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A.=�" e <br />CERTIFICATE OF LIABILITY INSURANCE <br />AT <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT O <br />D 312D/22012DI014 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(l93) must De endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions Of the policy, certain policies may require an endorsement A statement a1 this certificate does not confer rights to the <br />certificats holder In lieu of such endorsemont(aj. <br />PRODUCER <br />CHRIS BEDFORD STATE FARM INSURANCE <br />3943 BAYMEADOVVS ROAD SUITE 1 <br />N Mad on Hol en <br />_ <br />RNOHE tat):.904.730 =Oj_ — <br />. -- - FL5�I 41t <br />t 904 -73 M309 —.. <br />"AIL ADORES : Mad yson_Holden.Kew0 statefarm.mm <br />JACKSONVILLE FL 32217 <br />—. <br />wauRE° ELM, INC <br />- -_ <br />_!uRERfsLFORDINGCOVenaDE raicx_ <br />_ <br />INSURERA State Ferm Mutual AutomDElle Insurance Company_ <br />21 178 <br />R <br />INSURERe�.,,,_ <br />� -- <br />1035 Kings Avenue <br />INSURER c. — <br />'— <br />Jacksonville, FL 32207 <br />,�c�13 ion' <br />INSURERD: <br />_INSURERS. <br />$ <br />COVERAGES rennelnwre sn u.nr -.,. <br />—. <br />INSURER F: <br />_..— .. <br />... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTED BELOW HAVE BEEN ISSUED TO T <br />KEVIS <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT O <br />THE INSURED K <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED B <br />BY P <br />PAID CLAIMS. <br />GENERALLIABILITY <br />❑, ❑, M <br />LIMITS <br />COMMERCIAL <br />OCCURRENCE E <br />MA G <br />IEa°.c rm 9) E_ <br />"" -- P <br />PERSONAL & ADV INJURY _ S <br />1 FRO- P <br />PROOIJCS CONNOR AGG $ <br />❑ $ <br />$ <br />ANY AUTO p <br />p ) I _.._ .. _.. <br />BODILY INJURY Per ersgn <br />HIREq PUTOS x S <br />PROPERTI' DAMAGE "' <br />- jPerDelmdem R <br />UMBRELLA LIA OCCUR E <br />E _ <br />EXCESSUAB :. . <br />EACH OCCURRENCE E <br />_ _ <br />AGGREGATE $ <br />WORKERS COMPENSATION E <br />E <br />(Ma6Cetoq In NNJ i <br />CH ppGIpENT ( <br />ifyegdesmhaunper . <br />. EASE -EA EMPLOYE" E _ <br />-E , <br />,L DISEASE - POLICY LIMIT $ <br />I,l <br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES "A h ACORD 161,"d410"I R *ft F.Nd.N, I mare 6"'a is raq.NPiJ <br />E.. �tn t <br />4 \SF n <br />nt E <br />City of Santa Ana <br />20 Civic Center Plaza, M36 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />11117. . <br />... m-- 14011 Fw a'm Ivyu are r59lswrea marks of ACORD 1001486 132849.7 03 -01 -2012 <br />