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OF ID: ME <br />^ v CERTIFICATE OF LIABILITY INSURANCE <br />P08 /03 /20141 Y, <br />as/aar2a16 <br />THIS CERTIFICATE I8. 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(9), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, ANOTHE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polioy(Ies) must be endorsed. If SUBROGATION IS WAIVED, a64)oat to <br />the 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 Hou of such andoraamant s, <br />PRODUCER. <br />Brown✓R Brown of Florida,. Inc. <br />P, O, Box 173088 <br />Tampa, FL 33672 <br />Joseph W, LoPresti <br />: , Mia aUBh <br />'c -- -- <br />eu 613.226.1937 Al No: 813-226-1313 <br />� mbushObbtam_paxom <br />-- <br />P--- <br />.�__..�.. <br />NOLLA,4 <br />INBUR -F CRD O O VE <br />_ <br />N IO M <br />wauRao Holland& nghtt. F <br />Foundation ionInclltOharitabla <br />Foundation Inc, <br />100 North Tampa Street St <br />Tampa, FL 33002 <br />INSURBRA; Federal Insurance .Com an <br />20261 -. <br />IN URKRa;9ent Insurance <br />2 986 <br />INSURER 01Fad.lne Oe/Llbert Ina Und <br />� <br />-- <br />INlIURRRQ ,, Great Northern lnaurance- <br />2x303 <br />INtURAft A: <br />PERSONAL&ADVINJURY <br />S 11000;000 <br />In ly- lcr�icl �y M:at 131KII tJU 11110, 1 A a <br />THIS 10 TO CERTIFY THAT THE POLICIES CP INSURANCE L1879D BELOW HAVE REEK :&SUED TO THE INSURED NAMED ABOVE FCR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPRCT TO WHICH THIS <br />CERTIPICATE MAY BE ISSUED OR MAY PERTAIN, THE INBURANOE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,: LIMITS SHOWN. MAY HAVE BEEN REDUCED BY PAID. CLAIMS, <br />-. <br />TYPE OF INSURANCE <br />SHOULD. ANY OF THE ABOVE PROCRIMEO PO61013a ME CANCELLED BEFORS <br />1,10 Numana <br />City of Santa Ana <br />92UP, <br />LIMITS - . <br />D <br />GENERAL LIABILITY <br />X COMMERCIALGENERALLIABILITY <br />ChAIMS "MADE OCCUR <br />X inaurod Contract <br />j <br />20 Civic Center Plaza <br />Santa Ana, CA 62701 <br />a4TS8799 <br />@SIA1 /2015 <br />0810112018 <br />EACH OCCURRENCE <br />R 1000x0@ <br />E -S GaN1�`"`° <br />t 1@@0,00 <br />MED EXP ANY arE axon <br />S 10,000 <br />PERSONAL&ADVINJURY <br />S 11000;000 <br />_. <br />GENRRALAGGREGATE- <br />S 2,000,00 <br />GBN'LAOGREGATS <br />POLICY <br />LIMIT APPLIES PER <br />M IN- X LOO <br />jPRODUCT$- COMPIOPAGO <br />a Included <br />S <br />D <br />AUTOMOBILE <br />X <br />X <br />X <br />X <br />LIABILITY <br />ANYAUTO <br />WEED U50AUO <br />$CHBRULBDAUTOH <br />HIRaDAUTQS <br />NO"WNADAUTOI <br />No Owned Autos <br />74980035 <br />0810112018 <br />08/01/2016 <br />COMBINaOSINgLE LIMIT <br />(aaalrAden@ <br />p 1,000,00 <br />BODILY INJURY (Par pawn) <br />S <br />BODILYINJURY(Paraeddent) <br />6 <br />PROPBRIYDAMAG € €. <br />(PaRAOOIDaNT) <br />- <br />S <br />t <br />O <br />UMSRSLLA LIFE. <br />EXCESS Jim <br />X <br />OCCUR <br />CL AIMS =MACE <br />X8698360/19 @0088018.09 <br />08(01/2010 <br />08141/2010 <br />€MMOCCURRENCE <br />t 40,000,000 <br />AG R ®GATE <br />._.- <br />48,000 000 <br />i. <br />- .... <br />PaRUOflR6E <br />9 <br />WORKERS COMPENSATION <br />MY pApMFpLOYERe LIABILITY �t�� <br />�JFF�MOVISTOtRt%G UE RCUTIVII IV's <br />IMandalmyIn NH) t��11 <br />fF a A01THIe wdoo <br />D S 1P 10 O Saw <br />NIA <br />001492301/8014020302 <br />- <br />0810112016 <br />0810112010 <br />X , <br />0 SACHACCIDIINT <br />$� <br />S.L.d:BRAR @ "EASMPLOYEC <br />7. 1,000,OR <br />a DISEASE =POLICY LIME <br />S 1000,000 <br />D <br />D <br />Pe(SOMS1 Property <br />DataProoess,EgUIP <br />88700711 <br />36708711 <br />0810119015 <br />06/0112 @16 <br />0010112 16 <br />00/01/2018 <br />Spoo,Form 1.1 ,079,000 <br />Spso,Form \0 11,116,000 <br />DESCRIPTION DROPeRATIONSILOCATIONS I VEHICLES IASaeh ADDED 1al,Addlllanai OWMEM Sahadola, It Mom Ppaa11 d PlgGifatl!d <br />&lab "CartiRoate Attachment'- Holland a Knight, LLF dated 8 -1 -1511 AtESatted. <br />Ct7H :ilild[111 :Yi.[117rf�Td: •. <br />OITYSAN <br />SHOULD. ANY OF THE ABOVE PROCRIMEO PO61013a ME CANCELLED BEFORS <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE ORLIVSRED IN <br />City of Santa Ana <br />ACCOROANOR WITH THE POLICY PROVISIONS. <br />David Cavazos, City Manager <br />AUTRORIBED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana, CA 62701 <br />*41 1 udlJ <br />D 9898.2000 ACORD CORPORATION, All rights reaerved, <br />ACORD 213 (2009109) The ACORD name and logo are registered marNa of ACORD <br />