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OP ID__HELU <br />`°k. 11c" CERTIFICATE OF LIABILITY INSURANCE <br />DATE odMlbor(YYY, <br />_� <br />03/1312015 <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: It the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION 13 WAIVED, subject to <br />tho terns and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />ISURho Olson Duncan ASencyy <br />2SSb0 Hawthorne <br />NAMS1 Tish Leon <br />1a <br />Blvd.,te203 <br />Torrance, CA 99505 <br />-PfaxE <br />-bd1 -1010 <br />w_ 1_14n <br />Ao"q, Tleon ublicl r@------ <br />W u s a�.: ._- .- ..�.,.___..._.._._.._.. - -..__ <br />- 9 PUSLI.1 <br />INGUREtl �PdbilC t:aW Canter V� v <br />SURERje�AFFORWI 9COVERAGE <br />� �- <br />(A Non - Profit Corp.) <br />INeURERAr <br />Tish Leon <br />INBURERS . <br />-------__.. _._ _.__,___- _...__._..__.__�_..___ <br />801 Civic Center Drive West <br />INBURER O: <br />Santa Ana, CA 92701 <br />INSURER D; __ <br />4^ <br />tpU$ES fEe gsGwremsl <br />rNsumn a: Hartford,Fire Insurance Co. 37_478 - <br />e RHRP <br />THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />R TYPE OF INSURANCE LICY NUMBELLT�_ pD.M'gLaC1 ETIF UMR$�µ- _.__..... <br />OENERAL UABIUTY <br />EACH OCCURRENCE <br />g <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM$MADE <br />tpU$ES fEe gsGwremsl <br />�. <br />g <br />- IbCCUR <br />MEDEXP(Aryonemmn <br />g <br />...... .,„.,..._.___� .. _..... <br />PERSONAL &ACV INJURY <br />$ <br />_ _.._. __.._.. ..., __..,.......- ........ <br />GENERAL AGGREGATE __ <br />g <br />GCNLAGOREG_ATE LIMIT APPLIES PER; <br />.rnPOLICY <br />PRODUCTS.COMP/DPAOG <br />S .w <br />pRO. LOO <br />ECT <br />"'" '-- <br />S <br />AUTOMOBILE <br />WASiUTY <br />COMBINED. SINGLE LIMIT <br />(Ea ecddant) <br />$ <br />ANY AUTO <br />---- .- _._._�_.._.....�,,,,,.... <br />BODILY INJURY(Pw psrao n) <br />„___ <br />6 <br />ALI.OWNEDAUT05 <br />�� ..., <br />- -• <br />BODILY INJURY(Per amdam) <br />$ <br />9CtfEDUGE0AUT0$ <br />PROPERTYOAM.AGE <br />- <br />_ <br />MIRED AUTOa <br />(PER ACCIDENT) <br />g <br />NON-OWNECAUTOS <br />—— <br />..•�-- ..._..- ...,,,.,_ <br />Ufd$RELLA LIAa OCCUR <br />EACHOCCURRENCE <br />S <br />EXCES$LIA9 CLAIMS -MADE <br />$ <br />AGGREGATE <br />m <br />TEWION s <br />$ <br />WORKERS COMPENSATION <br />WCSTATU• QTH „�� <br />}! <br />„u"� <br />AND EMPLOYERS' LIAMUTY YIN <br />T9A_UMIIS <br />E <br />ANY PROPRIETORIPARTNERIEXeCUTIVE <br />NIA <br />72WECGO8835 <br />04101/2015 <br />04/01/2015 <br />E.L.EACHACCIOENT <br />$ <br />OFFICERtMEMBER E %CLUDED9 <br />IMandemry In NH} <br />0 SCRIP IION� OrPE <br />_ <br />E.L. DISEASE -EA EMPLOYEE <br />�re1,000 <br />S _ 1,00000 <br />NS f— <br />y_ <br />E.1- DISEASE - POLICY LIMIT <br />S 1,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES(AeaaN ACORD fDi, AddlROnai Remarks SChsduie, ifmma npaas la rngWroq, glj, <br />�+ �� <br />L <br />City of Santa Ana <br />20 Civic Coter PIZ <br />Santa Ana, CA 92701.4058 <br />AOUnw ZU tLUUV1Uei <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />r <br />01988 -2008 <br />I no AUVKV Hams "NO logo are rGgistorod marks of ACORD <br />All Hghta reserved <br />