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aC°rz° CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />TYPE OF INSURANCE <br />1/14!2014 <br />2014D <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 DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER <br />Brawn & Brown Insurance Brokers of Sacramento, Inc <br />P. 0. Box 619043 Lic #01-138004 <br />Roseville CA 95661 -9043 <br />CONTACT <br />NAME: <br />PHONE 916-630-8643 FA,G. No1:60U- <br />.MAIL ' <br />aoDRESS: <br />INSURER 8 AFFORDING COVERAGE <br />NAIC N <br />INTURERA:('nm <br />_ <br />INSURED GRAPF-2 <br />Graffiti Protect Coatings Inc <br />Steven Lenhoff <br />INSURER B: <br />INSURERC: <br />INSURERD; <br />419 N. Larchmont Blvd #264 <br />INSURERE: <br />Los Angeles CA 90004 <br />INSURER F: <br />COMMERCIAL GENERAL LIABILITY <br />F�� <br />TO CERTIFY THAT THE-POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />ATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ICATE 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 CyyLA��IIMppS. <br />I`TRR <br />TYPE OF INSURANCE <br />ANSR <br />WVO <br />POLICY NUMBER <br />POLICY EYYV <br />PMI>oM'YV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />F�� <br />OE TO RENTED <br />PREM EyEa occurcance <br />$ <br />MED EXP Any one person) <br />__ <br />$ <br />CLAIMS -MAbE LJ OCCUR <br />PERSONAL &ADV INJURY <br />$ <br />GENERALAGGREGATE <br />'$ <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />O LOC <br />PRODUCTS G <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SEOUL LIMIT <br />Ea aoeldenl <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY(Perperaon) <br />$ <br />BODILY INJURY (Per accltlenq <br />$ <br />AONNSWNED <br />PROPERTY DAMAGE <br />Per accldonf <br />$ <br />R <br />tDRET <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EM'ION$ <br />A <br />WORKERS pptd PeNBATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFIOERPNEMBEREXCLODED? ❑ <br />NIA <br />GCCWC 0000U4fiO3 <br />/112014 <br />!1/2015 <br />X WC $TATU- OTH. <br />EL EACH ACCIOEM <br />$1,000,000 <br />(Mandatory In wd <br />fYR RIPTIONunder <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYE <br />$1,001) 000 <br />EL. DISEASE - POLICY LIMIT <br />$1000,000 <br />oESCRIP'rIONOF OPERATIONS I LOCATIONS I VEHICLES ( AIWCh ADORD 101, Adtlllipnal Remarks TChetlule, if re 4pAce ?ls'rrp'qurrep} <br />Evidence of Insurance. - - "jj0 1T'' rll <br />The City of Santa Ana, its officers, agents, employees and representatives <br />THIS IS <br />INDIC <br />CERTIF <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 82701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />© 1988 -2D19 ACORD CORPORATION. All rights reserved. <br />I ne Acunu name and logo are registered marks of ACORD <br />