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<br />DATE (MM/DO/YYYY)
<br />CERTIFICATE OF LIABILI"ry INSURANCE OW04/2,017
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<br />01f$ CC RTIFICATEiSISSUED ASA MATTER OF INFORMAHON ON LYANOCONFIERS NO RIGHTS UPON THE CERTIFICATE HOLDER, I HISCERTINCATE DOES NOT AFFRtMATIVFLY OR NEGANVELY
<br />A61FND,EXTF.ND OR ALTER THE COVERAGEA40RUET) BY flIEPOLICILSSELOW. THIS CERTIFICAfE UP INSURAN CF. 00ESNOI CONSTITUTE A CONTRACT BE] WELIN'T IC I55'VINGiNSURIJ(S),
<br />f%LaTHOZIZF.D5IEPRfSENiNrIVEOIZPIZOI)UCUI, AND IDE CERHFICATE HOLDER.
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<br />(NIPORI-ANT:IfthecortificaW holder kariAODrriONAL INSURED, thepolicy(t0i) InusLirave AD DIYLONAL I NSUREDprov"Ions or be Lvidomed. I PS(IBROGATION ISWMAID, sujijoct to thu tennis acrd
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<br />PRODUCER CONTA(,-r
<br />NAME; Michael Brandon
<br />MiCha04 Brandon (?)03032F)
<br />I PHONEFAM
<br />21 1621) OLAFr Fflqhway 10 Ste A 1 (A/C,N0,EXT): qO9-794-8191
<br />A/�, NOI� 909-794-8193
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<br />CA QU3-7590 ADDRESS:
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<br />P 0 1-, LS T(,) CER nFY ItHyf FrIE, POLICIES OF iNSURANCIr LISTED i$ Eq.oW,'IAVL' BEEN 1551.k. 1) 10 1 HE INSURED IIAME ABOVE FOR FFIE POLICY V11MOD I NDICATk DNQTWITf I 15TAN DING AN y
<br />CONDITION OFANYCONFRACI OR QIHCR OCCUMTNTWITH REPEfrIOVYHtCH) HIS QERLTIFICA7 FiMAY BE t7i1ED OR MTi PERTAIN,' 1 11 INSURANCE AFFORDf bY J Fl,.
<br />POUCIES DE SCRf8LT) Hi-,RlitI IS 51oVil F. C I I OALL fHi- T EMMS, exC4AJSIONS AND OONi)i I ION 1, 1)
<br />J7 SUIj,I lJtAffS 5HOINN MAY HAVE BEEN RE DUCGD 8Y PAID CLAIMS.
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<br />TYPE OF INSURANCE ADD POLICY EFF POLICY EXP
<br />I POLICY NUMBFI? / y LIMITS
<br />LIR INS 1-WVO (MM/DD YYY
<br />X COMMERCIAL GENERAL LIABILITY
<br />FACH OCCURRENCE S 000,0001
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<br />DAMAGE K) RFN il--U IM',NIAD X OCCUR
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<br />�J'N'L 1,,GGREGAl 1.4.IMI4 APIILILS K;R
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<br />POLICY
<br />PROIECt LOC PRODUCTS - COM P/0 S 4000,000'!
<br />AUTO MO 131 LE LIABI LITY COMBINED SINGLE LIMIT
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<br />AN D EMPLOYERS' LIABILITY
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<br />OvHiArtONS below
<br />FACH OCCURRENCE
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<br />DESCRIPTION OF OPLRATIONS/LOCATIOtIS/VLHICLE-.5 (ACORD 10 1, Additional Rensarks Schedule, may t3ei attached if inure Space is requ d)
<br />�A6rlitfonal Insurad: City of Santa Ana
<br />req
<br />CERTIHCATL HOLDER CANCELLATION
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<br />BLFORE THE ExplitATION
<br />SHOULD ANY OF THE ABOVE DESCRI BED Por-ICIFS BE CANCELLED
<br />20 Civic Center Plaza DATE THEREOF, Noll 'DINACCORD6
<br />OVISIONS.
<br />Ross Annex (M-1)
<br />Sar1ta,Aria.,.CA-92701-4058,
<br />ACORD 25 (2016/03) c' -)l 988-2015 ACORD CORPORATION, All Rights Reserved
<br />31 1 769 11 15 The ACORD naine and logo are registered marks, of ACORD
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