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Oct 12 2.816 13:12:39 EDT FROM: FZH19EM49353M MSG# 1625434682-886-1 PRGE 083 OF 083
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<br />THIS CERTIFICATE:IS ISSUED AS A MATTER OF INFORMATION ONLY AND CCNFE1RRS NO FLIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY CR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CI RTIFIcATE OF INSURANCE DOES NOT CONSTITUTE ACONTRAGT BETWEEN THE ISSUING INSURER(Ol AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HDLOEFL
<br />IMPORTANT: If the oattltloato holder Is an ADDITIONAL INSURED, the popoy(les) Inuit have AM71ONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the tw ms and conditions of the policy, certain policies mq require an endorsement A statement on ttds
<br />cartiricata dam not confar rights to the cantuane holder In lieu or such endarselnent(S)
<br />BOWERMASTER & ASSC INS A-AG
<br />181918 P: (866) 467-13730 F: (889) 443-6112
<br />PO BO:{ 33015,
<br />SAN ANTONIO TX 78265
<br />NAIY _
<br />pue,xaecx (866) 467-6730 Fa .Ha1 (888) 44.3-6112
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<br />INOUREd A: Setltinel Ina Co LTD
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<br />SAM HOOPER & ASSOCIATES, INC
<br />17319 EDWARDS RD STE B100
<br />CERRITOS CA 90703
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<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. NOT11111THSTANDiNG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER 130CUMENT WTH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISWEb OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 068CRIElOO HER81N is SUBJECT To ALL THE
<br />TERM8,EXCLUVICN9ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOYIN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
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<br />20 CIVIC CENTER PLZ
<br />SANTA ANA, CA 92701
<br />7= EBM A,J9140
<br />OVIC/201£
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<br />EACHO=JRRENCE 2,000,000
<br />FREM 4iEaomxATa��e1 1,000, 000
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<br />PERssaNALSAGVINJURY ;2, 000, 000
<br />62,MALA�RiSATE SEI' 000, 000
<br />['PC7pUG76-ODMPFOPAS30 4,000,000
<br />AUTOAICS"LIAR1LITY
<br />ANY AUTO
<br />�OSSONLY rzD AUTOSULED
<br />X+ HIRED x NAN-0L4NEG
<br />AUTOS ONLY AUTOS ONLY
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<br />Those usual to the Insured's Operations.City of Santa Ana, its officers,
<br />employees, agents, volunteers & z•epresentatives are Additional Insured per the
<br />Business Liability Coverage Farr[ SS000s. Coverage is prirslary &
<br />nun -contributory per the Buwiness Liability coverage Form SSOOO8.Nutiae of
<br />cancellation will be provided in accordance with Forma SS1223 attached to this
<br />U 70aa-79413 ALVKU CrJKrWRPtI ION. fill n9rds reserving.s
<br />ACORD 25 (291=3) The ACORM name and logo are registered marks of ACORN�, y F�/-LJ/j/1(
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
<br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE V41 -L BE
<br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVE6lON&
<br />City of Santa Aha
<br />AU7WJ?6 OREPREf8NTf71VE
<br />20 CIVIC CENTER PLZ
<br />SANTA ANA, CA 92701
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<br />U 70aa-79413 ALVKU CrJKrWRPtI ION. fill n9rds reserving.s
<br />ACORD 25 (291=3) The ACORM name and logo are registered marks of ACORN�, y F�/-LJ/j/1(
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