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<br />&O <br />RD <br />CERTIFICATE OF LIABILITY INSURANCE oPID TRW <br />. <br />- <br />RISE" 0 <br />' <br />PHOWrPe TH6 CERTIFICATE IS IS9HEDAE A MA'TEROF INFDMIATNIN <br />Aon Assn Services, a Division ONLY AND CONFERS NO RIGHTS UPON THECEATIFfCATE <br />of Affinity Ins, Services, Inc HOLDER THIS CERTHRCATE DOES NOTAMEND, EXTENDOR <br />1120 20th St NW ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Washington DC 20036 <br />Phone: 800-432-7465 Fas:202-857-0143 INSURERS AFFORDING COVERAGE NADM <br />KAISER <br />KRURRA' GrOL Unnno lmunm'o Co, -' "-"- <br /> <br />A <br />i <br />ti <br />f <br />d INSURERO. <br />--- -- <br />ssoc <br />a <br />on o <br />Pe <br />estrian 6 <br />Biople Professionals MS<mEr,o. <br />PC Boc 93 <br />Cedarhurg WI 53012 INSUwRBr. <br /> NSDUSE'. <br />COVERAGES <br />THE POLICIES OF No. RANCE LISTED BELOW HAVE AIR I TO THEIKSIRED WED MOVE FOR THE POMOY PERIWINCId1EC. NOMIINRTPNDIM1C <br />AHYREONRPMENI, TERM OR CONDITION OE AVCOTR4CTOR ORDER W6UMENT ANN RESPECT TOMICH THIS CERIIFIGIE AAW 85 ISSUED OR <br />MV PERTAIN THE NCHANCE91'OBOEDSY THE POLICIES DESCGSEDHEREIN IS SUNEC T TO AT THE ISMS, EQUSIONS AND COMOTION50E SUCH <br />POMGE9, AGOflEWTE LIMNS SHOWN MAY HAACTSN SECURED BY PMO CLAMS. <br /> <br />Lift ITS MFOPMSURANrf POMCYNLWBPR OAIF EVAOCf? OAIf MYIDOAY lWl a <br /> OEVERRU PTY SUCHQNJR NC6 11 DOD DDG <br />A X DoIYMEeGwaEhEanluwRltt GL29225755 06111111 06?11?12 PBEUMts EEaanse 6700 000 <br /> CLUMSMADE ?WWR MEDEV(4nTMLW Sl0 OOO <br /> PERSONALaAW WnRY $1 000 DDD <br /> GENERA AGOREGIE 12 000,000 <br /> OENI AGGRE6AIE <br />LMIT APP II E6 PER'. PAOWOTS-COAI41GPA0G 12 000 000 <br /> ? <br />POLICY JMEA LOO <br /> AU TCAOORE LMWDIY <br /> CWIBINED3INGLELIMIT <br /> <br />ANYAD[0 <br />IfoxNCmR 6 <br /> ALL WED ANDS <br /> tl <br /> <br />SCNEOGlf0W1T09 <br />AS TO <br />M umonn <br />Fupnoo) 1 <br /> Hm60wras <br /> omRYINIDPo S <br /> NONtlAMEONIf06 Pn LwWn4 <br /> ? 10 PROPERTY WMEE <br /> IPnwNIOI S <br /> OAA ACEIIABBAY ANOONLYEUCCIGPNT I <br /> ANYAOIO EAPCC <br />OIXERIMIN ! <br /> Alt(OQVEY: AGG S <br /> PXCfM9WaBRPW LIADIMry FPCNOCCGPAMICP 0 _ <br /> OCCIa ?CUIMS MADE pGmFeAlf ! <br /> <br /> afOUCTRlE S <br /> flFTENIION 7 <br /> VMRNEflSCOMPFNSAIgNANO <br />EMPLOVSSS K IOAYLWR6 fA <br />A Ueslun WC922675fi 06?11?11 06?11?12 ET <br />uGRUDIOwI 100000 <br /> ANY PflOPRIENRPARINEPhNfCU1NE . ! <br /> OPEICEGMEMSEflFMGUIX01 <br />N <br />e <br />m <br />M FLOISFAFEFAFhROYEE S 100000 <br /> yyL <br />sw <br />u <br />n <br />M <br />WIB <br />6 <br />P <br /> PFC <br />L <br />R <br />iCN6? F,L OICEASFPOLmYLIIM 7600000 <br /> OTNER <br />OF6CAIPWNOFOPE0.AilONAILWAlION6lVFN&LF61E%CLG6NIISADOEODYENOOASEMENTI6EPCmLPROV1610N9 <br />Event: workshop on 11?1?11 <br />Tha City of 6enta Ana, its officers, employees, agents, <br />volunteers and rapceeentativea ace inoluded as additional insured per the <br />teams 6 aonditiona of the policy. <br />CEPTIFICATENCLOEN CANCELLATION <br />CIPYBAN SNOGLDWYOFIIIEAfiOVEOF6CRIBEDPOLIgE9BErANCF0.P0BFiORFINPEMPRApON <br /> LAIEIIIEAEOP,IREIfi60WOIN0GRFRWMLFIIDEAWRIOMWL 10 WYBIMRIEN <br /> NO(ICFIOINECFRIIFICAIPNOtMRNAMPOTOTNFIEfi,Bl11FAIWRFIOWSOSNA0. <br />City OF Banta Ane <br /> <br />20 Civio Center Plaaa M-20 IMPOSENOOBLNATgNCfl IIMBRttYOPANYA4OUPoNINFINPoRPR,NSACFNISOR <br />Same Ana CA 92701 BEVSS6BUruluss. <br /> AUtNORMEOREPRE6ENIARV <br /> Ehazon Balmer ' <br />ACORD26(2001N9? ©ADDRDDDRPDRATIDN 1959