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<br />° CERTIFICATE OF LIABILITY INSURANCE 1 771512014
<br />THIS CERTtF1GATE IS ($SUER A$ A MATTER. OF INFORMATION ONLY AND CONFERS NO REGHT$ UPON THE CERTIFICATE HOLDER. THIS
<br />CER CENT"i DOES ISS APFfRMATIVELV OR NEGATIVELY AMEND, EI€TEND OR AL74R THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CSR'FIFiCATE OF INSURANCE DOE$ NOT CONStITUTE A CONTRACT 9ETWEEN THE IMB UING INSURER($), AUTHORIZED
<br />REPRESENTATEVE OR PROOUCER,.AND THE CERTTPIOATE HOLDER.
<br />IMPORTANT; it Fortin to haldor Ina an ADOIT1dIN L INSURED, 1fie Poi I. (issI m'at
<br />hnnndoreed. 1f $UBROdA'TION IS WANED, subject to the
<br />torrns nttd tdndRtons aC Urn poRCp, aestafir patielas may Tegeft0 nn endorsement A 8tallo ent an this aorfigaate stags . not confer rFghts W Cho
<br />CertiHcats Irolresf a line oI SeGB nndorssmant(e },
<br />WILLIS OF ILLINOIS, INC. PBOnE` -° gge) 7605381JTM .(87737-8496
<br />233 S WACKER DR,SUITE 2000 Certificate @hanoveccom
<br />CHICAGO, II. 60606 IMAURVIVIG AFRORarNG COVERAGE NAEC 1i. _..
<br />INSURED
<br />BUCKNAM INFRASTRUCTURE GROUP
<br />INC
<br />3548 SEAGATE WAYSUITE 230
<br />OCEANSIDE, CA 92056
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<br />'THIS IS TO CERTIFY HSTAN IN P(ANY1RE REQUIREMENT. INSURANCE TERM LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED WITH FOR THE TO HI PERIOD
<br />THIS IS TOO E
<br />INDICATED; NOTWITHSTANDING BE ]$SUE O ANY REQUIREMENT, TINSU A CE AFFO D OF ANY CONTRACT OR OTHER DOCUMENT HEREI i b1SUB RESPECT TG TH WHICH THIS
<br />CERTIFICATE MAY BE !$$LIFO 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 84EN REDUCED BY PAID CLAIMS.
<br />I SR _ POLICY F 'bOUCY E1rP LAHM
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<br />Tire City of Santa Ana, its officers, employees, agents, volunteers and representatives are Addliional Ins -don the general liability their interest may appear In regard to work
<br />paQs
<br />performed or services provided by the Named Insured pursuantto the tenns and conditions of form: -1 66. G I' lertleq dorsement). Waiver of
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<br />subrogation as provided by: WC040306 (California Form). ! jl
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<br />The City OF Santa Ana
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<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />20 Center Plaza M -36
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Santa Ana CA 92701
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
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<br />AFORD 25 (2010146) The AFORD name and logo- are registered (narks of AFORD
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