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OP ID: d <br />MoCERTIFICATE OF LIABILITY IN nfl4M All 114A <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: It the centificata holder Is an ADDITIONAL INSURED, the pollayRes) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the torms and condlUmv, of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />INSURED <br />IVRI Ngvell .. Ali <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTER BELOW HAVE BEEN ISSUED 70 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTA <br />TYPE OP INSURANCE <br />L <br />SWI <br />POLICY NUM9ER <br />Pc' V <br />-- — �UMITS <br />ORNERALLIAMLITY <br />EACH OCCURRENCE <br />$ 1,060,06 <br />A <br />X COMMERCIAL GENERAL LIA81LiTY <br />X <br />- COL- N00012796 -03 <br />0611912614 <br />0611912016 <br />PREM SE7oRE`auLrenI_ <br />S 168,0 <br />_ <br />EKI <br />ICE <br />_M_EDEXP(Anyaru P.Nn) <br />$ _ 5,66 <br />_ JCLAIMA -MADE OCCUR <br />X Errors S Omission <br />PERSONAL ADV INJURY <br />$ 1,000,00 <br />I X <br />I. <br />Owmom S Coniraat <br />GENERAL AGGREGATE .__._. <br />_� B4OOU,D6 <br />CSEN'LAGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGO <br />$ Ind in Agg <br />X) <br />PRO. <br />$ <br />POLICY <br />LOO <br />AUTOMOMILELLAVILITY <br />I <br />COMBINED SINGLE LIMIT <br />$ 160006 <br />'ANY AUTO <br />- <br />BODILY INJURY (Per yersbn) <br />S <br />ALL OWNED AUTOS <br />BODILY INJURYIPeracdtleM) <br />--- ._ -___ <br />$ T <br />J <br />SCHEDULED AUTOS <br />SE- CCsL-0600612795 -03 <br />08/99/2014 <br />06 11 9120 9 5 <br />A <br />^X <br />HIRED AUTOS <br />t <br />1' PROPERTY DAKAGE <br />IPER ACCIDENT) <br />$ <br />X <br />NONOWNEDAUTOS. <br />$ <br />UMBRELLA LAS <br />OCCUR <br />1 <br />EACH OCCURRENCE <br />$ <br />EXCESS UAB <br />CLAIM3 -MADE <br />$ <br />DEDUCTIBLE <br />_AGGR.EGATE <br />$ <br />$ — <br />RETENTION $ <br />WgRKERSCQMPENa ON <br />WC STATU- VTH -- <br />ANDEMPLOYEROTUABILTY YIN <br />EL EACH ACCIDENT <br />_ ...__...- .....- <br />$ <br />MyPROPRIETORIPARTNEWEXECUTIVE <br />OFROEWDINSER EF.OLUDED? <br />NIA <br />ly"ASmymNNI <br />1 <br />EL 019E..EE EA EMPLOYEES <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF <br />.DESCRIPTION 9F OPERA 'ONBbelow <br />.�.�. <br />DESCRIPTION OF OPERATIONS t LOCATIONS ! VEHICLES IAImCN ACORn 101, Adtliklan¢I Ramarka SCheOUle, limorespeue NrequRCS1) �_�-V <br />City of Santa Ana,ita offioars, employeas agents. vciunteexa and <br />performed representatives are ad iu as an addtitxona� insured with respect to the work <br />the aamaet insured. Primary Welding and 30 -day NOC are incivdn_d. rCv-LAAaJ <br />Tnvestie�aCioa, CA -- <br />Investigation, io <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 />t <br />L <br />AQUAD 25 (200101)9) The ACORD name and logo am registered marks of ACORD <br />