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TIMEV-1 OP ID: MT <br />.4�R"CERTIFICATE OF LIABILITY INSURANCE <br />D07119ATE 100Y6 <br />07119(2016 <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 INSURERS(, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les). must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Valley Regional Ins. Services - <br />Fresno Office -Main Office <br />P.O. Bax 5577 <br />Fresno CA 93755.5577 <br />Mary Tf onesen <br />cc <br />NAME:' Mary Thonesen <br />PHONE 559-046-1399 F <br />LAIC No Ext: arc Nc: 659446-0911 <br />-MAIL <br />A00RESs: <br />INSURER(S) AFFORDING COVERAGE NAIC9 <br />INSURERAI Maxum Indemnity Ins. Co. <br />X <br />INSURED Evinger&Associates LLC <br />P O Box 1 <br />Klamath Falls, OR 97601 <br />INSURER B: <br />INSURER C: <br />INSURER 0: <br />EACH OCCURRENCE $ 1,000,000 <br />NSURER E <br />REMISES Ea occurrence $ 100,000 <br />NSURERF: <br />MED EXP(Any one person) $ 5,000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER <br />THIS IS TO CERTIFYTHAT 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS, <br />ILTR <br />TYPE OFINSURANCE <br />g <br />POLICY NUMBER <br />MMIDDIY/Y <br />MMIDDIYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FTIOCCUR <br />X <br />BDG3010931.02 <br />07119/2016 <br />07/19/2017 <br />EACH OCCURRENCE $ 1,000,000 <br />REMISES Ea occurrence $ 100,000 <br />X <br />MED EXP(Any one person) $ 5,000 <br />A <br />Hired &NOA <br />6003010931-02 <br />07/19/2016 <br />07/1.9/2017 <br />PERSONAL &AOV INJURY $ 1,000,000 <br />GEN'LAGGREGATELIMIT APPLIES PER: <br />X POLICY r PEST LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS AGO $ 2,000,000 <br />$ <br />OTHER' <br />AUTOMOBILE <br />LIABILITY$ <br />Ee1cddED en[ ELI T <br />BODILY INJURY(Perperson) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NODI-OWNEDDAMAGE <br />AUTOS <br />BODILY INJURY (Per acdtlen0 <br />Peraccit $ <br />den <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS UAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED I I RETENTION$ <br />$ <br />WORXERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMEER EXCLUDED? <br />N f A <br />PER - <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $. <br />(Mandatory In NH) <br />If yes, describe under <br />E.L, DISEASE. POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liab <br />BOG3010931.02 <br />071191 <br />07/19/2017 <br />Prof Liab 1000000oc <br />2000000agg <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached IF more space is required) <br />The City of Santa Ana Its officers, employees , agents, volunteers and <br />representatives are additional insured in regards to general liability. See <br />attached farm CG 2010 0413 �U -9 <br />CERTIFICATE HOLDER CANCFI 1 ATInId <br />SANTAAN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />�fGt.cr7UY I t1"V 1F.s+L/ ^-- <br />Q 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />