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I <br />i <br />I <br />CERTIFICATE OF LIABILITY INSURANCE <br />Y1 <br />INDICATED, <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />0118J2o13D <br />THIS CERTIFICATE IS ISSUED. AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />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 INSURERtS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy (les) must be endorsod. 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 James C. Jenkins Insurance Service, Inc, <br />X COMMERCIAL GENERAL LIABILITY �p O'`%j A j# 1'�/ <br />_.- _ gqY7RivAU <br />License # 0458 <br />mAa 1:21.6- 576 -1.534 <br />PO Box 13847 <br />E <br />;ADD E eat, lE iD�,$s3rg(q�LF.R.yjtt,corit_— <br />Sacramento CA 95853 <br />_ _ _ - - - - --- <br />_ INSURERiSLAPFORDINO COVERAGE NAICM <br />INSURED <br />-- - -- , raN <br />y�y� <br />GENT. AGGREGATE. t18e'C„ <br />CPSHt1.2 <br />INSURER B _�eStCl)E.SteL>c1C�InS _tiO.._. _ . 21121 <br />Cooperative Personnel :Services <br />_.. -- - <br />INSURER C, <br />dba CPS. HR Consulting <br />--- -- - - - - -- - - - - -- - - - -- - <br />241 Lathrop Way <br />MSURERD: - <br />Sacramento CA95815 <br />I SURERE: <br />I <br />;INSURER F: <br />6ODILYINJURY(Per person) g <br />.. �. ._ <br />eODILYINJURY <br />ED <br />IX; HIRED AUTOS � AUTOS <br />i COVEP <br />THIS CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE.BEEN ISSUED TO THE INSURED <br />wlnp CR] <br />NAMED ABOVE FOR THE POLICY 'PERIOD <br />INDICATED, <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY .PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS. SHOWN MAY HAVE SEEN REDUCED. By PAID CLAIMS. <br />" - -'� <br />. _..._ —_ _ <br />yypppppp <br />ILTR TYPEOFINSURANCE AN POLICY NUMBER MM DU/YYYY M1M7bE %P. <br />...._._.___.. —._.__ <br />LIMITS <br />A jNERALLIABILITY P307704AI97 711/2013 // 14 <br />E. <br />X COMMERCIAL GENERAL LIABILITY �p O'`%j A j# 1'�/ <br />_.- _ gqY7RivAU <br />EACH OCCURRENCE ;$1090000 <br />EiDAE'NfED <br />PREMIX <br />CLAIMS -MADE IX ;OCCUR j l#� l <br />- - <br />- - - -- <br />_(Anyon.ctrsRCe) <br />MED EXP (AnyaneEdreonl 570,900 _ <br />-- - - --- - - - -- !, <br />FPERSDNAL&ADV INJURY ;$1L900 000.- <br />-- - -- , raN <br />y�y� <br />GENT. AGGREGATE. t18e'C„ <br />GENERPL ACOkEGATE I $21000000 <br />LIMIT APPLIES PER ! <br />- —, P O /�•�•. ♦ µ •� <br />i�41 <br />PRODUGTS�GOMPIOPAGG +,52,0NISO <br />♦ <br />POLICY Y LOC j ! s�stant Y! AttO <br />I <br />5 <br />A AUTOMOBILE 1,1IXB0.11Y <br />S107704A197 <br />A1112013 1112014 <br />LCe axldenll - <br />ANY AUTO <br />�'-�j <br />ALL OWNED LED <br />AUTOS <br />I AUTOS I AUTOS j <br />I <br />r <br />6ODILYINJURY(Per person) g <br />.. �. ._ <br />eODILYINJURY <br />ED <br />IX; HIRED AUTOS � AUTOS <br />j <br />I <br />!; IReraccldentJ S <br />PROFiff Rejl'DAMA C <br />. <br />.. P raccl rrt1 1$ _. -. _ <br />I <br />, <br />IX UMBRELLA LIAB <br />EXCESS LAB CLAM_1ADE <br />C <br />/1!203 F /2014 <br />EACH CCCU .5S 0 <br />5,19000A <br />AT <br />AGGREG &5000003 <br />X RETENTIONSNIL <br />,CEO <br />A ! WORKERS 00MPEA <br />EMLOYERS LIABILIT Y <br />Y/ N <br />I <br />UB1160220 <br />7A <br />J0 / 213 171!214 <br />0AND <br />V� TU- $ <br />I LOAY.LIMU.S <br />ANY PERIMEMTR®/PACLUDED %ECUTIVE <br />NER EXCLUDED? ❑INIA <br />I..-_ -L IH <br />DEL EACH AGCIBENT 51000000 <br />J <br />(Mandatory in <br />1 (Mandatory desryiA NH) <br />I under <br />! <br />EL. DISEASE- <br />_EA EMPLOYE $1,00 BUD <br />DESCRIPTION <br />DESCRIPTION GF OPERATIDNSbalpw <br />I ,, <br />El DISEASE - POLICYLIMITI SI,000,009 <br />B 1 Claims Made •Arof Llob <br />Nairn Date October 13, 1989 <br />1 <br />b240802490 <br />11.,/1/2013 7/1/2014 <br />Y ' <br />Per Claim /A 9g $5,000 000 <br />IDed Per Claim <br />I <br />! <br />i <br />I <br />$75,000 <br />DESCRIPTION OF OPERATIONS /.LOCATIONS /VEHICLES (Aaedh ACORO 101, Addladnal Remarks edhddule; If mere ended is rMi med) <br />- <br />Re All Contracts/Mitten Agreements between the Certificate Holder and the Insured. Evidence of Coverage, <br />12PRTIFICATP -Wind 11PP .....__.. ._._ -. <br />SHOULD. ANY OF THE ABOVE - DESCRIBED POLICIES BE CANCELLED 13EFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Are ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attm Ellen: Smiley <br />P.O. Box 1988 <br />Santa Ana CA 92702 -1988 AUTHORIZED REPRESENTATIVE <br />A rnlan 19 YJnn nm[, <br />' „w„,—„u rvyw a,e reEraLelea.InarRs: Or At;L)KD <br />