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HADRO -1 OP ]D: ED <br />,��� DATE (MIJIIDD1YVWj <br />A� °� °� CERTIFICATE OF LIABILITY INSURANCE osrazrls <br />THEE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T}tE CERTIFICATE HOLDER. THIS <br />BELOW`C TTH1S CERT F CATE.FOFN TISURANCE DOES NIOTLCO ST TOTE A CONTRACT BETWEEN OTHES SUING NSURER(S] AUTHORIZIED <br />R£PRES ENTATLVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />- IMPORTANT: It the certiFcata holder is an ADDITIONAL INSVRED, the poli�y(ies) must beendorsed. If SUBROGATION IS WAIVED, subject [o <br />the terms and conditions of the policy, certain polldes may require an endorsement A statement on this certificate does not confer rights to the <br />i .- e.+sF. -Are r,older In lieu of such endorsement(s)_ __ ___ <br />PRODUCER <br />Brouwer Insurance Agency <br />725 E_ Valley Parkway <br />Escondido, CA 92025 <br />.lack Brouvrsr, CIC <br />I wsuRED Hadronex, Inc. <br />381 Engel Street <br />Escondido, CA 92029 <br />7fi0- 748 -51'51 <br />1..- � /�- - ._ <br />_ IN9L RER(ST AFFORDING CUVpRAGE ,__. _ � _ NAIC AI <br />;Main Special�Company _ i7i59_ <br />' -- I <br />COVERAGES CERTIFICATE NUMBER: KCVl�lvn Iq LSmo�Rc <br />I THIS iS TO CERTIF -'f THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TaE INSURED NAMED A80VE FOR THE POtIGY PER100 <br />INDICATED. NOTWiT HSTANDkNG ANY REQUIREMENT,.TERM OR CONDITION OF ANY CONTRACT OR 67HER DOCUMENT WITH RESPECT TO WHSGH THIS <br />CERTIFICATE TRAY 6E ISSUE❑ OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OESC RtBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />i EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. uM1TS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. ,_ <br />INERT— � ., -� � OLICY i'kTPT�- LIC�ICP L4611T5 <br />LTR TYPE OF INSURANCE 'AD I � POLICY NUMBER � MRVOdYYYY MMIfOOIYYVY <br />1 GENERAL LIA61LnY � EACH OCCURRENCE 5 2,OOa,OO <br />i 0210?Ji2 I 02/02/13 �P'6r1i4G�� � s 10.0,0 <br />A �X COfAME RCIAL GENERAL LIABILITY I iC I C1P134195 � ,PRE MISE61Ee oocurrencel .... <br />i MED_ FRCP cAm one pwrsnn] �. S rJ,Oa <br />I -� CLAIMS -MADE -_!� I OGGUR I I I � � exduda <br />F —I PERSONAL 6ADV IN.JUP.Y � 3 <br />I-1 - -- II I GENERAL AGGREGATE � S 2,000IOO <br />I � � C <br />;I i PRODUCTS - GOMP;OP AGG •, 5 exGlUde <br />GEN'L AGGREGATE LIMIT r.PPLIES PER' I i '— '� <br />L_, �� PRO- � I I S <br />POLICY � c LOC <br />COMBINED SINGLE LiM IT <br />�[E,A �3 <br />I ! AVTO M061LE UA 61 LITY <br />l i <br />I <br />ecGEent] — <br />� BODILY INJURY LPer petaan) S <br />I <br />I <br />I <br />—I� ANY AV10 <br />I <br />i <br />� _ —� � - <br />600ILY INJURY CPar dccltlentl I $ <br />' <br />i qLL OYVNED � SC Ht DOLED <br />-. J AUT09 �{ I <br />^ I q� <br />��v�i �'� �`, ��' � �� ?S�� I <br />. -_ _ <br />�O�PER YDAMAG F_ � e, <br />NON -OWNED <br />I I <br />�lPr <br />I <br />Per act dent]__. <br />—. <br />j HREP AUT06 A;:TOS I <br />f 1_ y <br />S <br />�S <br />�- <br />EACH OCCURRENCc <br />UMBRELLA LIAe ODOUR <br />�� <br />� <br />- -- -- <br />-' <br />S <br />E7CCES5 LIAS_- L__GLAIM5•MAOEI, <br />I <br />L8llC21 51.111. LP:CCl}� I <br />'� <br />AGGREGATE_ � _ ._. <br />� I s <br />�- � <br />Assistant Cily A[torn <br />DED RETENTION £ <br />I -W -C STATU- OTH -'. <br />Li 1 <br />I WORKERS COMPENSATION I <br />AND EMPLOYERS' UA�ILrr`/ <br />� <br />�__ I [.vRY MITE _ ._ <br />S <br />I <br />Y! N <br />ANY 5'hROPRIETOR /PARTNER16XECUTNE <br />iOFPCER/MEMBER ExCW DEDi N!A <br />� <br />I <br />E.L. EI.GH ACC:OENT <br />I - <br />L'L- DISEASE.- EA EMPL OYEEI S <br />�_ <br />- (M�odatoryN µHQ.._ <br />I <br />I I <br />� v [ DiSPASE - PO LtGY Li MITI` - S l <br />� i li I I I I •� <br />DESCRiPTON OF ppERAT10N31 LOGA'[!ON!3! VEHICLb (Attach ACORD 701. Atlditional Remarks SctlepYle, if morf spacR is r+qulrcal <br />:Ce,rti£icata hol dsr ie named as additional insured par attach ®d CG2U10_ <br />(primary /NOncontributing endorsement also attached (USF 001 397 0201) <br />Clty of Santa Ana <br />Purchastng Dept <br />20 Clvic Center Plaza <br />Santa. Ana, CA 92701 X41)1 O <br />CITYOF4 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE <br />THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />AUTNORIZGO REPRESENTATNE. <br />�� <br />® 1988 -201 O A� <br />rtgnts reserves. <br />