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APR /30/20141H 02;18 PM Driscoll Ins, Agency FAX No,714- 606 -6662 P,001 /001
<br />ACORQ, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDOYYYYVI -
<br />os /61 /zDla
<br />THIS CERTIRICATH 16 ISSU @p AS A MATY2Fi dP INPdRMATIt1N dNLY ANd CONFER$ NO RIGHTS UPON THE CERTIVICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR N40ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROEU BY THE POLICIES
<br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE ON PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANTJ t a cart ca o w der la an TN • t RED, t to poi cy' Iwo) must a ate, It; SO'P3FtOQgTiON IS IVEp, eubJact t,i
<br />the terms and conditions of the policy, certain polictas may require an andorsoment. A staternent On this certtflaats does not confer rights to the
<br />cortIficato holder In goo of such andorsom oll(s).
<br />7R00UD9R
<br />NFP Property IL Casualty Services Inc
<br />17782 E, 17th St., Suite x±105
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<br />E; Carol Currier
<br />INvhi nL:71rol
<br />5557 r. xa1:714.573.4SS6
<br />Mao—L,
<br />P.O' Box 108S
<br />Tustin, CA 82780 Y
<br />INSURED Stage Plus
<br />P.O. BOX 11060
<br />Santa Ana, CA 02711
<br />_ INSURER(S) AFFOn01N0 COVERAGE
<br />SAID ta
<br />INSURER A; Mercury casualty insurance
<br />LMSURERR, .--- .._..._ ...................
<br />0025
<br />INSURER D:'-- __._ -'
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<br />INSURER 01 -��
<br />PERSONAL A AOV INJURY
<br />_
<br />INSUftEA E:
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<br />GEN'L AGGREGATE LIMIT APPLIED PER
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<br />GENPRALAOGReGAT2_
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<br />INSURER P 1
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<br />�FtfO' Y i ' P l- 1(�,IE$ ©� INSUfiANCt'F�IL $TELCW HAVE BEEN ISSUED TD THE INSU iED NAMED A80VE FO ~� E L C
<br />INDICATEp, NO'fWITHSTANOI1Vp ANY REQUIREMENT, TERM OR CONDITION DFANYCONTRACTOR OTHER DOCUMENTWITH RESFECTTOVm110HTH)$
<br />EXcLU ICIN$ MAY OE ISSUED DIR MAY INCH QQIN, UL I ITS sHoWN MAY HAVE D E lE PO UCeO DESCRIBED HEREIN 1$ $U EJECT TD AL4 7NE TERMS,
<br />EXCLUSION$ AND CONDIt'IDN$ OF $UGH POLICIES, LIMITS $HOVVN MAY HAVE BEEN REDUCED OY PAID CLAIMS,
<br />ITS TYPfiaFINSURANCE ..a IN9ft POLICY NUMBER (MMIDUIYYYY M 10 LIMITS
<br />SHOULD ANY OF YHa ADOVO USeCIR1aSn N01.10198 ae OANOaLLUV aaPohe
<br />ORNSRAI,
<br />UARILITY
<br />COMMERCIAL GENERAL WAOILITY
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<br />D CLAIMS -MADE L I OCCUR
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<br />ACGORCANO@ WITH THE POLICY PROVVSION9.
<br />['arks, ilecs III Community Service
<br />Attnt Silvia Cuevas
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<br />AU WORT R 9 TATVV
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<br />PERSONAL A AOV INJURY
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<br />BA04000000508
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<br />03/08/2014
<br />0310612015
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<br />$ ---1, _ODOy000
<br />DOWLYINJURY(Pq,I;9aon)
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<br />$ 5U0 500
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<br />WORKERS DOMOE SATI IJ
<br />AND EMPLOYERS' UASILRY YIN
<br />ANY PROPRI6YOJUPARYNEW. °,%ECUTIVP�T
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<br />(Mendetary In NR)
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<br />aceuJRIPTION OF OPERATION$ Wow
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<br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHIL9.ES IAIWah ACOpC 701, Additional Ramarhe Schedule, IP nmre apgea lS rnggbadi
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<br />- -1 anur•AU'I V AGUKLJ UUKMLJKAIIUN, All mghta resorVed
<br />ACORD 24 (2010100) The ACERB morns and logo are ra0iatarad marks Ot ACORO
<br />SHOULD ANY OF YHa ADOVO USeCIR1aSn N01.10198 ae OANOaLLUV aaPohe
<br />'rHe SXPIN nON UYITS THEREOF, NCM0S WILL OS PELIVEREU IN
<br />City OF Santa Ana
<br />ACGORCANO@ WITH THE POLICY PROVVSION9.
<br />['arks, ilecs III Community Service
<br />Attnt Silvia Cuevas
<br />a
<br />AU WORT R 9 TATVV
<br />26 Civic Celi'hOr Plaza
<br />— Santa Ana, CA 92701 . _ _._.
<br />1is ,.Wa
<br />- -1 anur•AU'I V AGUKLJ UUKMLJKAIIUN, All mghta resorVed
<br />ACORD 24 (2010100) The ACERB morns and logo are ra0iatarad marks Ot ACORO
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