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R 'In j r > �1 F1,1111 �. a <br />i <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY ANP CONFERS NO RIGHTS UPON THE LEHI IFIGAI EHULUflK. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED EY 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 />the terms and conditions of the policy, certain <br />certificate holder in lieu of such endorsement( <br />Leavitt Group NOF13098 <br />PrideMark-Everest Ins Sery Inc <br />1820 E. First street, Ste 500 <br />Santa Ana, CA 92705 <br />wsuREo t3esilt6rid, Martell'f o &Amster, L <br />6060 Center Drive, Suite #825 <br />Los Angeles, CA 90045 <br />may require an endorsement. A statement on this certificate does not confer <br />CaX:iil3Ciiri��ITIdiTT51:f <br />NSURER A : <br />t. coin <br />COVERAGE <br />to the <br />THIS IS TO CERTIFY�THAT THE POLICIES OF INSURANCE 118TEE) 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 WITH 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 El IOWN MAY IHAVE BEEN REDUCED BY PAID CLAIMS. <br />___. _..._--..._.. <br />FOR ........_... .._____.. -AD0D5UVSV -_ _.._.__ ._.... --- I PoLicvCrF"-rpoucvEkP LIMITS <br />LTR TYPEOFINSURANCE IINSRI WVD POLICY NUMBER MMIDDIYYYY iwMIODIYYYY)' <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />GENERAL LIABILITY <br />' EACH OCCURRENCE i5 <br />20 Civic Center Plaza, M-36 <br />COMMERCIAL GENERAL LIABILITY <br />� <br />PREMISES {Ed ocaurtence} °+ <br />•I GLAIMS-MADE , OCCUR <br />i MED EXP (Anyone persor) _ $ <br />PERSONAL& ADV INJURY ;5 <br />GENURALAGGREGATE S <br />LA's, <br />GEN'L AGGREGATE 41MIT APPLIES PPR' <br />PRODUCTS � CCMPIOP AGG $ <br />-.,..1 POLICY l '.,PGT LOC <br />LtABIli^! <br />_AUTOMOBILE <br />ya, "l °�+.. ii�4D �" <br />ANY AUTO <br />J <br />," HDDIYIN IU'2Y tPerpe sbn) $ <br />LI. - <br />AJ700sw D sa <br />a�Tos AUIos <br />NGNOWNED <br />LL <br />BODILY INJURY Leer accdeH S <br />✓' '"FPOr[RTVLAiGATE <br />YIIREP AUTOS AUHCDULED <br />TOS <br />'I <br />1 <br />1 S1LIt1 <br />I <br />! <br />atlt'a <br />UMBRELLA LIAR I OCCUR <br />1 <br />'A'"%C'CGi74'TT:4C"f" L $ ••• <br />( EACH OC,.URRrPlC <br />EXCESS UAB CLAIMS MADE <br />1 <br />AGGRCGATC S <br />.L. ,... <br />OLD RETENTION$ <br />"— <br />is <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />- ANY PROPRIETOPoFARTNEWIXECUTIV <br />DP[ICER$dEMBER EXCLUDED? <br />7TOP7C""sTRY IMITS _ FR --.— <br />I E.LEACHACCIDENT S <br />(Mandatory In NH) 1 <br />I <br />i E.I n15_ASF, EA EMPLOYEE S <br />If us, describe under � <br />DESCRIPTIONOfOPERATlON9belav <br />I ; 1ISEASE -POLIpYOLC uonl 8 <br />6.G. D <br />Errors & Omissions - <br />I <br />F <br />SEI3MPL5952OIIp04116120131.04118120141 Per OCCnr limit: $2,000,000 <br />A <br />Retro Date: 4/1/9I <br />i.. ! Aggregate Limit: ,$2,000,000 <br />DESCRIPTION pf OPERATIONS ILOCATIONS l VF.HICLES (ARech ACORD 101,Aptl4taHgl Remarks SoNodule, Il ,nora npaae le roqulrotlj <br />E; Operations of the named insured performed for the certificate holder. <br />r.PRTWICATF H01 nPR DANCE] I. ATION <br />Cq) 1958.2010 ACORD CORPORAA ION. Ali rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF. CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WHL BE DELIVERED M <br />ACCORDANCE WITH THE POLICY PROVISIONS_ <br />City of Santa Ana <br />Public Works Agency, Design Engineering <br />-- <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, M-36 <br />Santa Ana, CA 92702 _ <br />Gary Wells/SS <br />Cq) 1958.2010 ACORD CORPORAA ION. Ali rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />