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DATC(MMIDDIVYMCERTIFICATEOFLIABILITYINSURANCEI "MA19n,51
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, contain policies may require an endorsement. A statement on
<br />this certificate does not confer richts to the certificate holder In lieu of such andorsement(s).
<br />PRODUCER
<br />NFP Props & Casualty Services, lnc. 1551 NorthTlustInAvenue
<br />Suite 500
<br />Santa Ana, CA 92705
<br />617.2327
<br />wsuREn
<br />Sodaru, Inc. -
<br />V-SUR0 ACCIclent and Inderninity, Co 122357
<br />ID Modeling _WVRER C zAqM!K@Hn_qwrAnre ComRa"
<br />160 E. Arrow Hwy, Suite 101 114
<br />San D Imes, CA 91773 -INSURERS: ........ . .....
<br />INSURER
<br />COVER CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS 13 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, 7HE 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 />8888-
<br />TYPE OF INSURANCE MIRD %Nvni POLICY NUMBER LIMITS3NSftAGOLSUSAU
<br />LTR
<br />A I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s1,808,088
<br />ClAiMS4WE OCCUR X X 172SBABA9623 01106/2018 01106/209 DAMAGETOKENTED 1,000,000
<br />PERSONAL & FOY INJURY 1 680,000
<br />G L AD 'REIIATE LIMIT APPLIES PER GENERAL AGGREGATE s--- 2,000,000
<br />X POLICY D 5E n LOCY DUQPRO TS_-CQMRQPAGG 2,000,000
<br />AUTOMOBILE LIABILITY
<br />IMO SINGLE LIMITA =auL
<br />A. ... . ..
<br />0o0
<br />ANY AUTO X X 72UECPX8358 01/0612018 0110612019 BOOILY INJURY (Per oargan)*
<br />OWN F-7 SCHEDULED
<br />AUTUS'ONLY AUTOS BODILYINJURY 11011 19(1(1-1
<br />0& VeS ONLY ANUVOPN MAGI
<br />reIac<iCant
<br />A UMSRELLALIAO X OCCURL EACH OCCURRENCE 2,000,000
<br />I
<br />EXC a 3 i CUkIMSMADE 172SBABA9623 1$ 0110612019 I-SoGfcE ATE
<br />L_] REIENT, 2,000,000CBD
<br />WORKERS COMPENSATION APER '0TH.
<br />AND aMPLOYERS'LASILOY YIN
<br />A14Y PROPRIETORIPARUNFIVEXECUTIVE
<br />41.155MMARFXCLUDED1 ENIA`
<br />1.0A)
<br />Ilk dourb. colder
<br />EMPLOYEF
<br />C
<br />0 ION OF OPERATIONSSb
<br />E&O/Professional LIS N—/301201QF 00076-19
<br />E0000026632005ryr
<br />E I, DOEAD U11LIMITE
<br />Per Claim Limit 11000,000
<br />0V
<br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES DUORO 10, Aed111 IRMm.,k.S.7b.dm.,,1N?V
<br />If required by written contract, The City, Its elected or appointed officials, brc 9 S" If, agents, employees and volunteers are Included as
<br />Additional than reds with Prima ryINon-C a ntributory wording and Waiver of respects General Liability per Endorsement SS000O0405 attached. r;jK IHrequiredbywrittencontractTheCity, Its elected - appointed sea and volunteers are Included asy - ' fkAdditionalInsuredswithPrlmsry/Non-Contrlbutory wording and W 9=atioaa rele HA99160312 aftachod. 30
<br />bt orIdaysnoticeofIntenttocancelpolicieswillbeprovidedSubparto andursamorn SS12230611 and as
<br />respects auto liability per endorsement 1HO3130611 attached,
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Ross Annex (N22)
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THC ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />AGORD 25.(2016103).. 1 0198S-2015ACORO CORPORATION. All rights reserved,
<br />The ACORD name and logo are registered marks of ACORD
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