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04/13/2016 13;47 9516953763 AMERICAN CAPITAL PAGE 03/03 <br />� <br />oo? —! / c)7 <br />a <br />OF LIABILITY INSURANCE <br />tldRIMM@O <br />�zi2o1616 <br />012/2016CERTIFICATE <br />MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />THIS CERTIFICATE IS ISSUED AS A <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERT1FICATT'_ OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PROOUCER AND THE CERTIFICATE HOLDER, <br />IMPORTANT: N IRS COMMODES 130144/'19 an ADDITIONAL INSURED, a polloy(tas( must 6e andorSIZ If SUBROGATION IS WAIVED, 941116 t to <br />A Atatil OR U06 cOrtlRceta does not confer dghto to the <br />the forma and eondiOAna of the policy, co"A)n PUHaiea may require an ondomomant <br />certmcato holder In lieu of such endOtEaman a . <br />PRODUCER <br />N TA T CTA1 <br />R nk (982)926-6547 AS (452)928^3039 <br />Celleetora Insurance Agency <br />MT6 co1.1®etorsinsuranaeva:cainternat:ional.org <br />4040 W 70th Screen <br />iNSUR R AFFORDING COVERAGE NAIC r <br />INEURERA>MCO Ineuranee Cam a 19100 <br />Edina 1'R 55435 <br />INSURED <br />INSURERa; �_ -- <br />INSURERD,;_. - - <br />AMERICAN CAPITAL ENTERPRISES, INC, <br />NsuRERo: <br />27919 JEFFERSON ANE STE 206 <br />INSURERS: __.__.�— <br />ro0u RF: <br />..ry„e,nu w cameo. <br />TEMECULA. CA 92590-2653 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO VMICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS. <br />EXOLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />IN00. <br />tYP80FIN9URANCE <br />CV NUMUE <br />YEW <br />PMQ <br />LIMITS <br />OENSRALLIAIRR'/ <br />ACN OCCURRENCE E 1, ODD, 000 <br />P4 E_ 300,000 <br />MEM EXP Anye o croon) E 5,000 <br />A <br />X COMMERCIAL GENERAL UASIUTY <br />CWMB-MADC 1XI OCCUR <br />X <br />WOMP0136004069 <br />4/1/3016 <br />/1/2017 <br />PERSONAL B AW INJURY E 71000,000 <br />OSNORAL AGGREGATE $ 2,000,000 <br />GERLAGORSOATE LIMIT APP ES PER, <br />POLICY PRd X LOC <br />AU TONGSS.EVANILRY <br />PRODUCTS, OOMPI PAGG S 2,000,000 <br />S <br />ME -Mena LS S INCLUDED <br />A <br />ANYAU O <br />ALS EO SCHEDULED <br />AUTOS <br />x HIRED AUTOS x gUTQ5wNE0— <br />YaP071360Bd 969 <br />/1/2016 <br />/1/2017 <br />aCOILY INJURY(PP,"wj E <br />9001LY INJURY (Dar ncddenl) S <br />ERTY D E <br />E <br />UNIONE4I UAO <br />OCCUR <br />EACH OCCURRENCE S <br />AGGRSOATE S <br />EXCESS LIAR <br />CLAIMS•MADE <br />DED R T NTIONS <br />PIL COMPENSATTPW <br />S <br />VIC STATV• OiH. <br />E.L. EACH ACCIDENT E <br />AND EMPLOYERS'UAVILTN VAN <br />ANY PRCPRIETOWPARTNERIEXECIRIVTi 1'"'I <br />CPFICEWMEMDRR EXCLUDEW <br />(Meneerory In RHI <br />NIA <br />E.L, DISEASE- EA EMPLOYE 0 <br />C.L.OIOEASE-POLICY LIMIT Is <br />eye e ewer <br />DESCRIPTIORIPTION GF OPERATIONS 0elaw <br />DESCRIPTION OF OPERATIONS l LOCATIONS / VEHICLES (AIRah ACORD 101, AAERImnl PemrRe Oalydulo.Il n9om ."Co le mWmd) <br />IT IS AGREED THAT TILE CITY OF SWTA ANA TS INCLUDED AS ADDITIONAL INSURED SOLELY AS TH£IR 1147£RESTS MAY <br />APPEAR IIT ACCORDANCE AETB TFIB PPAVISIONS OF THE POLICY FOAM. 1115 <br />WED <br />e�eGi df,; <br />CITY OF SANTA ANA <br />PO BOX 1964 <br />$ANTA ARIA, CA 92702 <br />SHOULD <br />V <br />DATE THEREOF, NOTIC DESCRIBED CE WILES L BE DEUVERED E CANCELLED N <br />HEO <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />St. AJartSn/ihLEX .—.'„b+'"� rY•ey:”--.,. <br />INS026 T9Me6e\n1 Tho Arnrrin ml mp Anm <br />A <br />