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DATE(MM0DN`YYY) <br />12/6/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXPEND OR ALTER THE, COVERAGE AFFORDED DY 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 PolicyN_,1) meat be ondril"d. If SUBROGATION IS WAIVED subject to <br />the scene and conditions of the policy, certain policies may require an endorsement. A statement on this ustifiseto boas not confer rights to the <br />certificate hostler In lieu of each andnvasamnnerei <br />PELLETT INSURANCE SERVICES INC <br />2985 Theatre Drive, Ste 5 <br />Paso Robles, CA 93446 <br />OH2721820 <br />IncVats, Ticket, <br />4600 campus II 1. <br />Beach,Newport l <br />THIS IS TO CERTIFY THAT TI iL POLICIES QF INSURANCE LISTED BI <br />INDICATED. NOTWIHiSFANDINO ANY PEOUIREMENT', TERM OR 00 <br />CERTIFICATE MAY BE" ISSUED OR MAY PERTAIN, THE INSURANCE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN W <br />LTR <br />TYPE OF INFURANCE <br />CPMMRHCIAL OENYlHAL UASIL" <br />....., <br />.._� CLAIMS -MADE OCCUR <br />ZA <br />GEN'i. ACdCREGIATE LIMK APPLES PER: <br />-...... <br />POLICY n PRO" I�l <br />LOI <br />., <br />IECT u <br />AUTOMOBILE <br />OTHER' <br />L.IABILIIY <br />ANYAUR) <br />ALI. OWNED <br />_ <br />SCHEDULED <br />A. <br />AUTOS <br />AUIUS <br />FARED AUTOS <br />_ <br />}( <br />NON -OWNED <br />AUTOS <br />.�m. <br />'X <br />UMBRELLA LIAR <br />OCCUR <br />A-- <br />E%CF.SS LIAB <br />_ <br />CLAIINBMAD <br />LED AEFENTION$ <br />WOHKEIiS <br />CGMP+EN^uATIOIU <br />AND EMPLOYERS' LIABILITY <br />YIN <br />ANY H10PR 00R/PAWNFF/EXEOUWE E-^ <br />gFHCEI MEMREH EXCLUDED? <br />®w , <br />a. CQI <br />COVERAGE <br />,we edtN fS, lUFU IQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />OF ANY CONTRACT OR O'n IER DOCUMENT WITH RESPECT 'TO WHICH THIS <br />TED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />SEEN REDUCED BY PAID CLAIMS, <br />{ MM/f)D P feel D/YYYY� LIMITS <br />EACH OCCURRENCE s 2 000. <br />ACPBP03027427618 <br />ACPC 3027427618 <br />,/1/2016 <br />/1/2D18 <br />/1/2G18 <br />11/1/2017 <br />11/1/2017 <br />11/1/2017 <br />WUEXP(Anyenepeoen) <br />PERSONAL B ADV INJUJAGGG <br />GENERAL AGGREGATPRODUCTS <br />- COMP/OP <br />Ea accident <br />"BODILY INJURY (Pei rewon) $ <br />SOOILYINJURY IPoraocidend $ <br />I=er erridentj_ $ <br />� <br />_EACH OCCURRENCE........ $ <br />uI:SUHIPTION Of OPENAI'IONS /LOCATIONS/ VEHIChES (AGGRO 1U1, Adtlilioo-al Nematks SCM1etlule, may ba attacdeA II mole apace is royuirrd) <br />IT IS AGREED THAT THE CERTIFICATE HOLDER. LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED <br />INCLUDING A. WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR <br />114T'ERk"STS MAY PEAR. IN ACCORDANCE WITH. THE PROVISIONS OF THE POLICY FORM. THIS <br />INSURANCE IS PRIMARY & NON--CONTR.I73UTORY. <br />city of Santa Ana, its officers, SHOULD ANY OF THE ABOVE DES08I13E1D POLICIES BE CANCELLED BEFORE <br />GAtP1OVGG5, agents volunteers and THE EXPIRATION DATE THEREOF, NOTICE Will. BE DELIVERED IN <br />representatives, L'Olic.e Department, ACCORDANCE WITH THE POLICY PROVISIONS. <br />60 Civic center Plaza ACTH 11iTED REPRESENTATIVE <br />P.O. Box 1981 <br />Santa Ana, CA 92702 <br />196E-2014 ACOHU COH ATION. Ali rights rUBBrved. <br />ACORD25(20'14/01) The ACORN name and Ingo are registered rriar4 of ACORD <br />