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Acil CERTIFICATE OF LIABILITY INSURANCE
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<br />OATSIMMIDWYYYYI
<br />8/21/2015
<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 polloy(los) must be endorsed, If SUSROGATION IS WAIVED, subject to
<br />the term$ 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 endorsoments ,
<br />PRODUCER Liberty Mutual Insurance
<br />PO BOX 19 085
<br />Fairfield O 45019
<br />V NIA
<br />A MID;
<br />PNOra DQ- 062.7932 __ F CQ• 48;$685
<br />' IL �• euyjl asSsruleEbs rM lal CC _ _ _ _
<br />_.._.......,..,, LIMITS
<br />_ _ _ _ IN$DRa. RI$1 ARFDRDI�'�. 04V @RAea _ NAIe M
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<br />IN rte AI hie C�aaually_Inadfarl0$ComR,pry __
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<br />INSURED
<br />Tow so v St St Aff0 Inc
<br />1401 DGVa St Ste 330
<br />Newport Beach CA 92660
<br />INAUReaeJG111RSS ,Jr,(lY,ln ®UranOa00 an ___
<br />_k974
<br />$0012
<br />lN8URE_ : AmalDa tFire and $ U h dm an
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<br />N$URERD:
<br />INEURRR I:
<br />t 5QO,000
<br />MEDRKPftgaraaan
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER; 20074672 REVISION NUMBER;
<br />THIS I$ 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 TERMS,
<br />EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br />Type Oi INRUNANO$
<br />A=81JUR
<br />WAn
<br />POLICY Nilmiga
<br />[iR
<br />_.._.......,..,, LIMITS
<br />A
<br />OOMmaRCIALOSN RALLIAMUTY
<br />OLAIMS�MAPS 1z OCCUR
<br />EK050004008
<br />8181/2015
<br />813112010
<br />EACH OURRENCE
<br />s 2000,040
<br />... �
<br />t 5QO,000
<br />MEDRKPftgaraaan
<br />at 15,000
<br />__ .� ..................
<br />PERSONAL AAOVINJURY
<br />8 2,400,800
<br />GEN1 AGGREjG°'A�TjE LIMoIIT AP(P'U'�SS PER:
<br />✓ P9LIGVI ,J.pEOT L_.JLOG
<br />_
<br />GENERAL AOCREGATE
<br />$ 4,000,000
<br />PRODUCTS,COMPIOPAUG
<br />6. "1044,440
<br />A
<br />OTHER:
<br />R
<br />AUTOMOBILE
<br />LIABILITY
<br />BAS06864905
<br />8131/2815
<br />9131 /2818
<br />I ��j
<br />8 1000 Q
<br />ROPILY. INJURY (per paraen)
<br />S
<br />`—
<br />ANYAUTO
<br />ALL OWNED
<br />AUTON. U:ED
<br />: @NE
<br />HIREOAUTOS NON.
<br />AUTOS
<br />BODILY INJURY I Pa a aclpant
<br />� ^•
<br />0AUTO$
<br />PROPERTY DAMAGE
<br />P6r..10000
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<br />A
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<br />UMDRaL1,ALIAa CGGUR
<br />ESA60804908
<br />6/31/2016.
<br />W31/2018
<br />:EACHoccDRR�P E
<br />EXONES LIMB CLp,IM9_MAOa
<br />AGGREGATE
<br />¢_ 3,000,000
<br />_ _
<br />—_ —
<br />E ` RETENTION
<br />WORKERA COMPENSATION
<br />AND EMPLOYARE'LIAEILITY
<br />ANYPROPmETORIPARTNEWCXECU YI TIVU
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<br />S,L RISEAaP -EA EMPLOYDE
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<br />DESCRIPTION OF OPERATION$ 14ROATIONA I VEHICLES tACORD 101, AddlllenaLRemarks Salmdula, MAY he MtRo ed if mots space is
<br />A
<br />City of Santa Ana Is Additional Inaurod If reculrod by written contract or written agreement Subjeot to General Liability Slonket AdditlonRl ,
<br />Inaufad Provision, �
<br />t3O Notice of OanoaIIRSIDn "10 Day Notice of Cancellation for Cancellation ierNPn =P$Ymant of PramUm
<br />j
<br />IP nv
<br />V bill,
<br />ty of Santa Ana
<br />PO Btox 198188 Flores
<br />Santa Ana CA 92707
<br />AGORD 24'(2014/01.)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF; NOTICE WILL ME DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />W.- W
<br />The ACORD name and logo are registered. marks of ACORD
<br />96094612 1 $9944009 I le =34 MaaCax NaYet %i @8 €4 I baeean PaafbanRN 1 0/3172039 201,12 PA POT) I PAC@ I of 1,
<br />reserved.
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