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A CERTIFICATE OF LIABILITY INSURANCE
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<br />TYPE OP INSURANCE
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<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 />SF_i.OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pAgcy(tes) must W endorsed. If SUBROGATION IS WAIVED, subjeCtt tthe
<br />terms and Conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
<br />Certificate holder in lieu of such endom emerd(a).
<br />PRODUCER - - - _ - -- _ -
<br />MAP" MIC ELLS CAI UO
<br />OAIQUQ INSURANCE AGENCY
<br />HDNa xt, �t n•T4�gq,IR V `—"— I, 1�,#S -�s�`�
<br />6939 $L SEPULVEDA BLVD. STE. 410
<br />o RESS: 'AIQ1 .QIN.SAGENt2Y(oZYALtO.O.C.
<br />LOS ANGELES, CA 90045
<br />INSUREROu AFFORDING COVERAGE
<br />wAiCn
<br />LICENSE #04002979D
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<br />INEURERA: PHILADELPHIA INDEMNITY INS, CO.
<br />1805
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<br />INSURED
<br />ARC MID CITIES
<br />INSURERS:
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<br />INSULTERS: _ _ --
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<br />14206 TOWNE AVENUE
<br />INSURER r
<br />PRODUCTS- COMPIOP AGO
<br />_ LOS ANGELES, CA 90061 -2653
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<br />IIAEILITY
<br />ANY AUTO
<br />AU4OWNED SCHEDULED
<br />AUTOS AUTOS
<br />HIRE AUTOS x NON-OWNED
<br />AUTOS
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO 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 DE 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 CLAIMS.
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<br />TYPE OP INSURANCE
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<br />9/23/2013
<br />9/26/2014
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<br />90DILY INJURY Iferp ... a)
<br />$1,09D,DDB�—
<br />e001Lr INJURY (Peratrlaeni)
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<br />WORKERS COMPENSATION
<br />AND RMPLOYERV UABIIJH`Y YIN
<br />ANY PROPRIETOR/PARTNFRF FCUrVE
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<br />DESCRIPTION OF PRERATIPNS /LOCgTiGNS /VEHICLES (Alhch ACORD 101, AddElanal Brands; Schedule, If Mato spa"[. required)
<br />APPROVED AS O 1-0Xkv1
<br />Laura Stitt Sheedy
<br />nsuscaal City Attorney
<br />CITY OF SANTAANA 6HOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE W1.4 BE DrUVMED IN
<br />220 S. DAISY AVENUE ACCORDANCE WITH THE POLICY PROVISIONS,
<br />SANTA ANA, CA 92703 A 71 `zus r.PRBSENYATrvE �'��"
<br />©1988 -2 0 CORD CORPORATION. All rights reserved.
<br />ACORD 26 (2010/05) The ACORD name and logo are registered marks of A RD
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