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08/20/3013 TOO 14:94 VAX 8499610181 acre CrW. IDq <br />0003/007 <br />ArNM CERTIFICATE OF LIABILITY INSURANCE DAT5(MM0OAYYY) <br /> 6/20/9¢,13 <br />PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION <br />Sea Crest Insurance AqeTxcy <br />LnCI ONLY AND CONFERS NO RIGHTS UPON THE OERTIROATE <br />, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />25255 Cabot Rd #206 ALTER THE COVERAGE AFFORDED BY THE POLICIES 6 LOW. <br />Laguna Hillo, CA 92683 <br />94 991-5209 INSURER8 AFFORDING COVERAGE NAIC# <br />INBUROD wroatalr SOUH1114VA California Mowing, Ina. INBURERAI SLIOttadA10 Insurance CoRI an 3. ?. <br />x/,,201'5 --6 Immune; companion Era or'C 6 Coloual 7 <br />2202 T7, 5th McURER0! A Insunango n 19031 <br />Santa Ana, CA 92703 INSURER D: <br />- <br /> M <br />ONER E; <br />COVERAGES <br />THE P01,I0IE8 0P INEURANOE UsTED EELOW HAVE BEEN ISSUED TD THE INOURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH8TAN01NO <br />ANY RBOUIREMBNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOOIJMENT WITH RESPECT TO WHICH THIS OERTIFIOATB MAY QE ISSUED OR <br />MAYPERTAIN THE INEURANCE AFFORDED BYTHE POLIOIES 0EECR1090 HEREIN IB SUBJBCTTO ALL THE TERMS, FXOLVSIONB AND CONDITIONS OF SUCH <br />POUCIES,A04REOATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS, <br />4140" IP96 <br />Lill <br />--_ <br /> I POLICYNUMOBR E'' -/ LI IT S <br /> GENERAL LIANILITY EACH OCCURRENCE } 7, QQQ Q <br /> COMMERCIAL GENERAL LIABILITY ORE I RB EN S <br /> OIAIMEMAUE Ox OCCUR MROEXP(A nna amen B <br />R $ramiaes CC$756941 /20/19 06/20/34 PRRBONALNAOVIWURY Q 0 <br />B dQ0 O <br /> _ <br /> _ ORNERAL A00RECATE re <br /> GEN'L AWORENATE LIMIT APPLIES PER ' PRODUOTO. OOMP(OPA00 S Q <br /> POLICY P LCC <br /> AUT OMOBILE LIABILITY COMONED CINGLE LIMIT <br />(Raflovdan0 <br />1400,000 <br /> ANVAUTO <br /> <br />.... ALLOWN IDAUts SONLYINJURY <br />$ <br /> $CHROULEOAUTOB IParperan( <br />A x HIRED AUTOR CCR756941 06/20/13 06/20/34 9 pp <br />RY <br />un <br />n <br />?Gi <br />B <br /> NON-OWNEDAUTO$ l) <br />ldd <br />4P <br />a <br /> uninpurod ?PROPERTY DAMAGE <br /> x 6K?,00q ( ) <br /> GARAGE LIABILITY AUTOON1,Y•6A_AC0IDENT M 1,0g <br />0,000 <br /> ANYAUTO CCP756941 06/20/13 06/20/14 pTHERTHAN EnnOG , <br />a K,,0Dd <br />A AUTOCNLY' <br /> Aa0 S 2.000,Q0 <br />_._ <br /> EXOE98NMORELLA UAUILITY RAGH OCOURRE_NGB a • <br /> OOISUR CLAIMBMACE ACliRE15AT@ p Q QQQ <br /> RL6603120^01 06120/13 06/20/14 re <br /> DEDUOTIBLe e <br /> RETENTION B <br /> WORNHRB COMPENBATIDNAND <br />' } R <br /> EMPLCTNNN <br />LIANILITY <br />ANY <br />PltOnplCIgWYMTN¢ry2NtltlUY1V9 r? n n <br />0720032570-2 <br />04/01/13 <br />04/01/14 <br />E,L.EACHACCIBENT <br />R Q 000 <br /> <br />;9 OFrNEWWOER 0GIUDBUV <br />9,L, DISEASE - EA EMPLOYE <br />B 1,d Ud. d <br /> ''y <br />8PE ALPRgVI910N8 is 9,4,DI0RAV10Ol ICY <br />1T g 1 () Q <br />A OTHER On HOn C$ ' Q <br />U V / Cd E 46 <br />A 0aracTekeepere CCP756943 06/20/13 , <br />06/20/14 , <br />0 500,000 dod 1,000 <br />6EBCRIPTION OE OPERATIONS L CATIONS IVEIRMLMSIEXOLUDONCADDED BYBNDORBEMENT1 SPECIAL PROVISIONS <br />RSVQ 12-066 <br />l.she City, its oreicers, employees, agents, volunteezz and representatives as <br />additional insured. <br />2. Those policies are primary and not contributory with respect to inOcCanea ar <br />insurance self Additional Insured: <br />City of Santa Ana <br />Santa Alas FQlicva Department <br />60 Civic Center Plaza <br />Santa. Anal CA 92701 <br />ACORQ28(2001106) <br />L, aura A. Rossini <br />!'.i l,f City Attorney <br />$HPULD ANY OFTHE AEDVE DEaCRISED POLICED EE CANCELLED BEPOAe THE EXPIRATION <br />DATE THEREOF, THE MOILING INSURER WILL ENI)RAVOR TO MAIL,__ DAYS WRITTEN <br />NOTICE TO THE OERTIPIOATS HOLOBA NAMED TO THE LEPT, BUT FAI IJRE TD DO W $HALL <br />IMP0$5 ND ONLIDATION OR LIABILITY Or, ANY HIND UPON THE INSURER, ITS AGENTS OR <br />-7/0113