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�- - �� RC1 C� •- �1 � � <br />/4C DeDATEiM411001YYYY1 <br />k. -__CERTIFICATE OF LIABILITY INSURANCE 7/9/2012 <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: If the certificate holder Is an ADDITIONAL WSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the tents and conditions of the polity, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In Neu of suah endorsemsnt(s). <br />PaoouuR <br />Commercial Management Insurance Services <br />8101 E. Kaiser Blvd <br />Suite 140 <br />Anaheim Hills CA 92808 <br />mu"O <br />Lidgard S Associates Inc. <br />2592 N Santiago Blvd <br />NMI Phyllia Wilcox <br />{ (714) 414-1167 <br />inns��• 1?1►i1COx@Oieia-ine . cam <br />10range CA 92867 1mu"aF. <br />COVERAaFS eRRrslr_ete tJusseee.l2-13 b0A4 % neulslnu uuK.M... <br />THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. M07VWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PND CLAIMS. <br />rLIRTYPE <br />OF INSURANCE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLEO BEFORE <br />' O VED AS i 1.. <br />P Y NUMBER <br />CITY OF SANTA ]INA <br />ACCORDANCE WITH THE POLICY PROIVISIONS <br />uMITa <br />AUr#*W=0 REMSENTArnE <br />.,a Stitt She". <br />,t City Atio- <br />N3o11ae1 Wakely/PSYLL--.- <br />EACHOCCURRENCE S 1,000,000 <br />A <br />X COWAERCIALGENERALLwnm <br />CLAMS ® OCCUR <br />X <br />B402299639S <br />/4/2012 <br />/4/2013 <br />a 10 RIK TVAQS 300,000 <br />MED EXP &* Pow) S 10,000 <br />PERSONAL A ADV i"RY S 1,000,000 <br />GENERAL AGGREGATE a 2. 000, 000 <br />OENL AGtiREOATE U%W APPLIES PER <br />X POLICY P LOC <br />PRODUCTS - COMPIOP AGO I S 2,000,000 <br />is <br />B <br />AUTOMONLRLIABILITY <br />X ANY AUrO <br />D � <br />4022998431 <br />/4/2032 <br />/4/2013 <br />eri.rni <br />w 1.000.0001 <br />Booty INJURY IPU Pww) S <br />BODILY s41URY1P*rSew") s <br />MIRED AUrOS AVTOS <br />(per i S <br />UnftLnd MOWS 01 r Lt limit S <br />C <br />X UMBRELLA UASOCCUR <br />anus UAS <br />IN <br />� <br />0022998526 <br />/4/2012 <br />/4/2013 <br />EACHOCCURRENCE S 3,000,000 <br />AGGREGATE a 3,000,000 <br />low I X 10,0 <br />S <br />C <br />RX <br />WDMCOWMI&ArsON <br />YIN <br />ANY PROPIWTORIPARTNER�IftWE <br />OFFICERMEMEER EXCLUMM <br />1114-d"N <br />NIA <br />422996476 <br />/4/2012 <br />/4/2013 <br />! EACH ACCIDENT S 1 000 D00 <br />E.L DISEASE • EA EMPLOYE S 11000.000 <br />E.L DISEASE -POLICY LW1R S 1,000,000 <br />YOBS CITY orSSANNTTAI ANA, i0tITVEHICLES >: Cas ACM 10% AGINTS Almftuft Sam" " OLt� BRI S ARE NAMED AS ADDITIONAL INSURED <br />WITH RESPECTS TO UNZRAL LZAB •TTY AS PER THE ATTACHED 58-146932-1) (Rd. 07/09) WHICH ALSO INCLUDES PRIMARY <br />AND NON-CONTRIBDTORY WORDING. <br />WAIVER OF SIIBtA"TION ONLY IF REQUIRED BY WRITTEN CONTRACT WITH RZSPZCT TO WORIMRSI COMPZNSATION APPLIES <br />IN FAVOR OF PZR FORM 0-19160-8 (Ed. 11/97) ATTACRSD. <br />-- - <br />VAI\Vrrr/�I Mon <br />aasliralni! Santa-ana . Org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLEO BEFORE <br />' O VED AS i 1.. <br />THE RX"tATION DATE NOTICE WYlll BE DELIVERED IN <br />CITY OF SANTA ]INA <br />ACCORDANCE WITH THE POLICY PROIVISIONS <br />20 CIVIC CENTER PLAZA, -36 <br />SANTA ANA, CA 92701 / <br />AUr#*W=0 REMSENTArnE <br />.,a Stitt She". <br />,t City Atio- <br />N3o11ae1 Wakely/PSYLL--.- <br />ACORD 2912010reat <br />_ _ _ _ <br />- w -1 044-z9`19 ACORO CORPORATION. AN rights reserved. <br />INS025amo0 ai The ACORD name and logo are registered marks of ACORD <br />