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WITTENT•01 AGIMROTH <br />AC-"RLY CERTIFICATE OF LIABILITY INSURANCE <br />OqT/27/2014 v) <br />CERTIFICATE 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 CLAIMS. <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 policy(fes) must be Endorsed. If SUBROGATION IS WAIVED, subject to <br />the 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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Western Elie Insurance Solutions <br />____...—_._.._..._ . <br />PHONE ......... ..------- <br />910 259.0000 (666) 206'$646 <br />) <br />P.O. Box 2980 <br />1A/C No Exq;� INC Nal:: <br />Rocklin, CA 95677 <br />AD RESS: <br />ADDRE <br />INSURER(S) AFFORDING COVERAGE__________ NAICIf <br />_ __ <br />INSURER A_: Granite State Insurance <br />23809 <br />INSURED <br />INSURER S: ., <br />Wittman Enterprises LLC <br />INSURER C <br />INSURER D: <br />PO Box 269110 <br />Sacramento, CA 95026 <br />$ <br />_ <br />EINSU_RER_E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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 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 CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADU <br />SUS <br />POLICY NUMBER <br />Err <br />PMIOgY YYY <br />4MMLI OY YXY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE E]OCCUR <br />PREM ISESSEaoceurrencp1_- <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY___ <br />S <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />GEWL <br />POLICY u PRO-JECT LOC l <br />PRODUCTS � COMP/OP AGG <br />S <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />S <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED----- <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />„(Pef, accident)_,,,,_„_,,,,,,,_ <br />UMBRELLA ILIAD <br />OCCUR <br />EACH OCCURRENCE <br />_._............... <br />5 _.._.... ... <br />EXCESS WAS <br />CLAIMS -MADE <br />AGGREGATE <br />...... ...._---- __ <br />$ <br />DED <br />RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y� <br />OFFICEREMBER EXCLUDED? <br />/M <br />(Mandatory In NH) <br />Nra <br />WC065256372 <br />07/01/2014 <br />07/01/2015 <br />x PER OTH- <br />STATUTE ER_,_,_„__ <br />_ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />—""'-'"""-'—--"""""""-..... <br />EA. DISEASE - EA EMPLOYE <br />$ 11000,000 <br />Ues, deralbe under <br />SCRPi'ION Or OPERATIONS bele, <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />Q to® <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)$�� <br />qp <br />tNO'N Gt YOP�o ney <br />$lyta <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014101) <br />©1900.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cit of Santa Ana <br />Y <br />20 Civic Center Piz. <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZEDREPRESENTATIVEl <br />]fn{A\jt <br />4 v �w Y `V <br />ACORD 25 (2014101) <br />©1900.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />