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260112 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMODNYYYI <br />1/112015 <br />THISCERTIFICATE IS ISSUED AS A MATTER OF INFORI4IATION 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 a'lk A93 <br />D1TIONAL INSURED, the pollcy(ies) must be endorsed, if SUBROI9ATION IS WAIVED, subject to <br />the terms and conditions of the Polley, certain policies may require an endorsement. A statement on this certificate does not conferrights to the <br />certificate holder In lieu of such endorsement(s). <br />tJAME:OT Trarl Williams <br />PRODUCER P}IONE 8774437193 <br />c.Na.E 11.916589-8170—_.._.NC ®L. <br />4Vells Fargo Insurance ServlOes U3A, Inc. mrstiaLEss:. traci.d.Wlliams+g,w&llsfargO.com �. <br />10940 White Rock road, 2nd Floor INSU,APFORDING cauRAc—.. NAtcx__ <br />.'�". 20548 <br />Rancho Cordova, GA 95670 INSURER A , Valloy Forge Insurance Company �_8... <br />J —NsuRa National Fire Insurance Company of Hartford 20478 <br />INSURED 20443 .... <br />Wittman Enterprises, LLC INSUREPoc: Continental Casualty Company �._ <br />PO Box 265110 INSURER D :. — <br />Sacramento, CA 95826Inaerd� <br />COVERAGES <br />THIS RS TO CERTIFY THAT THE POL G ESTOFI INSURANCE LIS I LU BELOW HAVE BEEN ISSUED TO THE INSURED CATE NUMBER: 8616165 ENAMED ABOVE VISION N SFOR THE POLICY PERIOD <br />lor)ICATED. 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 />rA <br />ADDLE DR paLICYEFF PC LICDYEXP LIMITS <br />TYPE, OF INSURANCE POLICY NUMBEREACH { G lRRENCES 2001000 <br />COMMERCIAL GENERAL UABILITY X 184034654035 7/112014 711/2415 300,900 <br />E -W-1 PREMISES Eaaneurr®ncti <br />CLAIMS -NAIL L..--IOCCUR 10.000 _ <br />NED ExP Any ane pa ser) $ .. <br />-.-� PERSON ALAADV INJURY 8.. 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GFal- AGGREGATE LIMIT APPLIES PER: 4,000,000 <br />X POLICY L.00 PRODUCTS - CaMPIOP AGG _ �. <br />C. p cOT S <br />OTHER: - GoM01 ED T E M T $ 1,000,0W <br />B AUTOMOBILE LIABILITY 84012487490 7/112014 71112015-aagdd,,ntl <br />BODILY INJURY (Par Parsnn) $ <br />x ANY AUTO? '. <br />ALL AUTO <br />EXOCCUR <br />LED BODILY INJURY (Per acddwl $ <br />AUTO$ PROPERTY DAM E $ <br />X ..OMT _ Para 'dent - <br />HIRED AUT $ <br />IB4ij346f1$3.. 711/2414 71112415 EACH OCCURFtENGE S 2..000,000 <br />PL UMBRELLA LIARR AGGREGATEEXCESS LIS-MADEDED X"10,000 <br />WORKERS COMSTnru - �R <br />AND EMPLOYERS' LIABILITY Y)Ni F.L. EAC HACCIDENT�S <br />ANY PROPRIETC WPARTNERJe•=XECUTIV€ N l A F. u� . <br />OFFECERIMEMBER EXCLUDED? F..L. DISCASE - EA EMPLOYE ` $. <br />(Mandatory In NH) <br />Mee, describe under E.L. DISEASE -POLICY LIMIT $ <br />SGRIPTION OF� OPERATIONS below 596476165 0710112014 0710112015 $1,00%00012,000,009 <br />C Prof Liabllty <br />DESCRIPTION OF OPERATIONS rLOGA71ONS I VEHICLES (ACORD 101, Addlitonal Remarks Schadule, m%Y heattached If more apace la re9ulredl <br />SEI -146932-'E (Ed. 46111) Certificate holder named additional Insured per attached form. <br />E <br />01 <br />21 -7 <br />CERTIFICATE HOLDER 4."- CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa, Ana THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN. <br />20 Civic Center Plllza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />9e <br />The ACORD name and logo are registered marks. of ACORD 0 1988-2014 ACOIRD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) <br />ITtu ea�eaa�te rcpiaccs gaillriG3lt�'T9rflJ®Irowad m rd;10r2r�1A1 <br />