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CERTIFICATE OF LIABILITY INSURANCE <br />DA6 /4 /2014 MM YYr} <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(&), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: H the OOrtifluto holder is an ADDITIONALIMU R p, the polloy(les) must be endorsed, It SUBROGATION IS WAIVED, subject to <br />the terms and conditions Of the policy, certain policies may require an endorsement. A statement on this certitloate does not canter rights to the <br />cartifloato holder in Ileu of such ehdorsament(s ), <br />PROOUCSR <br />laaara Paxta3ra, Ianr -pants Ana <br />77,07 N. . A xoadhay Buika 100 <br />220 8 DaiaY Ave M -05 <br />Banta Ana CA 92702 <br />Chclat bra <br />MMERCIAL GENERAL LLLOILiTY <br />OLAIMOMAOS � ODOUR <br />��). (714) 2SB -460tl I(AfC.Ne)1 �•. - <br />Santa Ana CA 02706 <br />a <br />" <br />°.^-- -. .—.. —• ^• <br />—.^ �°7�' <br />INSUP➢RLa ARFOR11I(IO COVERAGE <br />R1 <br />„__...,. <br />INaURERA: aauxitY National Snauyanaa co <br />133120 <br />MROW ormaem <br />WSUREO L '� <br />gdwcd Ochads cUs Oraag, Couaty Nalihoxas <br />and orange Counhy Caabro,atwr Sarviaas <br />I SURgR B • ._ <br />S S OBO <br />INSURER 0: <br />U RO: <br />4 1.000,000 <br />10100 xovaoe Lena <br />9! <br />2 000,000 <br />Buntingtan Beach CA 02640 <br />INa u <br />A <br />COVERAGES CERTIFICATE NUMBER: Cart rn 1457 REVISION NUMBER: <br />THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAW 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 WTH RESPECT TO WHiOH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCROW HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXULUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />SHOULD ANY OF THEASOVE DESCRIBED POLICIES SE CANCELLED BEFORE <br />TYPE OF INSURANCE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BS DELNERED IN <br />The City of 8aaka Asa <br />ACCORDANCE WITH THE POLICYPROVONONIL <br />Oub11d Works Aganay <br />L04na <br />220 8 DaiaY Ave M -05 <br />Banta Ana CA 92702 <br />MMERCIAL GENERAL LLLOILiTY <br />OLAIMOMAOS � ODOUR <br />Y <br />NA305SOOL01 <br />0/27/2014 <br />8/27 /2024 <br />EACH OCCU.RRRNOS <br />5,000,000 <br />MROW ormaem <br />S Oo,ODo <br />S S OBO <br />ZGENLA10ORE <br />PERSONA &And INJURY <br />4 1.000,000 <br />TEUMIIT,AP((`P`''L'R`N)IPER: <br />ICY JeOT L_.•I LOC <br />e <br />OENERN, AOCRL'OATE <br />2 000,000 <br />PROOUOTO•COMPIOF <br />2 000 000 <br />A <br />AUTOMOMLOUARaiTY <br />ANYAUTO <br />AU7Q0 D AaCNECULRO <br />HIREDAUT08 AA O <br />SOGLY INJURY OPar Fanon) <br />S <br />$ <br />Por..1don!) <br />S <br />O <br />S ~� <br />$ <br />UMORELLA LUIS <br />EXOeaaLAd <br />OCCUR <br />CLAAWAIA E <br />NOE <br />jA11 <br />S <br />W <br />n <br />A <br />WORKORV COMPRN4A790N <br />AND OM PLOYRRS' LfABILITY YIN <br />ANY F4MWftIEtCR7PA4TNRPJEX6OttSlVE © <br />uEmsmaKCDke7 <br />mVoy In NH) <br />yRIOOMONN OF OP T"-- we <br />NIA <br />,/014 <br />/ <br />E.1 EACH AOC1OONT <br />L.000,000 <br />R,L,CWoASE- RAOMPLO <br />S 11000,000 <br />e.F..wIs - POLICY LakT <br />S 11000,000 <br />OSSOPIP}wN tlP OPeRA7tONatLCOATIONS 7VRt2CLE8 (ACORD UI.AdOMOM Raw,aa BxRedWq maYb4 XWo4B Alone twa is moIt8rad) <br />Cerxixinate Holder is nomad Additional Jaaurad <br />11 ff vlstv&b ,, q,� <br />L /GM iS nl Sl, C4 40 5',0, <br />CERTIFICATE HOLDER CANCELLATION <br />01908.2014 ACORD CORPORATION. All rights rewed. <br />ACORD 25 (2014tOT) The ACORD name and logo are registered marks of ACORD <br />page 2 of 3 <br />SHOULD ANY OF THEASOVE DESCRIBED POLICIES SE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BS DELNERED IN <br />The City of 8aaka Asa <br />ACCORDANCE WITH THE POLICYPROVONONIL <br />Oub11d Works Aganay <br />ArITHORM R UNITATNE <br />220 8 DaiaY Ave M -05 <br />Banta Ana CA 92702 <br />01908.2014 ACORD CORPORATION. All rights rewed. <br />ACORD 25 (2014tOT) The ACORD name and logo are registered marks of ACORD <br />page 2 of 3 <br />