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Aim <br />�._ CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDOIVI'YY) <br />1'/2vzola <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(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the <br />terms 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 />CONTACT <br />PAYCHEX INSURANCE AGENCY INC/PHS <br />76210756 <br />NAME: <br />PHONE (677)287-1312 <br />(AIC, No, Ext): <br />FAX (888) 443-6112 <br />(A/C, No): <br />150 SAWGRASS DRIVE <br />E-MAIL <br />ROCHESTER NY14620 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAICN <br />INSURER A: Hartford Fire and Its P&C Affiliates 00914 <br />INSURED <br />INSURER 8: <br />HADRONEX INC DBA SMART COVER SYSTEMS <br />INSURER C: <br />2067 WINERIDGE PL ST E <br />INSURER D: <br />ESCONDIDO CA 92029 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: RFVIRION NUMRFR- <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 />INS <br />LTR <br />rypE OF INSURANCE <br />ADDL <br />INSR <br />SUB <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />WMIDDIrrm <br />POLICYEXP <br />MMIDDNYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />OCCUR <br />TO RENTED <br />(Any one person)AL <br />PEACHCURRENCECLAIMS-MADE <br />B ADV INJURYGEN'L <br />AGGREGATE LIMITAPPLIES PER: <br />❑PRO- ❑LOCJECT <br />L AGGREGATEPOLICY <br />TS-COMPIOPAGG <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Par person) <br />ALL OWNED SCHEDULED <br />AUTOSAUTOS <br />BODILY INJURY (Per accident) <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />FFPeraccident <br />PROPERTY DAMAGE <br />UMBRELLA LIAR <br />JOCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED RETENTION$ <br />WORKERS COMPENSATION <br />PER X OTH- <br />AND EMPLOYERS'LIABILITY <br />ATER <br />A <br />ANY PROPRIETOWPARTNERIEXECUTIVE YIN <br />OFFICERIMEMBEREXCLUDED' <br />(Mandatory in NH) <br />NIA <br />76WEGGH3220 <br />10/01/2018 <br />10/01/2019 <br />E.L. EACH ACCIDENT $1,000,00 <br />X <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $1,000,00 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Those usual to the Insured's Operations. Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to Recover From <br />Others Form WC040306 attached to this policy. <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY YARD - WATER RESOURCES <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />220 S DAISY AVE If M-85 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 927034334 <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />