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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 />