� <br />SM <br />_EOPMSUPANCE <br />COMMERCIALCENEAA1,W91UTY <br />ID <br />POLJCYNUMORR <br />MF40 <br />LMMNO 2 <br />_ t1NJyg <br />�. <br />EACHOCOURRENCE <br />7A'RR,TT6pEAiEp—'—•.•. <br />t—_...—..._....-.._.— <br />CLAIMPMAOE OOCWR <br />,�?El�es le J <br />a <br />MEO!%p on alma <br />i <br />PERSONAL{ApV NUURY <br />OENEItAt AOCNEOAT <br />q <br />OENLAC•GREOATE UMJTMPjU�ES PEN; <br />POLICY JECT L—.J LOC <br />OTHER: <br />PndDUCTS. COMP/OPAOO <br />f <br />f <br />AVTOMORM6 <br />LIAa1LJTV <br />ANVAUTO <br />DENE) OCHMVLW <br />ALNDo ONLY AUtOa <br />Apx ONLY ANLLiVeeo <br />OSpILY <br />t <br />a <br />EaDaYWIURYJPv$.nonJ <br />f <br />aCORY WJIJRYWw.GadmB <br />i ' <br />a <br />x <br />UMRRELLAVAa <br />BXCER9 UAR <br />OCCUR <br />A MSM ne <br />EAON OCCVRRENCC <br />AGGREGATE <br />a <br />De* <br />lauREtENiNN1 i <br />A <br />WOAXERe COuPEN.YANON <br />m" <br />ANO EMPLOYERS' L"ILIT'Y YIN <br />NJY PROPmET01MAATNE2£XECUI'NE p-�'T <br />nFFICEluuEunaRIXctUaeDT <br />(MMYd.IPry n HN) <br />II nl. daunt, wgar <br />OESCRPTIONOF OPEPANpNS palaw <br />NIA <br />0099740.20 <br />06118J2020 <br />051iBJ2p21 <br />91-WHAOSIOEFF <br />a 1,000,000 <br />E.I. WSeASE•EA eMPLOYEf <br />I t.00D,D�p�----� <br />EA.RIsme-POLICY-MIT <br />a "mu.000 <br />-^ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I YMCLES JADOPO Tel, AddNbwl R.meh. aoeYol., mvy es, alMtl,ad E men ap.0 1. "wh o <br />The City of Santa Ms,. its 01110013, employees, agents, volunlows and toprssanlallves. 30 dsy nod" Of ConCillation With 1O day notice of euncallslion for <br />nonpayment of premium per policy pmvfatun. <br />c nva,ucn CANCELLATION -__-- <br />SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOT10E WILL BE DELJVERE D W <br />City of Santa Ana (The) ACCORDANCE WITH THE POLICY PROVISIONS. <br />Rbk Management Dlvlsan <br />20 CIVIC Center Plate AVt110R1EE0 aEPREakNTArnE <br />Santa Ann CA 02101 <br />P. <br />012114-2013ACORD CORP <br />ACORD 23 (2016J)3) The ACORD name and logo are registered marks O(ACORD 13Y Risk Mv4.%gJ jf Nt t)tUSS;t; h <br />�1 J1J - 9 020 <br />WI _I AI2t:�L <br />