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EMS CONSULTING SERVICES I CITY OF SANTA ANA <br />A OIREY CERTIFICATE OF LIABILITY INSURANCE °" , <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: N the cartiRrab holder is an ADDITIONAL ]INSURED. Me potky(iss) most have ADDITIONAL INSURED provisions or be endorsed. <br />N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on <br />this caNMcat. does not confer rights to the cmfificata holder In lieu of each e°doreamant(c). <br />PRODUCER <br />State Farm Rgo DelaMRe <br />A 0821 Elk Gnve RIW. <br />ow <br />p T RIgn Dualisms <br />PxD1Ixa : 91"W3973 M W <br />Erwt ngo.delalorlecryl slalefarrocom <br />INGUIRINSIARFORDINKICONENINGE NNLB <br />INSURENA: Slate Fam Mulud AUt..bWh.r HCUmpeny(ir.M M151 <br />Elk Grove CA 056241766 <br />IseuRm <br />IRYIRMB: <br />- - -- - — - -- <br />AP TRITON LLC <br />1309 COFFEENAVE BTE 3110 <br />0m <br />ImXfumR : <br />Ipearea E: <br />BHERIDAN WY 0200157T7 <br />I NBu 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 PDUCY PERIOD <br />INDICATED. NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF MY 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 15 SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. UMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />06R AOO me FIXICYER vWcr E@ <br />L. TY WIxB DUCE a. MD PoUCY NUMBER LIYN$ <br />C°YMERCIALGENFIUL WBILGI <br />UA MX:URRENCE f <br />WMSANGE OCCUR <br />f <br />Ym EX rra�l s <br />.A..U.. s <br />.0 aGiEICATELWn Ias`UESPER: <br />GENDayAGCAEWTE s <br />--L' _LOC <br />PRODWiS-COMPNPAGG s <br />mHEA <br />s <br />AmaLBBEawRurr <br />2,000,000 <br />4743415AO135M nsTNEDSINGLELIMR y <br />O1D1/2023 0]D12023 <br />Am AUTO <br />WpILYINNRY(M /acts f <br />A <br />ONLY AOJOS <br />N <br />N mOILY INJORYJPeruNNl f <br />"Ned <br />HIRE➢ NONOMNm <br />X <br />AVTOS pflY NIIOSONLY <br />p f <br />S <br />WY1911Lw OCCU" <br />EA4N°LQINNENCE 6 <br />EL£sNLw GIAWSNADE <br />gGCAEG4TE s <br />DEO arnOvON S <br />s <br />"Nocau.icce,enS.ON <br />PEN oTl- s <br />Nm Asaolo f-W&L°Y <br />. pNd,`RIET°aNM SR`.ECIRNE YIN <br />U IGEN.NEYHEREXCLlsfrr ❑ <br />N(A <br />EL FAOI ACCCNINI f <br />rLAayln Nm <br />E CmtrmX-FAE YEE f <br />>m.dmmmmm, <br />DEscWPnoxaFaPERanaxslaNN <br />EL. oEEwsE-PauwLwrt s <br />CEBURPnOX OFOVFRATMN6ILCCAnON9/VENMAES IAWIND101.A dmn ll R,m ,Stl ,6.mq McN[Mtli—;Fa l,, Iah <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OFTIE ABOVE DESCRIBES POLICIES BE CANCELLED BEFORE <br />ME EXRRATNM DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />ACCORDANCE WIM TIE POLICY PROVISIONS. <br />AUmGRO KPRE9ENTATIYE <br />_""'E.- The MnVusyda'ngeenkdm 1221r"2 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />All rights resBYed. <br />Im .. 13RIR du 121.N <br />YP AP TRITON 29 <br />