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<br />DATA (MMIDDIYYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE 08/05/2014
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />-IM-PORTANT- If the Certificate holder is an ADDITIONAL INSURED, the pollCy(les)must be endorsed: t£ SUBROGATION IS WAIVED, Subject to
<br />the terms and conditions of the Policy, certaln Poilotes may require an endorsement, A statement on this certificate does not confer rights to the
<br />certificate holder in Ilsu of such endorsement($ , _
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<br />PRcouoaR riAMj: "
<br />Tracey Prieto
<br />Loomis Insurance Services PRONE "'•('RaA--- --- --
<br />PO BOX 3128 AIC. N., Evn 961 $$w" 7R7$ ....'. fA!c NotL951-6$6 0$05
<br />Riverside, CA62818 - tnrie4orznioamisdinsldranra.rnm
<br />INSURED
<br />$891 Vernon Avenue
<br />Riverside, CA 62509
<br />COVERAGES CERTIFICATE NUMBER! REVISION NI. IMI
<br />THIS
<br />IS TO CERTIFY THAT THE POLICIES
<br />OF INSURANCE
<br />LISTED BELOW HAVE BEEN
<br />ISSUED TO
<br />THE INSURED
<br />NAMED ABOVE FOR THE
<br />POLICY PERIOD
<br />INDICATED.
<br />NOTWITWSTANDINO ANY REQUIREMENT,
<br />TERM OR CONDITION OF ANY
<br />CONTRACT
<br />OR OTHER
<br />DOCUMENT WrrH RESPECT
<br />TO WHICH THIS
<br />CERTIFICATE
<br />MAY BE ISSUED OR MAY
<br />PERTAIN,
<br />THE INSURANCE AFFORDED BY
<br />THE POLICIES
<br />DESCRIBED
<br />HEREIN IS SUBJECT TO
<br />ALL THE TERMS;
<br />EXCLUSIONS
<br />AND CONDITIONS OF SUCH
<br />POLICIES,
<br />LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED BY,
<br />PAID CLAIMS.
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<br />DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES (ARacN ACORD 101, Addiiiaml Rsmnrks aohod.ln, If marp space is r.qun.d)
<br />The City PP Santa Ana, its Gffioials, offic,ats, employees, a(gonts and
<br />vrazuntaors are named as additional insureds,
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLBb BEFORE
<br />1'HB EXPIRATION DATE THEREOF', NO'TICG WILL.. BE DELIVERED IN
<br />The City of Santa Ana ACL`ORDAN(:F,. WITH THE POLICY PROVISIONS.
<br />P 0 Box 189$
<br />,Santa Ana, CA $2702 AUTHORIZED REaREseNrAnvE ,,t..
<br />Lc21 6111, s l rd tx✓?
<br />(D19852010 ACORD CORPORATION. All rights reserved.
<br />AGC'7RD 28 (2010/05) - 'rho ACORD name and logo are registered marks of ACORD
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