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ac vneaCERTIFICATE OF LIABILITY INSURANCE a-- _ 10 9�zoiY�l _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. PHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E)(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate hostler is an ADDITIONAL INSURy(les)', must be endorsed. If SUBROGATION IS WAIVED, subjec ED, the polict to the torms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not Confer rights to the certificate holder in lieu of such endoi sement(s). PRODUCER NAME JORGE TORRES QUALITY PLUS INSURANCE AGENCY, INC. N TUSTIN N`OrE14-24S-1jS 0 J tAlG, npl. 714-245--'201 -245-12011450 - — AVE EGNP italL STE 221 _IS.cNala.typ1us2009@gl:nai.com SANTA ANA OA 92705 __L LE COVERAGE Na1Cp -- — --___ .... ,_-_ _-.____.... _ __ -.. GFNFRIL AGGREGATE: : 5 INSURER A:. UNITED SPECIALTY INSURANCE COMPANY _ RAM:[REZ PRODUCTIONS IN SURER ep. __-- - --' -- - 931 W.CBESNUT AVE INSURER C: 0.lITOMpBILE LIABILITY CGMHINEO:NNGLE LIMN I INSURER O'. I INSURER E: SANTA ANACA 92703 (INSURER _ F —A.— PHIS IS TO CERTIFY THAT TETE POLICIES OF INSUFLiNCE LiSI'F_G BELOYV HAVE BEEN ISSU[f7 TG TPI[ 'ENSURED NAMEG CEABOVEVFOR T'ME POLICY PERIOD INDICATEO NOTWITHSTANDING ANY REQUIREMENT, TBRM OR CONDITION Of ANY CONTRACT OR O-IiER DOCUMENT WITH RESPECT TO N?OCH THIS CEf1TIFICArE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCI° AFFORDED BY THE'. POIJCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLCIES_ LIMITS SHCWN MAY HAVE BEEN REDl{CED BY PAID CLAIMS � - INSN AMOL 90FIR -POLIeY EFf POLICY EXP -- LBt _TYPE OF INSURANCE _ tWkE-]0WD-, POLICY NUMBER IMM pUIYYYYI LIMITS - - GENERAL LIABILITY - _IMMIppIYYYYI __ USA4104247 10/21/1510/21/16ACH0C0LRNENCF _5 V/ COMMERCIAL. GENERAL LIABILITY NAMA0t TGRENTED 11000,000 P5EMISES (a L. -m t.dt .. 5 100,000 Cl AIMS -MADE �. OCCUR MEtl rXF lBry ono Pa snn) 5 5,000 A PERSONAL S ADV INJU.EY i 1,000,000 GFNFRIL AGGREGATE: : 5 2,000,000 C N-. ACCR'GATd IMIt APEIIESPAR PRODUCTS COMP/OP AGG S 1,000,000 I'CUCY_ ](VCO" -... 0.lITOMpBILE LIABILITY CGMHINEO:NNGLE LIMN - ANY AUTO RCOILY INJURY persm) S AtOWNEO LEG - Reviewed by - - nuiOS AUTOS BODILY INJURY p>er,wc,oerw s AUTOS rnNEO nuro>' AJIOs�FJ: (Per a.a Y`�dAMnGE S - (Pel eccpellU —_— __ 5 UMBIEELLA LIAR x:CUR „}'� E! 1OCCURRENOF, $ EXCESS f.LM19 CLAIMS-M"U, �- 5 ENSAN_ _ _ ____ WORKERS COMPENSATION C^p�� '- �AC$TATIJ�TOT1- 1�q /��+j�j ANDEMPIOYERS'LIABILDY YIN Armen Acosta"rQRY11MLTj.' ER, GFFICER/MEfABERAARTNFR!r E_L EACHACCLOENT S NIA CFFICANY ERYMEMORIPXCLJDR;C-%F.CUiIVFI PRCS/l/Re4leCition _d vVli (Manaatal" In NH) EL DISEASE EA EMPLOYEE 5 ayes. descnae under --- - DESCRIFTIONOFOPERATIONSDaIDm EL DISEASE: _f2oCY LMIr $ ._. OESCRIP'r10N OP OPERATIONS I LOCA VANS I VEHICt,ES tAHaeh ACCRU tai, AtlddEmal Remarks SchaEala, if more space is re,ara k 'ALP [D. VSDED, LteNT WQ, flDUN{)� ***Certificate Holder,its officers,agents,and employees are named as additional insureds to General Liability per form CG2010 ***10 Days Notice Of Cancellation For Non Payment Of Prumium*** City of Santa Ana Attn:Purchasing Department 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE: WITH THE POLICY PROWS10NS. TRIM All dnhte ,c --A ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD