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OP ID: LV <br />ACRD' CERTIFICATE OF LIABILITY INSURANCE Dnr <br />~ <br /> 05/05/1 <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 />~~EfV T <br />~ I,S$UJ-~1G INSURER(S), AUTHORIZED <br />TUTE A CONT~~~ f <br />N <br />S <br />_ <br />` <br />r <br />REPRESENTATIVE OR PRODUCER, AND THE CERT F <br />CATE O <br />DER <br />u <br />~ <br />L <br />y <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) m <br />B <br />st be endorsed. If SU <br />RO <br />G <br />ATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsementF,,~ tatement ort this: certificate <br />does not confer rights to the <br />{ <br />certificate holder in lieu of such endorsement(s). ~~ = 1 <br />PRODUCER <br />949-336-8370 <br />U <br />i <br />i CONTACT v ~ )_ y , , , ,_ <br />NAME: <br />n <br />ted Agenc <br />es, InC. (U) <br />CA License #0252636 949-336-8390 PHONE FAX <br />Alc No Ext : A/C No <br />9114 Adams Ave. #142 E-MAIL <br />Huntin <br />ton Beach <br />CA 92646 ADDRESS: <br />g <br />, <br />Steffen L. Goltra PRODUCER AARDV-2 <br />CUSTOMER ID #: <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Aardvark Tactical Foundation LandmarkAmerican <br />Ins <br />Co <br /> . <br />- <br />. <br />iNSURERA: <br />Jon Becker <br /> INSURER B <br />1935 Puddingstone Dr, <br /> <br />La Verne <br />CA 91750 INSURER C <br />, <br /> INSURER D <br /> INSURERS <br /> INSURER F <br />COVERAGES CERTIFICATE NUMBER: .REVISION NUMBER: <br />THIS IS 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, 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 BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE L <br />POLICY NUMBER POLICY EFF <br />MMIDD/YYYY POLICY EXP <br />MMIDD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY LHC816009 04118/11 04/18/12 PREMISES Ea occurrence $ 50,00 <br /> CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ Non <br /> PERSONAL&ADVINJURY $ 1,000,00 <br /> X E80 $1,000,000 GENERAL AGGREGATE $ 1,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1,000,00 <br /> POLICY PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br /> ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br /> SCHEDULED AUTOS <br />PROPERTY DAMAGE <br /> <br />HIRED AUTOS <br />(Per accident) $ <br /> NON-OWNED AUTOS $ <br /> <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY TORY LIMITS ER <br /> Y/ N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />~ <br />N I A E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ <br />A Professional Liab. LHC816009 04/18/10 04/18/11 EB,o 1,000,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) r~ ~ ~ ~ <br />City of Santa Ana its officers agents,volunteers;&employees are named as ` <br />additional insured 8shall inc~u e,but not be limited to protection against <br />~ 1 <br />claims arising from bodily and personal injury including death resulting <br />there from and damage to property, resulting ti/rom any covered act or <br />~` <br />occurrence arising out of Insured s operations in the performance of Agrmnt. <br />~-_ <br />CERTIFICATE HOLDER CANCELLATION ~-""`-;~;.•,,,: ~ ." t-- ;; - <br /> SHOULD ANY OF THE ABOVE DESCRIBED'Pt7LlC1E86E CKFfOELLE9 BEFORE <br />City of Santa Ana 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza (M-30) ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />Santa Ana, CA 92702-1988 AUTH <br />ORIZE <br />D RE <br />RESENTATIVE <br /> P <br />r <br />~ <br />ACORD 25 (2009/09) <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />