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�}- • Zo 1 I o�--S <br />FOR° CERTIFICATE OF LIABILITY INSURANCE DATEiMMR >DM'YY) <br />06!30/19 <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), AUTHORl2ED <br />REPRESENTATIVE OR PRODUCER, AND THEiC�IitT�fl�AT�tO��PL': <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poliry(les) must be endorsed. If SU6ROGATlON IS WANED, subject. to <br />the tarns and conditions of the polity, cer[aiq- poUciea may require an ®ndoraem ant A staterrtsnt on this cartiflcate does not confer rights to the <br />certificate holder in lieu o #such endoreeman s. <br />PRODUCER .. - 996- 630 -8643 � ONM EAGT <br />Powers and company 800- 783 -0083 P DNE - Ne <br />Insurance A ants and Brokers - -- <br />P. O. BOx 619043 Llc #0H38004 AoDaESS: _..__ <br />Roseville, CA 95869 -9043 <br />INSURER[SI AFFORDING COVERAGE ^_ NAIC a <br />...e..e�e ..James River Insurance Comtaanv � 12203 <br />INSURED Graffiti ProtCCt Coating3. Inc <br />499 N. LarcFlmont Blvd #264 <br />Los Angeles, CA 90004 <br />THIS IS TO CERTIFY THAT THE POLJCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD E <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS jl <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />-��. e,c n,,r -c rti cv oain r, A,Mc <br />WSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P L <br />W LIMITS <br />GENERAL WBILrfY <br />EACH OCCURRENCE _ <br />S 1,D0O,00 <br />3 50,00 <br />A <br />K coMMERCIU GENER�AL L�welu'rY <br />CLAIMS -MADE L^J OCCVR <br />X <br />000437397 <br />06/15/11 06/15!92 PREMI a rranee <br />MED EXP fMy one n1 <br />PERSONAL 6ADY INJURY <br />s EXCLUDE <br />i 1,000.00 <br />GENERAL AGGREGATE. <br />i 2,000,00 <br />PRODUCTS - COMP /OP AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER- <br />S 2,000,00 <br />i <br />X POLICY" PRO- LOC <br />A VTOMOBlLE LV\BtLITY <br />DMBINED INGLE t:IMq <br />Ea acrid nt <br />S <br />ANY AUTO <br />AI.LOWNEO SCHEDULED <br />AUTOS MyUj� -pwNED <br />HIRED AUTOS AUTOS <br />? <br />BODII..Y INJURY (PaI peewit} <br />BODILY INJURY (Par roddent} <br />P °R�(S�SI. <br />S <br />i <br />- <br />i <br />VMBRELLA LIAR <br />pCCUR <br />EACH OCCURRENCE <br />i <br />i _____ <br />EXCESS L/AB <br />CLAIMS -MADE <br />AGGREGATE <br />DED RE NTION <br />WORKERS GOMP£NSATON <br />i <br />WCSTATU- DTH- <br />iY_Llt <br />S 1a000r00 <br />B <br />AND EMPLOYERS' LWHILITY y / N <br />ANY PROPRIETOR/PARTNERIEXEGUTA/E �IN <br />OFFICERMIEMBER EXCW DEDT <br />(MelWatary in NHI <br />Ifyyes, dpecriba urWer <br />DESCRIP710N OF OPERATIONS babes <br />� <br />/A <br />Ills <br />20110109391132 <br />01i01i19 01 /01H2 E.L. EACH ACCIDENT <br />E L. DISEASE - EA EMPLOYE <br />E. L. DISEASE - POLICY LIMrr <br />5 ,0 , <br />i 1,000,00 <br />_ _ <br />DElCRIPTION OF OPERATIONS! LOGATK5N3 / VENICLES (Attach ACORD 105, AOdId0,w1 Remarke Schedule, H more span la Iequlnd] - J <br />The C{j��y of Santa Ana, its officers, agents employees. and representatives <br />are inefudsd as an Additional Insured un�er Gommarc ial General Liability ,, �-��" <br />policy per endorsement CG 20 1 O OT 04 and CG 20 37 07 04, au bisct to a L O � �e' `� <br />written contract between the Named Insured and the Additional insured- -�`--- — "" - - - -" <br />Endorsements attached, eeSubjeet to company approval, aura St� Shc � dy <br />Assistant iLy Alto n�cy <br />CERTIFICATE HOLDER a.Hrea.���arrvr� <br />THECITY <br />SHOULD ANY OF THE ABOVE DESCRIBED.POLICIES BE CANCELLED BEFORE <br />THE EXPIRATON DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Santa Ana ACCORDANCE WITH THE POLICY PROVI810HS_ <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTF10RRi2EED REPRESENTATIVE <br />® 1998 -201 O ACORD CORPORATION. All rights reserved. <br />ACQRD 26 (2010/05) The ACORD Hams and logo era registered marks of ACORD <br />