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d.._ CERTIFICATE OF LIABILITY INSURANG5 DATfiImMIgD <br />- -- <br />THIS CERTIFICATE IS I 07177/2015 <br />SSUED AS A MATTER OF INFORMATION ONLY ANO CpNFERS NO RIdHT5 UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY dft NERATIVELV AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 9Y THE POLICIES <br />THIS GBRTI FIGATE OF INSURANCE ODES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINQ INSURER(Sj, AUTHQRI2ED <br />REPRESENTATIVE <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the DerUPlDala holder is an ADptTIONAL INSURED, fha pollcy(leaj must De endorsed. It SU$ROQATION IB WAIVED, aubJaat to <br />the terms and conditions of the Polley, asrtaln pDllalns may raquirR an ondarsemanf. A statement on this aeruficata daas not confer righq to the <br />holder In Ilou of such entlnrapmsnt p . <br />PRQcertificate <br />ISU[T o Olson Duncan A99engYY <br />26660 Hawthome Blvd., <br />NAme"o TIBh Lean <br />_ <br />Torrance, <br />�p-L-.------- <br />CA 00$06 <br />AooSO: Tleon002 ubllBlBwcenter,orp,_•,_,Y„_,_� -`""" <br />P�0 99R I;PUBLI -1,_._._.._,�,_:._..,. _...._.._.___.,._..._ <br />•.--•-.•----•. <br />u+suR@D Public Law Center <br />INBVREwLeiAFf,,DNOiN CQ„OVEjiPyp_6 ,,._„,T�— „„ NNtl,g <br />"`” <br />(A Non -Profit Corp.) <br />Ixeugsnn ___ ._ <br />t -----•-----------,„•- <br />Tish Leon <br />INSURER a 1_....,.. <br />""""""--__ ,,,.•„,„„-„,,,,, <br />601 Civic Center Drive West <br />jN114NER o.:., ,T <br />m._.._ <br />INAUPEfl k: <br />Santa Arta, DA 92701 <br />weuens:Hartford PlrelHBUrancoCo. 37478'""""”' <br />rnl/kq Al'lkC rcMv,c,n ww•c .,, ...,...,,... <br />.__ <br />- RCY131UN NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A90VEFUR <br />THE FbLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY ReQUIFI MENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER OQCUMBN7 WITH <br />RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES: LIMITS SHOWN KHAVE BEEN REDUCED BYPAID CLAIMS: <br />TO ALL THE TERMS, <br />TreegF IxsunAnca 0 NU <br />'-^---'---'-'^—_-....----.-;�:_ <br />0aN@RAL LIABILITY' <br />LINn9 <br />COMMERCIAL ONNERAL LIABILITY <br />EACH OCCURRENCE _ g <br />1 CLAIMS•MADE 7 OCCUR <br />-.•..-.____...___..._..,,..,_�___..,� <br />PERaONALaAgV INJURY g <br />.5,.-".. <br />. .—., <br />_____._ _ <br />GENERAL AOeREOA1I.OEKLAG <br />E A ELIMIT APPLIED PER <br />PRS. <br />PR0DUCT6 • COMPIOPAW g <br />— _.,„._._.,. <br />POLICY LOC <br />,..L.-,........ _ <br />..._. ........ <br />g <br />AUTOMORIL@UAINUTY <br />DOWNED SINGLE LIMIT <br />ANYAVTO <br />(Ea ww6ore <br />d <br />ALL OWNEDAUTOS <br />000ILY INJURY(Pur9CNEOVLEgAUT08 <br />I <br />Sg01LY IN JURY (PoranldonlJ <br />SMIREDAUiOa <br />PRbPERTy pAMAOE _ (PERACCIDENT) <br />d <br />NOWOWNEDAUTO6 <br />'-"-” <br />-^-- • --„. <br />s <br />-I <br />SNELLA Lipa OCCUR <br />FACI1000URReNGE <br />g <br />L%GE38 CLAIMS-NwDE <br />•_,_, .. <br />A00I SOATR <br />-"�`"•`..,.--_ <br />pBgUCTIALa <br />RETENTION <br />'^"_—•_ <br />g- ...»•._,_ - <br />WORReNBCOIMPRNSATIOR <br />AND EMPLOYERS' LIAIEUTY YIN <br />WC BTATU-' m1. <br />K tumall S <br />r <br />E <br />ANY PROPRIETgN/PARTNERAvXECUTIVE <br />gFFICERIMEMCRR EXCLUO@0? <br />NIA <br />72WECOD6876 <br />onrovaol6 <br />BarglrzDts <br />E.L. EACH ACCI�ENT� <br />1,000 OD <br />(Mandatory In NLN <br />Ilyye&tla+aldrundnr <br />E.L DISEASE- EA EMPLOYEE_1L0g0DB <br />ES <br />E8C RATIONS <br />E.L❑ISSADE•POLICYLIMIT1,BB6,60 <br />D38ORIPTION OPCPERATIONSIU)CATIONSIVEHICLES(ANMACCRO 181,AddHInel RQm d Mjetlule, unnreppaalaragww) <br />(/"""""”-""'.!✓}' <br />City of Santa Ann <br />20 Civic Color Pix <br />Santa Ana, CA 82701.4055 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BC OANCF,LLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />Jfl.l ley: �i"�L'd <br />©1860.2009 <br />Imam, Of AOUHU <br />rights <br />