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E.6- R CERTIFICATE n;' i Wall PTV IK1Q110 AI a oATE(MM-onmwl <br />THI5 CERTIFICATE 19 ISSUEp AS A MATTER OF INPORMAHVN ONLY AND CONFERS NO RIGHTS „PON <br />THE CERTIFICATE HOLDER,BTHIS <br />:FHIS <br />CERTIPICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CpVERAOE AFFORDED TE THE POLICIES <br />BELOW, <br />THIS CERTIFICATE OF ODES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AND <br />THE AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />, <br />IMPBRT ; It fhe Cgrt ca a o or s an DD TIO po Icy1 eg1 must eve I I I tl 1 1 1 1 <br />IO N R •D prov siong or o an orse SUBROGATION IS WAIVED, subject to the terms and conditions of the <br />policy, certain policies may require an endorsement. A statement on this <br />Corti ficate dcea not oonfor rights to <br />the certificate holder In Ran of such andorsemsnt(s). <br />PRODUCER <br />Ann Risk xnsurance Services West, Inc, <br />CONTM1 T <br />NAME <br />may— <br />No. <br />LOS An eles SA Office <br />Boulevard <br />i C. BNtI; (SDE) i83-T122 <br />Ne ; (600) 3fi3-0105 <br />E•MqIL <br />AooREss: <br />uie1e <br />LOS Angeles CA 90017-0460 USA <br />INSURERS) ArFOROINO COVaRAOE <br />NAICA <br />INSURED <br />CDunty of Orange <br />INgURERA: Sa'ety Nat1Onal Casualty Corp <br />16105 <br />IN6VflEn 0: <br />CEO/Office of Risk MMaanagement <br />600 W. Santa <br />Ana DIVd Suite 104 <br />Santa Ana CA 92701 USA <br />IN6UREH C; <br />INSURERo: <br />INSURER EI <br />COVERAGES CERTIFICATE NIIMIRFR. A7nMAIW794 <br />MURER F: <br />........_._.. _..____ <br />.. <br />THIS IS TO Of <br />INDICATED.N <br />CERTIFICATE <br />EXCLUSIONS <br />CLAIM6-MAOS 0 OCCUR <br />cn 6AQWKLUATE LIMIT APPLES PER: <br />POLICY PRO' Lac <br />__ JECT <br />OTHER: <br />AUTOMOBILE LIABILITY �— <br />ANY <br />AUiO <br />OWNED SCHEDULED <br />NAUfY13 bLL((LV AUTOS <br />OMA. NOH•CvVNEO <br />ONLY AUTOS ONLY <br />UMBRELLALWB OCCUR <br />excess LIAID CLMIS•MADE <br />SIR v <br />CERTIFICATE HOLDER <br />county <br />600 W. <br />Santa <br />ACORD 25 (2016103) <br />applies per policy terns & <br />, limitations and exclusions. <br />M <br />BODILY INJURY IPerpanonl <br />0 <br />CANCELLATION - _- 0 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, NOTICE WILL BE OEWERan IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />MffA CO REPR'�eSENTAjTIVEE _ <br />ON l/i.l }� <br />011888.2016 ACORD CORPORATION. All TICKS, roserve <br />F�3`ato registered marks of ACORb <br />C � RiekMEnagtnTentDiviBinn <br />y F�r. REVIEWED &APPROVED BY: <br />I.L�RrE� , F� Er a r.a 2. VLIf t eel <br />^�'i Risk Management Analyst <br />