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J?' It'! eL M 3-C <br />Policy Numperj?XL550569 Date <br />® Entered o q <br />. <br />CERTIFICATE OF LIABILITY INSURANCE <br />'ate °A"[... <br />"""" <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 antithetic holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />his 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 endors.men s). <br /> <br />Adams Avenue Insurance Agency nnox s _ (%77)230.8}97 , (866 832-4186 <br />License N07366ti3 psmc cindi gdamRAvelre.com <br />cuus.a: <br />9114 Actions Ave, #147 INSIIRERe pFFORnINp COV6RA0E NAICk <br />Huntington Beach, CA 92646 MUARAA:Onited State. Lisbilit insurance Co <br />INSURED WRJ.GT j.LC, dba Fssergy Consulting /.RUDER R: <br />Jill Do1nu <br />uez INSURER CI <br />g <br />16787 Beach Blvd <br />Ii633 I.W UflER o: <br />, <br />Huntington Beacl4 CA 92647 Su ER E 1 <br /> IN8 ERF: <br />Produced using Forms Boss Plus software. www Foun.R. com; Impressive Publishing 1100.208-1977 <br />APPROVED AS TO FORM <br />LISA E. STQRCK <br />Assistant City Attorney <br />ACORD 25 (2010/05) The ACORD more and logo are registered marks of ACORD