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OP ID: SWM <br />CERTIFICATE OF LIABILITY INSURANCE DATE(M14/1YYY, <br />08l14/i 2 <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 HOLDEFL <br />Icertificate MPORTANT: If the holder is an ADDITIONAL INSURED, the policy(ics) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s)- <br />PRODUCER 800-426-2634 <br />co <br />NANTACT <br />NAME: <br />RobeBell Ins. Brokers Inc. <br />760-63"1-5983 <br />----- - - --- <br />II <br />(S Slsa.a4;_ Slic,_trq>; <br />5256 s.rt <br />Mission Rd - suite 7006 <br />A X COMMERCIAL GENERAL LIABILITY <br />Bonsall, CA 92003 <br />E -NAIL <br />Scott Marquart <br />ADDRESS. <br />07/15/t 3 <br />PRODUCER <br />CUSTOMER ID p' LINAht11 <br />..INSURED <br />INSU RERisj AFrORDING COVERAGE MAIC Y <br />Mike Linares _.. _......... <br />INSURER A:Continental Casualty 20443 <br />Bx 39'13 <br />P.O. o <br />_ _ <br />San Clemente, CA 92672 <br />IIEDEXP(A /-, Por ,) <br />S� 1o,000 <br />INSVRER C <br />'INSURER.: <br />INSURER E: <br />INSURER F! <br />COVFRAr;FS CFRTIFICATF NIIMRFR- 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. NOT'.NITI-ISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ''.WITH RESPECT TO WHICH THi5 <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.�_. _._._...___...__. �____ _......_..._.__-_�P—OLICY EFF_-.I-POLIQY EJZP.- <br />T <br />LTR TYPE OF INSURANCE pOLICY NUMBER MM)D o1WYY MMIDDPrl'1'Y LIPMTS <br />GENERAL UABILITY <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />EACH OCCUR I—ce <br />S 1,000.00 <br />A X COMMERCIAL GENERAL LIABILITY <br />X <br />4026987618 <br />07/1 S/12 <br />07/15/t 3 <br />DAMA0E70 RCi�`rED <br />pRFIAI ES Ca cru c <br />I <br />S 1 000,00 <br />1 CLAIMS -AMD. I ^ I OCCUR <br />IIEDEXP(A /-, Por ,) <br />S� 1o,000 <br />PERSONAL B'DV INJURY <br />IjS i 000,00 <br />_ .._ _ ____ <br />GEN ERAL AGGREG,G E <br />S 2000,000 <br />- _ _ <br />I GEN'L AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS' COMWOP AGG <br />S 2,000,000 <br />• .I PRO- <br />__ <br />` POLIGY I.._.. <br />n LOC <br />" AUTOMOBILE LUIBIUTY <br />COMBINED SINGLE LI -T <br />,S <br />' <br />tEa accC nq <br />: MANY AUTO <br />BCpILY NJ URY iPcrpmsunJ <br />$ <br />= ALL OWNED AUTCa1 <br />.__.,.. <br />BODILY NJ U{Yr (P d � .�Itt) <br />3 <br />3 SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />I HIREDAU'rOS <br />I <br />CPer ncciConl) <br />$ <br />I i NCN-0WNED AUT CS <br />l <br />vnraql <br />s <br />I UMB RELLA LIAB OCCUR <br />( <br />PIS <br />r / <br />[=ACH OCCURRENCE __ <br />5 <br />EXCESS LIAB CLAIN.S-b".ACE <br />V •SGa <br />����OVTi� <br />�s/� <br />AGGREC-ArE <br />S <br />D CDUCII-C <br />_ <br />O <br />)� <br />RETENTION S <br />S <br />WORKERS COMPENSATION <br />r� <br />Gt <br />WC SrATU- TH- <br />�CJRp LI •IIT$. P <br />AND EMPLOYERS' LIABILITY Y / N <br />\Stan{ <br />I ANY F-F-ETORIPARTNER/EXECUTIVE C -S <br />OFFICE—BIER CLUDED9 <br />�MJA <br />ASS <br />/ <br />CL -r" ACCIDENT <br />EA EMPLOYE <br />J <br />_ <br />/ LTJ/ <br />S <br />C L OI EE. <br />D vos. <br />RIP TION OF. DESGR1PilON OF OPERATIONS bNow <br />EL. DISEASE -POLICY LIMIT <br />5 <br />I <br />1f <br />i <br />DESCRIPTION OF OPERATIONS 1 LOCATONS l VEHICLES ((AYach ACORD 101, AtlE%liana! Remarks Schgpulq, if mom spaco is mquim tl) <br />Y10 <br />-day notice of cant allat i:L for non -pa ent of prPstium'� Certificate <br />Holder a.s named as Additional Insured as it is required per wr_tten <br />contract_ <br />r�Corl vlr-nTc 1._r�r r. rani l�cl ! ATrr11.f <br />© 1988-2009 ACORD CORPCJRAT ION- All rights reserves. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <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 POLICY PROVISIONS. <br />City of Santa Ana <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />Scott Marquart <br />© 1988-2009 ACORD CORPCJRAT ION- All rights reserves. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />