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04/7.0/2013 12:38 949-559-5704 THE UPS STORE PAGE 01/01 <br />i <br />A( r ` CERTIFICATE OF LIABILITY INSURANCE page 1 of i <br />al/98/26 3 <br />THIS CERTIFICATE 13 ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIVELYAMEND, WMND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOTCONSTTTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: Nthe certificate holder Is an ADDITIONAL INSURED, the policy(es)must be 00darsed. If SUBROGATION 13 WAIVED, subject m <br />the temle and conditions of the policy, certain pclloiea may require an endorsement. Astatemont on this carNficato does notoonRTr rightsto the <br />certificate holder in Ilou of such ondorsement(s). <br />P0.0mInEA <br />OD <br />Willi, Insurance 3112;Yiaee e£ Georgia, Ino, <br />010 2e Gdptaty alsd. <br />Flo. Boa 305191 <br />P 877- P 86- 7-23 <br />ID4 <br />AA sort P oat 112 .no <br />Nashville, axi 37234-3191 <br />INAURERWAMMING GOVF Qt Nalco <br />MURPRA, Philadelphia InetWtlene Canp%niee 18066-§00 <br />3.2/31/201 <br />v � �T.R }Y+ <br />I SURED <br />mired atahatl $zP9dtla1odal Te+a,id AeeomiatAan. Sd <br />IN64RERE: ACE AMOXidea ITMIYYAdae On"Any 48869 -ppb <br />- - <br />3535 Briaxptlrk brise <br />aoaatod, wa 770d4 <br />DASURER C: <br />INsUAeRD: <br />MUR RE: <br />qqn� <br />yQ i`OV <br />INGURERr- <br />P•f1\ICOnI]ed rc6nYelaesC NiillrTxak•leye[Doc kEVIRTON'nJHILihEk: <br />-THIS IS TO CERTIFY THAT THE POLICIES OF INOURANCE LIBTED BELOW HANE SEEN ISSUED TO THE 10URE0 NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NCTWITHSTANDMIG ANY REQUIREMENT, TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE APFOROEO BV THE POLICIES DESCRIBED HEREIN IS SUSJECT TO ALL THE TERNS, <br />EXCLUSIONS ANDCONDRIONS OFSUCH POLICIES. LIMITS SHOWN MAYHA.VEBEEN REDUCED SYPAID CLAIMS. <br />RmR <br />Pe OFIe E <br />THE EHPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />a 9 <br />POLICY NUMBER <br />PDLI <br />Pouavfl <br />0111T8 <br />A <br />GENERALVASILRY <br />COMMMVa QIVISMLUBINY <br />CtAIMSrthWa�X OCCUR <br />PSP8948137 <br />•� TTft60NALdpwINlURv <br />2/31/201 <br />t�0 <br />A5 <br />3.2/31/201 <br />v � �T.R }Y+ <br />ROGC RRENOS 9 1.000.000 <br />$ EM" ,. <br />MEOEXP„. areoan.R F <br />s 1 0 <br />qqn� <br />yQ i`OV <br />GENE AOORECATE S 00 D <br />GENLAOOREGATEWAn <br />APPLIED PER: <br />PRODUCTS-WMPMAGG 9 I D 04"G <br />F( <br />�/ <br />{� <br />$ <br />POLICY <br />PROLoc <br />F, 53.0 <br />OeY <br />AUTOMOSILEJAOR.OY <br />ANYAUTO <br />�gst5 <br />nt GI YaetnSN <br />LE WM s <br />E0D6.YINJUw(PvPv”) $ <br />6CDILY eVJURY(Perexme�0 S <br />ALLOWNeO aC11E0ULEP <br />N EOAIITCS AON08 NEO <br />`/�/�///�) <br />/ <br />oraa:N6R11 $ <br />9 <br />A <br />R UOIRRE1LALIAP <br />X <br />OCCUR <br />PMM403104 <br />3/31/201212/31/801 <br />EACNOCCURREN08 3 00O o <br />AeOREtlATE S 31000,000 <br />EYCEss vas <br />OIAIMs-MADE <br />OG¢ RFMWON$ <br />S <br />NIpRKERBCOMPENSATIw <br />AWEMPLOY6Ra•t1a01LnY YIN <br />grn0E0'l EOUI'M6❑ <br />N/A <br />E,b PACIIAOCIDENi' S <br />E4 OISEA9E.FAEMROYEE 3 <br />RANNgh�78E1�RE <br />If'yu.O�N�tnOa,miY <br />DdeGRII ON OF CpsRaTIONadaoW <br />E,L.OISEASE•POLICYLLIIIT $ <br />g <br />3=980 Liability <br />$CQ 0 6833443 <br />2 31 2 212 <br />3l k01 <br />' <br />$5,000,000 Admit <br />OE60R IONgFOP RAhONa/LOCATIONOIYa R:MLSWd+cH ACae1M,AdeiloaWawMrke6ceadub, irmorvapae6idta0.aMad) • <br />Arlene ILu££in 54144 <br />OBPTA Members arm lnsorads for general Liability for playing, teaching or oSfiaiatiag in tennis or <br />operating A tennis ball deanhdne £Or praCtiCimg Or teaohing. <br />City of Santa "a Meal Machander Diennla Center is included me an Addihional IOmlArad as reapeeta to <br />General Liability. <br />CERTIPWAT6 HOLDER CA C6 LATION <br />Col1:3987554 TD1i1585390 Cert. -19246795 01958-2010 ACCRO CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />SHOULDANY OPTHEACOVE OESCRIBEDPOLIOES BE CANCELLED OEFORE <br />THE EHPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORUEOREPRUIENTATNe <br />City of Santa Ana Neal Naehamdec Tommie Center <br />5110 WNalpnt 80 <br />r„r <br />' <br />Santa Ana, OA 92701 <br />Col1:3987554 TD1i1585390 Cert. -19246795 01958-2010 ACCRO CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />