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<br />I ACORD~ CERTIFICATE OF lIABILlTY"INSURANCE D';j~;;:;V' \
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<br />i ..owe.. Llcen.. # 0801581 (805) 987-9127 THIS CERTIFICATE ISIS8UED AS A MATTER Of INFORMATION
<br />I ONLY "''''0 CONFERS NO RIGHTS UPON THe C~RTIFICATe
<br />,Brown & Brown lnouranc.' MFC&V In.uran".. So."lces HOLOER.. THIS CERTIFICATE ODES NOT ..."'END. E)(TEMD OR
<br />IIP.O. Box 2818 ALTER THE COVERAGE AFFORDED BVTHE POLICIE1l8ELOW I
<br />CamarlllQ, CA 83011.2815 , ~
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<br />!'NllURERS AFFORCING COVERAGE ~ NAIC . I
<br />l'"'UR~O Llf..tgn5 '''c. : IN~UMR:"': PhllAdelphl. 1,:,.!~_~Qmpal'lY " l __-j
<br />I 2222 La.,.ms Ave i "SO.,. · I I
<br />Loa Angel.., CA 80041.2625 ";su... c -~------ - I
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<br />COVEAAG
<br />THE pOt.!C1ES OF INSURANCE USTED BEl.-ovY HAVE SEEN ISSUED lOtHE lNSUR.~C NAMED ABOVE FOR. THE. POl.1CY F>~RIDD INDICATED. "jO~tTHSTANOiNG
<br />...NY REQUIREMEN,., TERM OR CONornON OF ANY CONTRACt 0" On,EFt ooClJMENT wm.. A:eSPECT TO WHICH THllS C!:Pl'l'I~tCATE wv.," 6E \6S'JE'D OR
<br />MA.'( pE,HAlN. Tl1i li'I$U~CE AFFO"-OEQ BY THE POI..\ClESOESCl\l8E.D HEREiN 1$ SUBJECT TO "'I..i. THE TERMS, exCLUSIONS AND GONOlTION,s OF SUCH
<br />POllCllS AGGREGATE L.IMITS SHOWN MAY HAVE BE.EN AEOUCEO BY Pp.,IO CWMS I
<br />TV~[ OF INIaU"AhlCf 1'01.tr;Y NU"'.I.1t ' ucY ""I!CllVl \ "QUOV I!XIt:1\.6.11QfI. ': UMlfl -, .----J
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<br />A )( X COMME~CIALG~NeRAi..L!QK_lry IPMPK10.4338 1112112004 121271200& PRfM16E$ h!'l~";=f,'" 1041'1;0
<br />t "CLAIMSMAOE ~Joccu,,- MEClI'XP(Ar~af'IlIp.r.:ln)' ~-5~OO
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<br />I ~ ==-=--=-= ' GENiAAL 'O'OOflEo....n J 3.000,M
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<br />rt-1' POLICY I l r:g.; [1 ~cc I, 1-- - -
<br />~OMO.l. L~.Ity I I \ COM<..ltO SINGlE 11"'~ ' I
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<br />I GA,JV,OEL.lAIIlLITY " \S:il:'/tffnl ,1/Chy AUOrpcy A0100"",''''A<0'0'''1 -
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<br />X RETENTION t 10,o~ I
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<br />No(( "~IC.'fOMl"'M'rnf~tli"l"t"
<br />OFfJC~"B1i~ EXClUDED?
<br />~.~:~'OJind.NS beloW
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<br />2,000,00
<br />2.000,00
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<br />,(10) Coy Notl.e 01 taneenaticin for Non-psymeili 0/ Premium .
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<br />certlft~.t. Holder. Its OftiC.~1 em,:l'oy.... .gentt. volunteers .and repr...ntatlv.. ate named .s Additional lnaured under the G.n....ll
<br />Llablfily per tho attached 10"" CG2025 11115.
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<br />CANCELLATIQI:L.
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<br />CER'!'IFICATE WOLDER.
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<br />City of Santa Ana
<br />20 Civic Cento, Plaza
<br />P,O. Box 19aa
<br />San.. Ana, CA 92701-
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<br />SHOU"C AM'" Qf 'I'MI llacvE i)i,crualn .-cuel"" CANCILLiD IIf"o".e THI' U'fU TION
<br />aAU '~'i1i~'Q", 'tl4llliSutHQlW.Uf'-ERWH...l !NDIAVORTO MAlIl 3~ r;J",11 WMllfl I
<br />MOTlC~ of'O) '(\o!C et"T\'lCA~ Ho"g.ftl "'AMID ro i~ L.,,-r, IUT "')Li1~1E TO tI(: &0 SH"~l
<br />lM"Ou. OaUG,lt,TION OJ<< u.e,.~L.j'l'Y 0 V I(INO U,ON iHIINIUIIII~. 'T' A~IIT. ~Jf
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<br /><I:> ACORD CORPORATION 1911
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<br />ACORD 2512001101)
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