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AC BZC! nm <br />PRODUCER <br />MaOulre insurance Agency, inc. <br />2>301 PUerta Real Solte 200 <br />NH, Has Vlelo, CA 92691 <br />87/438.7459 <br />Corals McGuire <br />539 E Washington Ava <br />0range, CA 928GX <br />COVERAGES <br />N ­­2 16b-0X01 501 <br />THIS CERTIFICATION 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />WSR <br />ADO'L <br />POLICYEFFECTIVE <br />POUCY11PIMTION <br />LIT <br />INSRO <br />TYPE OF INSURANCE <br />POLICYNUMBER <br />DATE(MM/DD/VYYY) <br />DAM(MM/DO/YYYY) <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />PHPK1471665 <br />03/31/2016 <br />03/310017 <br />EACH OCCURENCE <br />$2,000,OOD <br />X COMMERCIAL GENERAL LIABILITY <br />ICLAIMS MADE F. OCCUR <br />000 <br />PREMISESEencc <br />$100,000 <br />MED EXP IF, one person) <br />$2,50D <br />PERSONAL& ADV INJURY <br />$2,000,00D <br />% PROFESSIONAL LIABILITY <br />GENERAL AGGREGATE <br />$4,000,00D <br />PRODUCTS—COMP/OPAGG <br />$4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />% POLICY 71 PROJECT IOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(EA accident) <br />ROUT LY INJURY <br />ALLOWNEDAUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per amldent) <br />PROPERTY DAMAGE <br />(Por accManll <br />GAMGELIABILDY <br />AUTO ONLY —EA ACCIDENT <br />OTHERTHAN EAACC <br />ANYAUTO <br />AUTO ONLY: AGE <br />EXCESS / UMBRELLA UABIUTY <br />EACH OCCURENCE <br />OCCUR CIAIMS MADE <br />AGGREGATE <br />DEDUCTIBLE <br />RETENTION <br />5 COMPENSATION AND <br />EMPLOYERS' LIABILITY VN <br />TORV LIMBS Eft <br />ANY PROPRXrOR ARTN€%E%ECUTIVE <br />OFFICER/MEMBER XCLUDEU. <br />€.L. EACH ACCIDENT <br />_ <br />E.L. DISEASE —EA AMPLOYEE <br />(Mandatary in NH) <br />If vE,, de tribe under <br />SPECIAL PROVISIONS below <br />EL. DISEASE —POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES ( EXCLUSIONS ADDED BY ENDORSEMENT JSPECIAL PROVISIONS <br />It is understood and a grand that its following entity CITY of Santa Ann Its officer; employee; agent, mpreaentalMes & YOiunteers is added ae an additional insured but only with respett(H to by aparatans of the <br />namad Insured exmpt that liability resURIng from the additional irenred's sole nogligence. <br />CERTIFICATE HOLDER CANCELLATION <br />Cty Of Santa Ana <br />182E W CNIe Center Dr <br />$4 not Ana, CA 93703.2831 <br />SHOULD A" OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />0 Isle, <br />�a�VA ��r <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATIO II rights. e'd, <br />The ACORD name and logo are registered marks of ACORD 44'2 <br />