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APR /30/20H /WED 02:18 PM Driscoll Ins, Agency FAX No,714 -505 -5562 P,001/001 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />A <br />5AT8066 nn vWy <br />1 05/01/2014 <br />THIS CERTIFICATE 16 ISSUED A$ A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOWER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE.COVERAOE AFFORDED BY THH POLICIES <br />DELOW, THIS CERTIFICATE Or INSURANCE DOES NOT CONSI'ItUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: the coolficate holder s an ADDITIONAL N. E , t e pollcy(as) must be endorsed. If 5 15RQOATION IS WAVED, su R'Cft0 <br />the terms and conditions of the policy, certain policies may require an andarsomont. A statement on this certificate does not Confer rights to the <br />certificate holder In Hall of such annorsamant(s). <br />PRODUCER <br />NFP Property & Casualty Services Inc <br />17782 E. 17th St., Suite 16105 <br />P'0' golf 1085 <br />Tustin, CA 92780 <br />POLICY NUM @@R <br />Carol Cu rr er <br />yeen;714,505,5557 ti.i,714;573'4556 <br />MARRE 88: <br />` <br />INSURER(S) APPOROING COVERAGE m.mM. <br />NAILS <br />IN$URBRAI W Mercury Casualty Insurance <br />005 <br />INSURED stage PT us <br />P.O. BOX 11060 <br />Santa Ana, CA 02711 <br />INSURER I <br />INSURER C; <br />INSURER CI <br />S <br />INSURER E I <br />S ..W <br />MBURER F I <br />a <br />THI IS 0 CERTIFY HA I'TH9 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN3URfi0 NAMWABOVE FOR THE Po ER OD <br />INDICATED. NOTWIYHSYANDING ANY RECUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE APranDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSION$ AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS, <br />INN'l <br />TYPa tlPINSURANCE <br />INSR <br />4YV0 <br />POLICY NUM @@R <br />MMID <br />MIdInDIVYYV <br />LI,MBs <br />UNERALWADILITY <br />COMMFRCIAL GENERAL LIADIUIY <br />CLAIMS,MADE ❑OCCUR <br />EACH OCCURRENCE <br />PREmlaf as PCwaence <br />S <br />MED EXP Any aria pervan. <br />S ..W <br />PUR80NAL S ADV INJURY <br />a <br />GENERALAGGREGATE <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY Pfi LOO <br />PRODUCTS +COMPlOP AGO <br />S <br />& <br />A <br />AUTOMOBILE <br />X <br />x <br />LIABILITY <br />ANY AUTO <br />AUTp6�E0 AUTQSULEO <br />NOI OWNED <br />HIREOAUTOS X AUTO$ <br />HA04000000.05 <br />00512014 <br />>� <br />08(0612018 <br />"'x'yi`L <br />aaeyldent <br />S 1 ODD 000 <br />BODILY INJURY(Por pnrroP) <br />S <br />BODILY INJURY (For acnidan) <br />9. __...... <br />ere�Cl3' <br />S <br />o /Coll <br />a so0 sa0 <br />UMBRELLA UAB <br />EXaE$8 UAa <br />OCCUR <br />CtnIMS MAbp <br />�? <br />1 ' <br />�.ti.Ofe <br />DCCUR0.ENCE <br />AOORECIATE <br />S <br />O6n RETENTIONS <br />WORNE% @COMP@ SATICN <br />AND EMPLOYERS' LABILITY YIN <br />ANY PROPRIET0?pIPARTNeWEXECUTiV <br />oPPICEPVMEMDER NXCLlIDEO} <br />(Mendemry In NH) <br />Ilyyes dGTION' n ar <br />OE54IRIPTION Pd�OPENATI0N6 Below <br />Nr0. <br />i•� <br />p,551 <br />-e <br />�" <br />' 1Ly <br />�' <br />W T6 % <br />E.L. EACH ACCIDENT <br />a <br />EL OISFASE•EA EMPLOYE <br />•, <br />S <br />B.L. 01$aAea•POUCY UMn <br />& <br />DdSCRIPTION OPOPERATIONSI LOCATIONS IVENICLES (Atlaeh ACOR01D1, Addlklonal Remarkz Schedule, !(more W,aea is roqulredl <br />City Of Santa Ana <br />Parks, Recs III Community Service <br />Attnl Silvia Cuevas <br />26 Civic Center Plaza <br />Santa Ana. CA 92701 <br />SHOULO ANY OM THE ABOVE OESCRUIU D POLICIES ee CANOMLLAV 9EFDRe <br />THE EXPI RATION OATS THEREOF, NOTICE WILL MM DELVER ED IN <br />ACCOAOANOE WITH THE POLICY PROVISIONS. <br />ACORD 26 (2016166) The ACORD name and Ingo are registarad marks of ACORD <br />i <br />i <br />