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<br />CERTIFICATE OF LIABILITY INSURANCE 1/3/2017
<br />THIS OERTIFICATE I'S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ..
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AME',ND„ EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INS,URERtS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IlwP6RTANTc If the cortIfIcate holder to an ADDITIONAL INSUIRD, the pollcy(ias) must have ADDITIONAL INStJRED proulelons or ba endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement, on
<br />this certificate does not confer rights to the certificate holder In bleu of such andoraantellt
<br />PRODUCER 'AIeI
<br />HPLICIT'Y INSURANCE SERVICES � �.. � .. 949) 716 5353
<br />9851 Irvine Center Drive
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<br />Irvine, CA 92618 ��I. .,.. _.._._.-. .,. ,URr
<br />twraurtldllsl arPosaINlNra oowERMas Nalco
<br />.3ta�.a Costi onsat;on
<br />NSURED INSURER ® „..., .,. .. .a ..,
<br />THE ILLUMINATION FOUNDATION
<br />2691 Richter Avenue Suite 107 INSURERC :
<br />Irvine, CA 9.2606 INSURERE _., „
<br />COVE At E$ CERTirICAI"E NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY !`HAT THE POLICIES P INSUlANCE LISTED I$EIQW HAWS BEEN ISSUED TO T"HE INSURED NAMED AfIOWEC}R THE POLICY IEftiifl
<br />INDICATED. NOTWITHSTANDING ANY REOU'IREMENT, TERM C?R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CI RTIFICATE MAY 86 ISSUED O'R 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 MAY HAWE BEEN REDUCED BY PAID CLAIMS.
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<br />a .YPE IAF INSURANCE IVN ROI IC"'l I-IC.Jta`nFl� M)IIrYYIr'Y Jagpl , l: LIMITS
<br />O.VMERC"L eEMIER+IL LIA®Il.rrr EACH OCCURRENCE $
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<br />CGAIMS•vADE EI CbOGVJRp i t „SftE� +raoF I» w
<br />M1itD El(P tArp Cne Ptr Tj, .. £
<br />®"". PERSONAL d ADV INiJURY
<br />GEN"L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $
<br />I°RtJx F'ROI�UCYS GOMPdOP AGG $ .
<br />LPOLIFCY 1k+'T , LOC
<br />$
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<br />AUTUMOEHILE LVAMLIT'r' (Irrr?r,"a dartraa5 ..........__.._,�_._..,..:» .,..w..:.».,»,,., _.,. w,.....
<br />ANYAUTC
<br />ACi EYt INJUkY IPer petedr) $
<br />fJwVNE47 SCHEOULED d3aDILY INJURY {Per eccaSaell
<br />AUTOS ONLY Auras I IteJPI PPd 11AMACI µ°
<br />_. HIRED.,,. Nr„rI^14rkWNEI"J i AArArCr'Id�an1 $
<br />.AUTOS ONLY AUTOS ONLY .In.,,..,,,_._.._»....»�, ...".A,..,.,,.»,. ..._. ................_.._ „___
<br />UMBRELLA LtlASTOCCU.R EAC}i_�jC,G}3IJCBC"NCI„ 5 _ _
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<br />DFD RErE_f i(kNS _..„.�..» ... ,.,,.,�. „ ,. .. ,..�.:,_
<br />,. an O" I NSATtOMI
<br />AND EMPLOYERS LIAItiLITY �� �T� ��� M.;
<br />YON EL. EACH ACCIDENT $ x,,000,000
<br />ANY PRJPRIETOWPAPTNER*.XECUTIVE r'® „"„,�,,,;,,„,„,,,,, ....,... .,„ .."
<br />A OPPICeRjMFMEER EXCLUDED? 1, l NIA 9040950-2017 1/1./17 x./'1/18 E.L.DISEASE EA EMPLOYEE $ 1,000,000
<br />imaa1wwvhr NIA) ..._._.�.. .._...._.�», _»...,..... _._»....m ........,..�_...,..
<br />If ea, dWeIrj re andsr E L. DISEASE -POLICY UMIT $ 1,000,000
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<br />DC9�CRIP'CION OF OPERATIONS d LOCATIONS d VEHICLES (ACtOI' I) 101, Add ionel Remerka SuledduIs, mey be attached 11 more speer, is required),
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<br />CITY OF SANTA ANA SHOULD ANY OF THE ABO'V'E DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Administrative Services , E7 uisidn M -2a THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE FOLICPROVISIONS,
<br />20 Civic Centex Plaza
<br />S14�
<br />a7:t1 Ana, CA''. 3 701 AUTHORIZED REPRES NTATIVC:_' '.
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<br />� 1988-2f115 ACORD CORPORATION. All rights reserved,
<br />ACORD25(2016103) The ACORD name and Ingo aro registered merles of ACORD
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