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<br />CERTIFICATE OF LIABILITY( INSURANCE DATE IMMtOONYYY1
<br /> 01105112
<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), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, It SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an ondorsement. A statement on this certificate does not confer rights to the
<br />certificato holder in lieu of such ondorsoment s .
<br />
<br />PRODUCER 916.630-8643 C
<br />NAME?
<br />Powers and Company
<br />Insurance Agents and Brokers $00'753-0083 PHOh...... [FAX
<br />PHO NL., EAtJ .__ _ ... _._
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<br />!A!r?Nel
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<br />P. O. Box (119043 Lic #OH3$DD4 ......
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<br />Roseville, CA 95661-9043 An
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<br /> INSt,RI H(5) AFI `rRDING COVI RAGE tJAIf" !
<br /> ,Janie- River in urince Com an 12203
<br />IN3UREU Graffiti Protect Coatings inc luswel. d Companion Pro e & t asual ..'121-57
<br />419 N. Larchmont Blvd #264 - -
<br />Los Angeles, CA 90004 ut?tlrsr. c
<br /> IN°[IO1?R n -
<br />
<br /> 1NSlJHFPo }=:
<br />COVERAGE'S CERTIFICATE NUMBER-. REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NANILL? ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REO!AR5MI-NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMFN F WITH RESPECT TO WHICH THIS
<br />I.FRTIFICATE MAY BE ISSUED OR MAY FLI? IAIN, J11- INSURANCE AFFORDED BY TIME P01,ICIF_5 nESC,RIFSED FU ? r!N i5: SUBJECT 'rO ALL. THE TERMS,
<br />I xCI USIONS AND CONDITIONS OF (1G1! 1`01 ICIE 3, LINII ? S SIiOWN MAY HAVE BEEN REI)t1(?FI) IsY PAID CLAIMS.
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<br />J.M _ __ TYPE OF INSURANCE ?; - Pt>U.-Y NUMBED MIWIL7DlYYYY IM,,,?x1F?7?Y? - ? 1-1073
<br /> GENERALLLABlUrY
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<br />x LUMk1 RC,ALGENERAL LIAtaILIIY
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<br />000437391
<br />06115111
<br />06115112 ?AMAGFTO
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<br /> "AIMSAIAIE X OCCUR EXCLUDE-.
<br /> 1,000,000
<br /> 2,000,000
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<br /> ( N'[, AG(?RFC A th (00,(11 APMAS Pf l't? _ PI{t it )I H.I t t t );d17r 11 A:.:I ... 2,000,000
<br /> X F (JLI[ Y °R I LOG FO RM
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<br /> AUTOMOBILE LIABILITY x.. taML?Nrtt.rILIFLMIr
<br /> ANY AWO not a n. an!'e (',I,
<br /> AT t OWNED :.("Hr
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<br /> rtF .? ?? E7ET F..NTIIJN ? ?
<br /> Wt)t c} i COMPENSATION I V c ATU 01 H
<br /> AND Ft1I LOYI,RS LIAHH.ITY
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<br />B ANY Ir OPP1.T0WPAflTNU-UEXF4CUIIVG
<br />PCA14501
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<br />DI/01112
<br />01101/'13
<br />S.{?.l LNAC;C1pLNT
<br />5 1,000,90
<br /> OJ'FIC E;1iMUMBEH VCLUDC7
<br />(Mandatory in NH) NfA
<br />F,L. DISEASF - EA EMPLOYEE
<br />S..._..._..__ 1,000,00
<br /> Itv drecrfbe undor
<br />OI t it,I T 10N < -r 91-1-LN 71E?NS it,? r
<br />F.1- 1?I ;FA.F: -POLICY LIMIT
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<br />DESCRtPT10N OF OPERATIONS I LOCATMS 1 VEHICLES tA4tach ACORO 141, Additional Remarks Schedule, IT more specs Is requirodl
<br />The City of Santa Ana, Its officers, agents, employees and representatives
<br />are Included as an Additional Insured under Commercial General Liability
<br />policy per endorsement CG 20 10 07 04 and CG 20 37 07 04, subject to a
<br />written contract between the Named Insured and the Additional Insured.
<br />Endorsements attached. "Subject to company approval. (see attached notepad)
<br />The City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />THECITY
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POUCY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />C7 1958-2010 ACUK:U E;UKF'UKA I IUN_ All rights reserves.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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