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Aug 191403:53p <br />p.2 <br />CERTIFICATE 08 H 12014 <br />_OF LIABILITY INSURANCE 0 M <br />089 9/2014 <br />i IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />IS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE q qCO1rVER�1A�GE AFFORDED BY THE POLICIES <br />iTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEMI HffUL16�If�G IItl Uf R(($) AUTHORIZED <br />OR PRODUCER, AND THE CERTIFICATE HOLDER. a <br />- - - -- '-' -- -"" - .•..,w•,,. ^�....rw.., . Iu Pvxcypes) must no annotated. It SUBROGATION IS WAIVEO Subject to the <br />temts and conditions of the PDlloy, c9nam policies may require an endorsement. A statement �F, (��rc�NtFlc kf of f N hW 10 the <br />certificate holder In lieu Of Such endorsemen s), ti'l'l' "l 9 <br />PROOuo" GARY J WENBERG, AGENT LICENSE# 0448533 NA °ME THI HDNIAN <br />120 W CAMPBELL AVE STE G PHONE 17C 3p8 — P - -- <br />B•MAI ol'" <br />&2ai�eF�sm PO BOX 942 ADnRBSg ka011,hOrnan Iws6 stala(arm.Dam____ <br />. CAMPBELL CA 95009 Al -RO /� °08 V - _INMu_nts Al FFCrRDirvecOVEnADe <br />nAic u <br />INwxeb `- ---m- INSURenpr5 le Flenerel lnsnranCO Cum�Rny _ 1 <br />CENTER FOR HEARING HEALTHINC NweEna1SA12±4 vmMutuaALIOMObllaieaumnCecamgnnv p <br />2945 BELL RD STE 122 I980N41t2_-9 nle A Ffreend Casua �C any �z <br />AUBURN CA 95603 INSUREAD: <br />_. -. O ._.-._--_..,....... REVISION NUMBER: - -- <br />THIS W-TO CERTIFY THAT THE POLICIES OF WSURANCE LISTED BELOW NAVE BEEN ISSUED i0 THE INSURED <br />INDICATED. <br />NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br />NAMED ABOVE FOR THE POLICY PERIOD <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH LIMNS SHOWN MAY HAVE BEEN <br />yDDPA��''OUCIES, REDUCED BY <br />TA 6EBEl1( —° <br />PAID CLAIMS. <br />TYPEOFFRISURANCE POLICYEFF <br />PDUCVNNMoen MMIOD <br />POIJ: VB%P •"" —"'— °— -- <br />!t_' <br />A GENERAL UA6ILRY 97- BZ- G429.7 12/18/2013 <br />COMMERCIAL UCHF,RALUARk" <br />V UMRS <br />120102014 EACH OCCURRENCE $ 2,Otlq,wO <br />- <br />CIAIySJ,WOE OCCUR I I <br />DTtdi[GE10W•GTt9 -` --- — <br />,}',.t,4SR-s IEn WaaLyel: i <br />MEO EXP An mM pnrrcan} S 6,000 <br />_PCRSONALBAOV INJURY -a <br />OENi AGGREGATE LIMITAPpUES PER, <br />GENER_nLACGREG A_ 4. /,000,000 <br />X POLICY X .PRO- LOO <br />9R04UC1B- COMPIOP AGO ! 4.000,000 <br />9 AUTOMOBILE UASILRY 2468689 1211812013 <br />ANY AUTO <br />s <br />121181201{ Ea oaidanr I t R E 2,D00 <br />2486690 1211812013 <br />AUTO OWNED x AUTOSOgULEO <br />,000 <br />12/1812014 _eODaYINJURY(PorPatton) <br />�_ _ ,� <br />HIRED AUTOS I NON-OWNED 24$6691 12118/2013 <br />,- <br />12N812094 DOOLYlNduav(Peraccuarl) 1 <br />-PF10 '— '--- <br />AUTOS <br />2789473 1211812013 <br />eNTY -°-- -- <br />12/18/2014 owe _mnre <br />UMERELLALMO OCCUR <br />= <br />EXCESS <br />EXCESS LIpB CLAIMS-10A DE <br />EACH OCCURRENCE y <br />CEO RETENTIONI <br />- AGGREGATE s <br />G WORKERS COMPENSATKN <br />1 <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETCRMARTNERODECUTIVE YIN 97m ®4.23664 12131f2013 <br />777 WC AT 0 M <br />12)31/2074 rr!$ x 01 <br />OFFICEIMEMRER EXCLUDED Y NIA <br />ZMan4 wyea NH) <br />EL EACH ACCIDENT 1 1,0001000 <br />- <br />IIyogd.WesundM. <br />EL LIISEASE•EA CFAPLOYE A 11000.000 <br />E.L. DISEASE - POLICY UMR' a 11000,000 <br />OSSCIU ON OF OPERATIONS LOCANONS I VENICLES(AtacN ACORD 401, Add10ane1 Ranurka SRNaduia. It mom apace M MgUIM" <br />'Fo <br />AUTOMOBILE LIABILITY CONTINUED: POLICY 288 0078 POLICY EFF 12118/2013, 1271812014 <br />A,S ro <br />rn nv <br />gtralsa <br />Joseph <br />mtorneY <br />C RTIRCATE HOLDER ."'—"° �": <br />City <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES AND SHOULD ANY OF THE ABC <br />REPRESENTATIVES THE EXPIRATION DATE <br />ACCOROANCG`WITH THE <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 nuruDmx xPSr:Hr/K r: <br />POLICIES BE CANCELLED BEFORE <br />)TICE WILL BE DELIVERED IN <br />ACORD 25 (2018106) The ACORD name and logo"' I'a11is1 0� lka 90 2010 ACORD ACORD CORPORATION. All rights reserved. <br />1001486 132849,8 01.23.2013 <br />RECEIVE: NO.0640 08/19/2014/TUE 01:33PM �� <br />