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DocuSign Envelope ID: 06484788- 98DA -42AD- AFOE- BA2F86284949 <br />ACC) 6' CERTIFICATE OF LIABILITY INSURANCE Dn /17�zols <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(ies) 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 />PRODUCER NAME:"" Carol Currier <br />-: <br />NFP P 6 C Services, Inc. - Orange County PHONE (714) 505 -5557 FAX ,(]14)543.4556 <br />LAIC, N_aL. _ <br />17782 E. 17th St., Suite #105 -M IL carol. currier @nf com <br />ADDRESS: P • _ <br />_ INSURER(S) AFFORDING COVERAGE _ _ y NAIC It <br />Tustin CA 92760 INSURERAMGrCUrY Casualty Insurance <br />INSURED _ �. �... _ <br />INSURER B: ' <br />Stage Plus, DBA: Stage Plus INSURERC _ <br />P.O. BOX 11060 INSURER D: _ <br />INSURER E: <br />Santa Ana CA 92711 1 INSURER F' <br />COVFRAGFS CERTIFICATE NUMBER- CL1532002108 REVISION NIIMRER- <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, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR' ADDL:SUBRi <br />POLICY EFF POLICY EXP <br />LTIR TYPE OF INSURANCE <br />POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE , .$ <br />1 <br />_ <br />DAMAGE TO RENTED <br />CLAIMS -MADE LJ OCCUR <br />PREMISES(Eaoccurrence) $ __ <br />MED EXP (Any one person) $ <br />PERSONAL &ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER _ <br />- GENERAL AGGREGATE s <br />�IPOLICY '',_ JECOT LOC <br />_ <br />PRODUCTS - COMPIOP AGO I $ <br />_ <br />_... <br />OTHER'. <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT I$ 1,000,000 <br />(E. acdenll _ � <br />AUTO <br />3/5/2016 1 BODILY INJURY (Par person) I$ <br />A MANY <br />ALL OWNED EI SCHEDULED <br />AUTOS L AUTOS <br />.3/5/2015 <br />$ <br />M040000005051 I ��DILY INJURY (Per accident)accident): s <br />_X NON OWNED <br />HIRED AUTOS X AUTOS <br />- PROPERTY DAMAGE <br />(Per accldeny___ $ <br />- <br />~' <br />Com .ICall $ $500 /500 <br />'.. UMBRELLA LIAB OCCUR' <br />EACH OCCURRENCE $ <br />EXCESS LIAB I` I <br />_CLAIMS -MADE II <br />AGGREGATE $ <br />� -_- <br />1. <br />DED RETENTION$ <br />�.t <br />1.1�byII <br />_ $ <br />WORKERS <br />ANY PROryCETOR1IP RBTNERIEXECUTIVE <br />W <br />EACH ACCIDENT <br />$ <br />OFFICER /MEMBER EXCLUDED? NIA <br />$ <br />If yes, describe under <br />es <br />EL DI SEASE-EAEMPLOYE <br />DESCRIPTION OF OPERATIONS below <br />V Vies <br />eV <br />E L DISEASE - POLICY LIMIT <br />$ <br />(''` <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana <br />Attn: PRCSA <br />20 Civic Center Plaza M -23 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 mml4nlf <br />