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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DA MAR 2 24n PRnpuCFR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KERRY A.HAMPTON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4335 E.Airport Dr.,Suite 104 HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR Ontario CA 91761 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONE: FAX: INSURERS AFFORDING COVERAGE NAIL 6 INSURED J INSURER A: EMPLOYERS PREFERRED INS CO 10346 RICHARD D.JONES,A PROFESSIONAL LAW CORP INSURER B - DBA JONES&MAYER ATTORNEYS AT LAW 3777 N.HARBOR BLVD. - FULLERTON CA 92835 INSURER D. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS%ED TO THE 4NSLIRED 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 BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EKcLus0PLS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS R TYPE OF INSURANCE POLICY NMICe! roLCY EFFECIM •OlIC11 O7IUTd1 LAW" I GENERAL LIABILITY EACH OCCURRENCE f I COMMEROAL GENERAL LIABILITY DAwv,E TID RfWMD f YREtisE_5(Fa__am�v CLAIMS MADE [7] OCCUR MED.EXP(Any One Person) s PERSONAL 6 ADV oJJURY s GENERAL AGGREGATE f GEPfL AGGREGATE UMIT APPLIES PER. PRODUCTS-COMPIOP AGG. f I POLICY AUTOMOBILE LIABILITY COMBINED S&JG E LIMIT ANY AUTO (Ew $ ALL OWNED AUTOS BODILY INJUR`( /Pea person) f SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Pe1 aocRfenO s PROPERTY DAMAGE f GARAGE LIABILITY AUTO ONLY-EA ACCIDENT s ANY AUTO OTHER THAN EA ACC f AUTO ONLY: AGG s EXCESS I UMBERS I A L1AB&1T V EACH OCCURRENCE s CLAIMSOCCUCLAIMSAS MADE AGGREGATE f f DEDUCTIBLE f I RETENTION $ s WORKERS COMPENSATION AND EIG 1024936 17 APR 124 APR 125 =ins X OTTER EMPLOYERS'LUIBIUTY EL EACH ACCIDENT f 2,000,000 A AIW.Ror1OET0"&Anmmmxm"m --- -- oFmERAUIMEA EXCUIDFDi E L DISEASE-EA EMPLOYEE $ 2,000,000 s fic L mml;9 b. � EL DISEASE-POLICY UMIT f 000,000 s•�rNOVL40KS Yro� Z. OTHER: i DESCRIPTION OF OPERATXMSILOCAT",kVEHCL ESIEXCLUSIONS ADDED ENDORSEMENT/SPECIAL PROVISIONS BLANKET WAVIER OF SUBROGATION PER FORM WC 04 03 06 INCLUDED —EXCEPT CANCELLATION FOR NON-PAYMENT OF PREMIUM,IN THAT EVENT THE NOTICE OFCANCEL.LATION WILL BE 10 DAYS— CERTIFICATE HOLDERS sISIIR� LET[FI� - CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 90 20 CIVIC CENTER PLAZA DAYS WRFFLEN NOTICE 10 THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT SANTA ANA,CA 92702 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LLAMITY OF ANY WHO UPON THE NsURER,IT;5 AGENTS OR REPRESENTATIVES AUTHOR PRESENTATIVE Attention: (p ACORD 25(2001/08) CM)ncate I 1901 APPROVED By Cynthia Mora at 3:22 pm, Oct 31, 202,