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Fax Server 11/4_ 006 4;25:27 PM PAGE 002/005 -ax Server <br />ACORQ CERTIFICATE OF LIABILITY INSURANCE °°'E'""°°Y" <br />ll/03/209 <br />remuRa (999)261-5335 FAX (949)261-1911 THIS CER7TFNJITE I4188UE0 A9AMATTEROF INFORMA710FI <br />Tutton Insurance Services, Inc. ONLYANO CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2913 S. Pullman St. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Santa Mq, CA 92705 ALTER THECDUERAGE AFFORDED SY PIE <br />POLICIES BELOW. <br />1NSURERSAFFORDINGCOVERAGE HAIC9 <br />wwam Fn ronmedta Feptneensg 8 fngtractTng, Inc. nwamA: Z. <br />Amer can Ins co <br />501 Parkcanter Drive IMIUM a Peerless Insurance Company <br />Santa Ana, CA 92705 P0JREnC Granite State Ins Co <br />HSIRma Steadfast incur,.sr. n........ <br />A I I XIom aoA'.aB+Bui UA <br />❑Aars WOE IX OrdR <br />A cMFDNRDa <br />B E6mIRE9Avfp5 <br />HREDAIRUm <br />POMLDI WMTos <br />aARADEUAeanY <br />I A A= <br />DEnucnatE <br />C <br />D Pabiiity, Cl &I= Made <br />i <br />ecmaTNLRY i <br />w�M�mro <br />RCDlYIILLRY i <br />o+.rcleerq <br />PROPBf1Y6u, <br />-E t <br />PRbPO a <br />s <br />I Total Ail Losses; $2,000,000 <br />_ Deductihl e: $5,000 <br />via nw.wer .s nanea As an additional insured per-attach—ed attached} <br />P policy £onn UGL1375AC1i. <br />nsuraaee a prtgary where required by written contract. <br />Mer of subrogation applies Per the attached CG2404 <br />day notice of cancellation will be sent for +,,-payment of W iun. <br />"Amended X-ing out the Clause on the 1119/064. <br />City of Santa Ma, its Officers <br />agents and employees <br />Attn: Stave Marral <br />ZD Civic Center Plaza <br />Sante Ma, CA 92701 <br />ACORD26(2001 'FAX'(714)6r,7-2310 <br />rw,41,,41.. ,der //.e 1 vv rrPS <br />Ce3cr ofafrera- <br />k ?397 <br />ax ann.wr w rneAeove oEepuro poupre ee ewm.tn esDRa n.E <br />EiMAl10 N ewfi nIrAEOF. ixE gaump DaUnG wILL f wa <br />I430 awi NanIENNDfK>;TD MDBRVRJ1TE MlLQ NAMED Ta TRE IFFf <br />ADRICRI3DREPRESBffAIIyE ~ <br />stanlev Tutton SUSAN '✓ <br />APPROVED AS TO FORM CACORD CORPORATIOH isee <br />iaura Stitt <br />Assistant City Attorney <br />