CERTIFICATE OF LIABILITY INSURANCE poao7za" a `
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RlUWTB UPON THE CERTIfiGATE HOLDER. THtS
<br />CERTIFICATE OOE,B NOT AFFIRMATIVELY OR NEGATIVELY AMEND', EXTEND OR.. ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. TH18 CERTIFICATE'. OF INSURANCE COES NOT CON$ ITUT'E A CONTRACT' BETWEEN THE 134MING INBURERNB, AUTHORI.TEQ
<br />REPRESENTATIVE ON PRODUCER, . AND THE CERTIFICATE', HOLDER.
<br />IMPORTANT: If the conNtaata hroldar lean ADBITIgNAL IN9Ul¢ED, tNe pptfcy(.lesj R'lu5t ke entl6rsdd, IP'Stl SUBROGATION 15' WAIVED; gubjecf to kha
<br />to and' eendlgdoRO OS VIA Ppllay, cQUP PaItC100 racy require. an. andpraamam, A statement on thle, Cartifldsta (1004 hot dealer rights to tha
<br />aertiNeale holder In ROU OFSUah 9Rdprmm�aMte
<br />PadauaeR Vo tE WIL3GINS I.N 'UF'dANCEAGENCY
<br />11757 BEACH BLVD STET
<br />co A T „t�LT,T�jNVhAORR15 - _
<br />pnp aExL 52L€592 a kg
<br />SPatchnn JACKSONVILLE, FL 32245
<br />.6:. ..
<br />24'4 2R1TTAN'CyORRISUl E'CotS ATEFARMSCpM
<br />_,___ INaURRRisi AFPORRINti 6pyaRA9a „ . NAiCa
<br />iNOURERA (B {e¢Y.SUmRCB GpnfP9n$Y_, IQ,.'
<br />INauNER a'
<br />M600.a0 __.____,_
<br />ELM, INC, �
<br />1035 KINGS AVE..
<br />--
<br />41.`t
<br />JAClCSONVIL,LE FL 322a7 -$311
<br />INau a2
<br />AMtmnnrry " ._..
<br />'YV 1Y10GRn
<br />THIS IS TO CERTIFY' THAT THE PgLICiES OF INSUOF IN9UIi :::: LISTED BELOW HAVE. SEEN ISSUED TO THE INSURED NAMED ABOVE OR THE POLICY PERIOD
<br />INOICATEC. NOTWAHrTANOING ANY REOUtREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Y4TH RESPECT TO NMIC.H: THIS
<br />CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,. THE INSURANCE AFFORDED BY. THE POLICIES OFTIONMEO HEREIN IE' ,NUBJ@CT YC ALL THE TERMS,
<br />E%GLUMONSAND DONOITIONS OF SUC. NPOLICIES: LIMIT3S HONMMAY HAVE SEEN'REDUCEO.B"F pAIOCLAIMP.Tr.
<br />TYPe'pR INSURAtiaE�� U paurly NU9 mm NtLQ EfF'. "'Op 4Yr v. UMn3 _
<br />am6RALUANILRY Y 93•Rn•0632 13a 1012Bt96t9 U1012014 EACMOCCURRCNCF 'd 4400000
<br />COMMERCIAL eaERI-AL M�AHILI" -DAMA =9N urmrvk. s
<br />CLAIMS MACE Lxj COCOA M1IED Epry Mhy ShyEttBOni a
<br />rENERALACORMATE 3 3904hUa
<br />PN l AOCRaoATe CIMI'I APPD S RBR' �'
<br />PtbL71)OT9 CEiMPItlPAPO'
<br />�Pq.lOY { I iCCY r � k4G i I••i•�- .n :..�.....
<br />.. AUTOM ALe Ll'A91U'Ik U@IIiEO L CI 1.
<br />ANYAtaTA ...m BOOIkY 1rydURf lPazperenN 6
<br />LL 0 -`Nnla 4BI IErouEae ,...
<br />kvTQS, --m]AUMB I aepILYINJd'IYY(Par ¢Gcl9rtnl!
<br />I HInEC AUYAa' AUTf1®HNEEa 9' ' .. AZAV
<br />S
<br />UMaR1EI.LA 1.10.9 I tIL1't:,llY< .F EROPI C" RRENOE $
<br />I,'A —NEAT '
<br />_ 6�,6N1A9fl
<br />OtO hE'tBNT�: N8 aR4°6ArB. .5
<br />wORRaRaagMPENapTIgN ... .— . ^•... IE^T -^^
<br />.11 a
<br />AND EMPLeY%9SMIABILIYY I IO N
<br />ANY PROPRiFTCWPARTNER,FItECIJRNE YIN LEIMCN l,C,610ENi' � t -
<br />VPPCEIMEMaERM1XbLtInCpT ..�IWA ;,__ .�. ,.
<br />IMEndilarylM1 VHI
<br />'IAVe4 -RWI. OPrl,k1', FBI.. kaFh9 ^GA.F.MPLpYE t
<br />e. L,: b156E .POMF.CLIM1IIY.i"...,...,.,.. -m«
<br />aeacRlPdON -DECO ERASION314QCATIgNAlVEMeCLEO (AUaan M1COROiQe ,AtlmtlOnarRemOtke.ihhprlalO, Ilmone0paa¢Mrequle0tll
<br />l�.COTltilf F ?C Llh � � ✓ �".J✓✓ �n�y '^ ^"�� ,.w.
<br />+nr. mb; f�]ev�•
<br />tt# A
<br />wLw. T.. Y:.... �i. .v..,v..uwr.�..........�r.....0
<br />City of Santa Ana
<br />SHOULD OF HE BOVE SCRISEN POLICIES A CpU B. F
<br />p CIVIC. GBnket Plata, M35
<br />INY DATE E WILL RN
<br />ACCOROANOE WITH THE POLICY PROVISIONS,
<br />Santa Ana, GA 92701
<br />AUTHOAIEato RaPAPM R]WE'"
<br />�..._.Y�w_.,
<br />.,..�,._
<br />41.`t
<br />v ; knra•4919 ACQRp CDRPORATION All Aphis resL'tved.
<br />0.GORp Z5 (20ftl'1115) Tha ACORD Hame and toga -Are registered marks. of ACORD 1001406 132&kg.a 01 -23 -2017
<br />
|