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RB <br />CERTIFICATE OF LIABILITY INSURANCE 8002 <br />DATE (MNt2q)D1YYYY) <br />9/14/016 <br />THIS CERTIFICATEIS 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(fes) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s), <br />PRODUCER <br />PAYCHEX INSURANCE AGENCY INC/PHS <br />CONTACT <br />NAME: <br />PHONE FAX <br />�AJC, No EA) wcN.) (888) 443-6112 <br />210756 P: F:(888) 443-6112 <br />PO BOX 33015 <br />E-MAIL <br />ADDRE5& <br />INSURER(Sl AFFORCING COVERAGE NAIC# <br />SAN ANTONIO TX 78263 <br />INSURER A liartfcrd Accident & Indemnity Co 2235? <br />INSURED <br />INSURER B: <br />WSURER C <br />HADRONEX INC <br />INSURER.a: <br />206-/ WINERIDGE PL ST E <br />INSURER E: <br />ESCONDIDO CA 92029 <br />INSURER F' <br />OV r%mur-0 CERTIFICATE IFICATE NUMBER: 47r-V1_qInKI M11UPPOn <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 <br />TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1A'3R <br />137? <br />TYPE Or/NSI,'1?A,'V(.E <br />lmg <br />Ivivp <br />J`WLI('YNUAfRFft <br />POTICYL1111, <br />Lymmvyyyy) <br />POLICY EXP <br />(Al"Imlyyym <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F OCCUR <br />EACH OCCURRENCE $ <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />MED EXP (Anyone person) $ <br />PERSONAL & ADV INJURY <br />GENT <br />AGGREGATE LIMIT APPLIES PER <br />POLICY El LOC <br />F P,",OT <br />GENERAL AGGREGATE <br />PRODUCTS - COMPIC P AGO $ <br />OTHER. <br />— <br />AUTOMOBILE <br />LIABILITY <br />COMEIIN ED SNGLE LIMIT <br />(Ea accident) $ <br />— <br />ANY AUTO <br />OWNEDSCHEDULED <br />BODILY INJURY (Per person) <br />- <br />- <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY; AUTOS ONLY <br />BODILY INJURY (Per accident) <br />PROPER DAMAGE <br />ry <br />(Per accident) <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />NEd NTION <br />WORAERS CoMPEN'T.477oN <br />4ND PAIP1,I)YERVLL41111,17"Y <br />OT ­H <br />X I P.TATU11 JER <br />A <br />ANY PROPRIE10RIPARTNEWEXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />(Ma datoryinNH) <br />NIA <br />16 WEG GH3220 <br />10/01/2016 <br />10/01/2017 <br />E.L.ACHACCIDENT $1, 000, 00 0 <br />E.L. DISEASE- EA EMPLOYEE <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 0 0 , 0 0 0 <br />DESCRtPtION OF 0 PERA TIONS/LOCA WNS / VEHICLES (ACORD loi, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. <br />q�O <br />@ I 988-ZU1 5 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />City of Santa Ana <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC CENTER PLZ M-21 <br />SANTA ANA, CA 92701 <br />@ I 988-ZU1 5 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />