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TIMEV-1 OP ID: MM <br />,a►ATE <br />� o CERTIFICATE OF LIABILITY INSURANCE <br />IM11000'"Y) <br />°11127/ 019 <br />1vz7no19 <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: If the Certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and Conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PROWLER <br />Valley Re Ional Insurance Svcs <br />Fresno O%ce-Main Office <br />7676 N Ingram Ave Ste 102 <br />Fresno, CA 93711 <br />NCpdTEACT Mary Thonesen <br />PRONE 559--046-7396 7 '� <br />-IAc, Ns x - - +v No: 559446-0911 <br />MS: --- - - ---- --- --- <br />MaryThonesen <br />INSURIBRISIMPORDRIGCOVERAGE NAICs <br />INSURER A:MaxltmIndemnity Ins. Co. <br />INSURED Evinger & Associates LLC <br />POBox 1 <br />INSURER 9: <br />Klamath Falls, OR 97601 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />IADDLISU <br />UTARS <br />NTYPE OF NSURANCE ®� POLICY NUMBER LTAlwam— <br />A <br />X <br />COYYERCIALGENERAL WBBJTY <br />` <br />EACH OCCURRENCE <br />$ 1,000,00 <br />Cuats.mADE C OCCUR <br />X lI <br />IBDG301093105 07119I2019 07/1912020 <br />PREMISES Eao¢'W <br />F 100, <br />X <br />AED EXP (Airy cle ar>m) <br />S 5,00 <br />A <br />Professional Ueb <br />�BDG301093105 07/13/2019: 0711912020 <br />PERSONAL&ADVINURY <br />S 1,000,011 <br />GEN'LACGREGAnUMITAPPDESPER: <br />X POLICY El ERT -7 Lac <br />GENERAL AGGREGATE <br />S 2,OOD,000 <br />I <br />I PRODUCTS-COMPIOPAGG <br />S 2,000, <br />S <br />OTHER <br />AUTOMOBILE <br />U&BILrrY <br />' <br />Eea ��SNGLE <br />S <br />BODILY "IVRY (P. Px ) <br />S <br />ANY AUTO <br />__ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />i <br />BODILY MUR'Y D'> NmaeAll <br />S <br />PROPERTY DAMAGE <br />Pxxnamll _.__ <br />S <br />—'. NON.OWNED <br />HIRED AUTOS _ AUTOS <br />1 <br />S <br />UMBNFI1AUAa OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />E%CESS LAB CIAIMSJAiOEI <br />OEO <br />RETENTIONS <br />$ <br />I <br />YrORSETLS COMPENSATION <br />AND EMPLOYERS LABIU Y YIN <br />!. <br />STAME ER <br />ANY PROPRIETOAPARTI�ffR,flIECUTNE <br />OFFICERRAENBE9 E%CLLCED'/ ❑iNIA' <br />IYxmMIPly M NISI <br />tmx H) <br />EL ERCH pCCIOENT <br />$ <br />E L CIBEAEE -EA EwLOYEEI <br />S <br />RyM�e�w.. <br />DESCRIPTIONOFOPERATIONSo m <br />EL DISEASE -POLICY LRUT <br />1$ <br />i <br />DESCRIPTIONWOPE nONSILO MS/VEHICLES IPt, AtleBonal Rmnaha SchW,k, may MaNacM1ep I!moregwca klaFinE) <br />The City of Santa Ana, Its officers, employees , agents, volunteers and <br />representatives are additional insured in regards to general liability. See <br />attached farm CG 20 10 04 13 <br />IN <br />City of Santa Ana 2 2019 <br />Risk Management Divisio <br />20 Civic Center Plaza, 4 <br />Santa Ana, CA 92702 AN A M. LAM <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />?am REPRESENTATIVE <br />Thonesen <br />ORR_9n1A <br />all rinhft roes. <br />ACORD 25 (2014/01) <br />The ACORD name and logo are registered marks of ACORD <br />