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tlUfZ i 7 <br />Nianiis. IgrA q1 <br />ACORD. CERTiF1GATE 4F'LIABUTY INSURANCE <br />DATE aiM DU YYYY <br />1 11 81201 3 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF, INFORM ATIO. ONLY -ANP CONFERS NO RIGHTSUPON THE CERTIFICATE HOLDER: THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATIY9LY MEND, ND OR ALTER THE COVERAOE AFFORDED BV TifE,PDUCIES <br />BELOW, THIS CERTIFICATE OF INSURANC DOES'NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUiNOIN5URER(IR),.AUTHORIZED. <br />REPRESENTATIVE OR PRODUCER. AND Tl@l"�EI�Tt�L*'A,te,DeR. I . <br />IMPORTANT; H the cerlAcate, older: is an ADDITIONAL INSURED, the.poltcy0as) must bo ondoi'arrtl..11 SUBROGATION IS -WAIVED, sub[ iolto <br />n' pollelea may require an aorsement. A atatimont on this certificate dose not confer rights to the <br />the terms amt conditions of the pglicy, ". hd <br />cerUBcate holder In flair of such add =M-10( <br />PRODUCERChrillity <br />BS&T Insurance Services <br />of Orange County <br />880 LonDrive Suite TCO <br />, <br />Fullerton, CA 92&fT <br />.. <br />Mata - .. <br />P r° .714578 7370 (FAX <br />ArX:Na): <br />Res <br />JUSURERUIDAFFORDING-CtcssvERADE -� -, wx# <br />Ttaveiers Pro . <br />;NWMEBAL Perty`CaRual#yto 25674 <br />.. <br />INSURED <br />Cordoba CorporationsGnEROr. <br />1401 N. Broadway <br />Loa Angeles; CA 90012 <br />.. <br />INSURER S:. . <br />01120!2014 <br />- <br />- <br />-- <br />NSURERDn <br />'INSURER. a; - <br />NSU. RF' <br />S�DO, <br />rnvr9AnF:A - ":. CERTIFICATE NUMBER:. REVISION�NUMBER:'i <br />THIS IS TO CERTIFY THAT THE POLICIES OF I,NSURANCZ LISTED BELOW HAVE BEENISSUED TOTHE INSUHED NAMED ABOVE POR THE POLIGY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENr, TERM ORCONDITION OF ANY CONTRACTOR OTHER DOCUMENT: WITH. RESPECT TO WHICH THIS <br />CERTIFICATE MAY REISSUED OR MAY PERTAIN; THE; INSURANCE AFFORDED BY ,THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF., -SIKH Pggclsa.- LIMITS SHOWN MAY HAVE BEEN Re6UCDJ BY PAID. CLAIMS. - <br />TYPE OF INSURANCE <br />B <br />PDLICY NUMBER <br />MIR <br />CY X4 <br />Y <br />" LIMITSR <br />A <br />- <br />DaNEaALUAaatrY <br />X COMMERCIALGEHFA�AL�DASKITY <br />CLAIM&MADE I /c} CCCUR -. <br />. <br />AUTHORMED AEPRESCNTATIVE - <br />8308C82815145 <br />- <br />112012013 <br />01120!2014 <br />- <br />- <br />-- <br />EACH E <br />s1 b00 000 <br />A�OCCURR <br />A EO <br />S�DO, <br />MECEXP AR ttu �eewrt}. <br />$5,000 <br />'PEA NALaAoVrcuvRr <br />$1,000,000 <br />OENERALAGGREGATE <br />/21000000 <br />GFNL AGGREGATE <br />X PouCY <br />LIMIT APPLIES PER: <br />EPR0..`. .. Lam. <br />�PRODUC(S COMP/4,PA.GG. <br />. s2000000 <br />S; <br />A <br />AUTOMORILN <br />X <br />X <br />UAM m <br />AM'AUTO <br />ALL OWNEDSCHEDULED..' <br />AUTOS AUT03 <br />HIRED AUTOS - X NON.0 ED',.'. <br />B106C82B1511'3 <br />1120/2013 <br />01/201201 <br />COMBINED SINGLE U ' <br />1 Wo 000 <br />'BODILY IWURYfPorpersMY <br />$' <br />BODILY'IIM1IURY (PernttWen}) <br />$..•. <br />PPROFERW UAMAGEAUTOS '. <br />& <br />A <br />X <br />UMBRELLA UAB <br />EXOBSetMa <br />)f OCCUR <br />MANASMADE - <br />CUOSCS2815113 <br />- <br />1/2012413 <br />011291201 <br />.EAcPtowuKRENGE. <br />Isip 000 <br />AGGREGATE <br />fI'$10,000x000DED <br />RETENTION <br />—..—ts <br />`TH <br />A <br />WORKERSCOWENGAsroN <br />AND BMPLOYERV DAenm <br />ANYPR4P4FFDTLiUNEDRErDETf(ECUTIVB® MIA <br />(ManoWMEEMMBB <br />(Mandatary In NHI <br />D SCRPI]QNON. <br />FOPERATI NSbelow <br />UBSC87099213 - <br />- - <br />112012013 <br />011201"201 <br />X wcsTAn <br />�- <br />E.LEACH ACCIDENT <br />Ug00000 <br />E:L DISEASE - EA EMPLOY EE <br />$1'. 000 000 <br />E.L. DISEASE - POLICYLaIrr <br />.$11000,000 <br />DESCRIPnDN or OPERATIONsI LOCATIONS I VEHICLES (Alach A08;101, AddlaonM Rarraft Sgleduw rr a ar aPlea a r¢hulmd) - <br />Certificate Holder is named as Add. 1tionedtheured, as respeets General Liab f; as required by written <br />contract pet the attached form CGD4140408 pg 1 and 2.01'2. <br />Additional Insured amended to Include the.foilowing: The City of Santa Ana, 20 Civic Center Plaza, Santa <br />Ana, California 92702; its othcors, employees, agents and volunteers are named as additional Insureds with <br />regard to liability and defense of -suits arlsttlg from tho.operatians and uses preformed by or on behalf of <br />the named insured, - - <br />rrmwaCATE Hem_nER PIQv v Yq ^' '.rAmr`xl 1 Ann" <br />01OW2010 ACORD CORPORATION. All rights reserved. <br />ACORD 2$ (2010105) 1 Of 1 The ACORD name and logo are registered marks or ACORD - } <br />#898339611M9833860 - - LXMCN <br />City of Santa Ana - ;!' ,y1 J !/.- <br />�� <br />SHOULD ANY OP THE ASOYE DE$GRIaEO POLICIES DIE CANCELLED BEFORE <br />,,+�'� <br />20 CIVIC Canter PIa2a)" Sbeedy <br />THE EXPIRATION DATE TNEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE wn'H THE POLICY <br />Stitt <br />PROVISIONS..' <br />.'lDTa <br />Santa Ana, CA 92702.1988,ranr City Attorne.1 <br />AUTHORMED AEPRESCNTATIVE - <br />- <br />01OW2010 ACORD CORPORATION. All rights reserved. <br />ACORD 2$ (2010105) 1 Of 1 The ACORD name and logo are registered marks or ACORD - } <br />#898339611M9833860 - - LXMCN <br />