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A� c' CERTIFICATE OF LIABILITY INSURANCE <br />o01/072014 1 <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 DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER (S), . AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THECERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyposj must be endorsed. If SUBROGATION IS WAIVED, subjeotter the <br />terms and conditions Of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />cartificate holder in lieu of such endorsement(aj._ <br />PRODUCER <br />CHRIS BEDFORD STATE FARM INSURANCE <br />3943 BAYMF1A00W5ryRQACI SUITE 1 <br />JACKSONVILLE FL .,:2217 <br />V:=Y <br />POUCYN MSER <br />S. <br />s. Machtson Holden <br />PHOeI <br />44 -¢304 <br />gpptiE <br />:Mad son,H Iden.KewA rata .coin <br />IN9V RS A n R4INtt CONTRA E <br />NAILd <br />INS RERA State Farin Mutual omobile Insurance IYI il. <br />2017R <br />INSURED, Ervin Lovett & Miller Inc <br />1035 Kings Aventie <br />Jacksonville, FL $2207 <br />INSURER 0; <br />S <br />INSURER C: <br />S <br />INSURER D:__ <br />S <br />PERSONALAADViNJURY <br />S <br />.INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRF_R: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO 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 NTH 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 />1M <br />TYPE OF INSURANCE <br />AYS <br />IIR <br />B <br />POUCYN MSER <br />P GT.' <br />PCTCYaRP <br />L1Mne. <br />GENERAL LIABILITY <br />CCIdMERVALOENERAL DABILFTY <br />CLAIMSMAOE El OCCUR <br />EACH OCCURRENCE <br />S <br />DAxSADET6RE <br />pR owurtance <br />S <br />MEG EXP 0.d onOpd,sen} <br />S <br />PERSONALAADViNJURY <br />S <br />GENERAL AGOREGATE <br />GENLAGGREGATE <br />LIMIT APPLIES PER <br />PRgDUCTS:•COMPIGP aGG <br />S <br />aUTOMOdILE:uaBILrTY <br />ANYAUTO <br />ALL 61 0. SCHEDULED <br />AUTOS <br />HIREDAUTOS X NOt�NNED <br />248 618 C2258C <br />022 <br />D24 <br />I. <br />BN u u <br />s <br />BOCILY INJURY WarPprdgnl <br />5 1,000,000 - <br />- 65DNLYJUY(Per aWOen <br />UAUTOS <br />1000,000 <br />RTYDAT GE <br />Porn 0 <br />S. 11100,000 <br />s <br />UMBRELLA LUe <br />McSSUAO <br />OCCUR <br />OLAIN.SJdACE <br />1111.__ <br />OCGURflENCE <br />'.5 <br />_EACH <br />ACiOREGATE <br />S <br />UED I I RETENTIONS <br />} <br />WORKERS COMPENSA110N <br />AND EMPLOYERTUASIUTY YIN <br />ANYPROpRIErbFUpANTNER ECLnIVE j � <br />OFFICIVIUMBEt E(CLUDEO7 t� <br />IMenaemrytn. N11) <br />U" anacdhaundM <br />1. DESCS <br />NIA <br />r^^^^I <br />tF_.11 <br />uc&TATU- OTH. <br />s[�. <br />111E EACHACCIDENT <br />5 <br />E.L DISEASE. EA EMPLOYE <br />.S <br />E.LOISEMC.POLIGYUMIT 9 <br />7 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I MICLES (AMabACGRD 10t,. AddlU0041Rv.AA achedul% N ma,a aNCe IF NgWrmj <br />City of Santa Ana ! yt L' Ot'�HoUILD ANY OF THE ABOVE OESCRIRE❑ POLICIES BE CANCELLED BEFORE <br />/ THE EXPIRATION DATE THEREOF, NOTICE- WILL BE DELIVERED IN <br />ZD Civic Center plazas M36 r fit# TLy ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 82701 ,.. i -`ri IN <br />AGinORLEORE aN STYE <br />CO i988 R ORPORA 1 W All rights reserved. <br />ACORD 25 [2414106) The ACORD name and loge are registered marks of ACORD iCC1486 132849.7 43 -01. -2012 <br />t <br />