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<br />CERTIFICATE OF LIABILITY INSURANCE GATE(MMID"015 f
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<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(les) 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 />cor iflcate holder In lieu of such endorsement(s).
<br />INSURED
<br />414 13th Street, Suite 400
<br />Oakland, CA 94512
<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 />i _._..,._, r.. Y.._._.... .__...�....,.- _._...._.,_ °AOOT. $UR -T' P$E�'rF�M$LTG% .__._.__._.._r..�. LPriiT3 .__._._.._ ...... ........._...
<br />TYPE OF INSURANCE -_ __._..__POLICY NUMBERp__..._
<br />I
<br />GENERAL LIABILITY i
<br />EACH OCCURRENCE £ 1,000,000
<br />DAMAGEi'4 "tSENTEO ._00,
<br />A
<br />X COMMERCIAL GENERAL LIABILITY X i X 3589.39.74 WCE 1112812014,11/2612015
<br />00
<br />�.��ES IEa oFau(myq¢,I $ 110x0,000
<br />CLAIMS MADE L I OCCUR
<br />MED E%P (Any one poroonl $ lrex
<br />PERSONAL &ADV INJURY $ 1,000,00
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<br />GENERAL AGGREGATE $ 2,000,00
<br />i
<br />GEML AGGREGATE LIMIT APPLIES PER: I ( �� � _
<br />POLICY Ir PR I LOC
<br />�_.,. ._...
<br />( PRODUCTS- COk1PtOP AGO � $ 2,000,000
<br />AUTOMOBILE LIABILITY I ,
<br />MBINEDSINGLE UMR 1,000,000
<br />1 eGYlU2ntL__ A
<br />&a
<br />A�ANV
<br />AUTO X 7354.99 -72 11/2612014 i 111/26/2015
<br />....
<br />BODILY INJURY (Per Parsen) 1ff
<br />�AUTOe NED i_. gUTOSULED
<br />BODILY INJURY (Pe(eccitlent)i$
<br />X HIRED AUTOS I X . OSWNED i !
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<br />A
<br />)(1
<br />UMBRELLA LIAO X OCCUR i
<br />EXCESS LIAR ) CLAIMS -MAUEI X ;7983.82 -51 1111281201411112612015
<br />CACH OCCURRENCE ($ 2,800,00
<br />AGGREGATE $ ._.,..,..x0 ,._
<br />i 2,0 000
<br />UEO ftETEN7ION$
<br />( WORNERS COMPENSATION '
<br />AND EMPLOYERS' LMSILITY
<br />X T(CSTATUM 9I T (�,
<br />B
<br />ANY PROPRETORIPARTNERIEXECUTIVE Y❑ NtA� 57WECLX9368 11/011201411110112015
<br />OrFiCERJUSMEER E %CLUUEU4
<br />EL tACH ACCIDENT j $ 1,00E 000
<br />EACH
<br />IManaafRYym NH) ! j
<br />DISEASE -EA CMPLOVEE$ 1,oao,oa
<br />�.__� _�.__.._ _ _...- ...... __._._. ...0._
<br />Irr describe mIde,
<br />DESCRIPTION OF OPERATIONS below i i
<br />El. DISEASE POUCY LIMIT i $ 1,000,000
<br />i 1
<br />DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACOR0101, Ailditlanai Remarks ScheMla, if mPYRapace is mquUetl)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are named as additional insured with regard to the liability
<br />and defense of suits arising from the operations and uses performed by or
<br />for
<br />for or on behalf of the named insured. Notice of cancellation
<br />non - payment of premium is 10 days only
<br />ICLEI USA A- 2013 -193 REVIEWED BY: EUNICE HEREDIA 1 5)
<br />.' (PG. of
<br />City of Santa Ana (et al)
<br />(see below)
<br />Attn: Christy Kindig
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<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 />AUTHORIZED
<br />IS 19IRKU1 U AGUHU GUHrUHAI JUN. AN rights reserved.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />
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