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I Cp /L �+ p FUIYIiM^'I ty„�„�' r�e CERTIFICATE OF LIABILITY INSURANCE ID' OATS IMMIDDiYYYYI /1412022 03/1412022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR17.ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollay(les) must have ADDITIONAL INSURED provisions or ba endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain polieles may require an endorsement. A statement on this certtficata does not confer rights to the certificate holder In Ilea of such endorsements , Ra uoBR 314.746-4700 15igrtel Insurance LLC fOiTmriyHuntlelghMcGehee 8238 Forsyyth Boulevnrd, #1200 Clayton, N10 83106 Daniel L, Stevens Cr Daniel L. Stevens L. Steve IN� 3101 X 314-809.3 8,%,ax1; 0Noy, 700 s — INSURERNA AFPORDINO COVERAGE AIO n INsu e ; Service American Indemnity Co 39152 _ OnU I'Mm uses Inc dbu City Net Avenue LongBeach, CA 90807.1 W2 ch, SURER e: INBU BRe: SURER 0: INSURERS: _ INSURER P : - — _-- --' �• �W M11VICIUM KUry K: 7FI1818 TO CERTIFY THAT THE POLICIES OF: INSURANCE L18TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. -MAY BB ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS 8IJI TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I eR TYPEOPINSURANCB OBDL USR POLICY NUMBER PGLIGY ePP ALIDoa I LIMITS ^^- COMMEROIAL GENERAL LIABILITY CLAIMS MADE OCCUR - I EACH OCCURRENCE DM RE TES IAGET pM FS Ea awn-D MEO EXP (Any ana perew ) OEIJL ^ ��-- --- PERSONAL e, ADV INJURY AGGREGATE LIMIT AP $PER: POLICY � j J LOG OTHER: GENERAL AGGREGATE PROGUC 6-C OPAGG $ AUTUMOBILB LIABILITY ANwYryAUTp gg RUTrOONLY RVEDULED ��ppAUTOE70NLY _ AOaWWNp O�OMSI OSINGLEU IT aaa en B0011. INJURV Ptlr Iw9an �_ �-- BO�OILY INJURY P^w d $ PERTY _ $ UMBRELLA LiAS EXCESS LLAB --- --- OCCUR iCLAIMS-PIADE EACH OCCURRENCE AGGREGATE ---- tlEIILND RNINETppE}}NATION $ .$ ..` A Qp��r,.pp AMREM}140YEItd Le 1% ANmYpFgq�QFR TOMp RTNER/EXECUTIVE YIN (Mondato/RVNH) CWDk'07 IOfYwl des btl kunnd,0 Cq O S a EE NfA Y SATISO488700 03/01/2022 0310112023 )( •R OTH• E.L. EACH AOGO= T $ 110001000 E.L.OI6EASE-EA EMPLOYE $ 1 .000,000 El. DISEASE, POLICY111 1,090,000 DESCRIPTION OF OPERATIONSI LOCATIONS IVEHIOLES IAGORD 101. Additional Remarks schedule, may be aeachad Irmore space Is requlredj Blanket Waiver of Subrogation applies whore required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCOROANCE WITH THB POLICY PROVISIONS, 20 GIVic Center Plaza, 4th FL Santa Ana, CA 92701 AU'RRIRIZBe REPRES�ENN)TATIVE(� �� Dh1{ry� � NlekMwv�anenkDivietnn n' D�APPROqVEa BYI ACORD 28 (2018/93) O 1968.2018 ACORD I � I REVIEWEi`jr.9ts lrl¢.sYYF�'C, The ACORO name mid logo are registered marks of ACORD I BhIt MRBa{{ereonlSpaclaarf