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CERTIFICATE OF LIABILITY INSURANCE 2013 )
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<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 certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the
<br />certificate holder in lieu. of such ondorsement(s).
<br />PRODUCER 1-800.955-8788
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<br />of California, Inc. ,. (9491 349-9600 a No) .!9491 344-4967
<br />10201 Von Batman Ave,. Suite 200 -MAIL
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<br />levier, CA 92612 INSU_R6R(SJ_APFORaNe CeVERAOEm-____ NAIC U_
<br />Jerry Niewiadomeki INSURERA: LNSNRANCB CO OF THU WEST 27847
<br />INSURED INSURER e:
<br />Matropro Road aarVieea, Inc.
<br /> INSURER 0:
<br />2590 South Garnsey Street INSURA O:
<br />Santa Ana
<br />CA 92787 INSURERS:
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<br /> SURER F:
<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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<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 />
<br />ILTR TYPE OF INSURANCE A POLICY NUM BER MOLIBMW POLICY EXP
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<br />LIMITS
<br />GENERAL LIABILITY EACH OCCURRENCE F
<br />COMMERCIAL GENERAL LIABILITY
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<br />4'R A O T+ A i-t PERSONAL&AOVWUURY $
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<br />_ GENERAL AGOREGA
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<br />GEN'L AGCREGATELIMn APPLIES PER: Iry f'jJ jf?,
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<br />? PRODUCTS-COMPIOPAGG $
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<br />PGLIGY
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<br />lqC $
<br /> AUTOMOBILE LIABILITY ..L5
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<br />SINGLE LIMi7
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<br />Assistant C a A Cbti4GDrn y BODILY WJURV(Parpermq) 3
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<br />AUT09 SCHFUULED
<br />AUTOS BODILY INJURY (Per acadoe) I
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<br />HIRED AUTOS NON,OWNED -PR-01-'STY DAMAOF.
<br /> AUTOS
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<br /> '. UMBABLLALIAE OCCUR SACH OCCURRENCE $
<br /> EXCESS LIAR CIAIMS?MADE AGOREOATE $
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<br /> OE O S S
<br />A WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY X w90502077001
<br />04/01/1
<br />04/01/14 W2 aTATU OTN TB I
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<br />ANY PROPRIETOMPARTNERIEXECU TIVE
<br />OFFICERIME610ER EXCWDG09
<br />MIA E,L. EACH ACCIDENT 51,000,060
<br /> (Mandatary I.NHi F.L. DTSEAIE• EA EMPLOY $1,000,000
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<br />0E9CRIPTION OF OPERATIONS belw . E.L. DISEASE - POLICY LIMIT $1,000,000
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<br />DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (Attach ACORD 101, Addiltanal Rema r, Sehedute, If Inara space Is required)
<br />waiver of aubrogation applies to certificate holder on workera compensation liability policy, per, attached tore
<br />WC990634800,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Clerk of the Council ACCORDANCEWITH THE POLICY PROVISIONS.
<br />20 Civic center PLAZA (M-30) AUTHORIZED REPRESENTATIVE
<br />H.O. Box 1988
<br />Santa Ana, CA 92702-1988' ((r,?.,$?
<br />, rrsn
<br />m 1958.2010 ACORD CORPORATION, All rights reserved,
<br />
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />Sandra123
<br />327'75696
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