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ACOR CERTIFICATE OF LIABILITY INSUF ANCE <br />WW <br />x`021 017 " <br />THIS CERTIFICATE S i9S Ea AS A ffIATTEfd Olx INF0?RMIATIN ONLY AND CONWRT NO RIGHTS 0909 TO fx GER PICATE OEM, . Nis <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />91ELOYIf• THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRE$ENTATIVE OR PRODUCER, ANIS THE GURTIPICATE HOLDER. <br />IMPORTANT: 11 1110 cortrf oCa holder is an ADDITIONAL INSURED, the pallay(fes) must be andarsed. if SUSr*6ATIOH 19 WAIVED, aubjW to <br />tea Norma and eondHlorls of the patloy, certain pa)Ialos may require an "doniwnont. A sUtemant on tele eartiflcate doss not confer dpilts t* the <br />oortlftooto holder In Ilau of such endaegornont(8l. <br />psalviceR <br />�CwYPACT Baker Romero 3, Associates Insurance Brokers, Inc. <br />BAKED ROMERO A ASSOCIATIES INSURANCE BROKEM, INC. <br />750 TORRAPO PLAZA SUITE 230 <br />a 628 533.3268 <br />wwwbakerromero,com <br />1141)"a) AfFORMNG GOVERAGS NXC 0 <br />COVINA CA 09723 <br />INIAMRA ,NonpmflW IrmuranceAllisno9 of California <br />A9eneyLkO:0022790 <br />FUTURE IN HUMANITY RESOURCE CENTER <br />iM6l1RERA ; <br />IIfSI#ZERQ <br />295 N LEMON ST. <br />FULLERTON CA 92832 <br />IPiSl1liiR IY <br />016 U RIM I <br />[«TwF1Tur+7ivF4IIff'T,TtVTffi i` IAwl t;jW2lii1l-r1=1:: <br />I, IT i tf F FM1 i RI U w 0 9 tE D To H U I N O) IA FAW5 <br />INDICATED. NOTYi "STANVINO ANY RE.OUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM11INT WITH RESPECT TO WHICH THIS <br />CFRTiRCATE MAY SE ]$SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OF -SCRIBED HEREIN IS SUI344CT TO ALL THE TERMS, <br />1J Efl <br />um <br />TYRS OF INSURAN04 <br />A <br />POLICY NUMOER <br />"LM CPP <br />wou9Y 87tV <br />LIMIT$ <br />A <br />X COMIAERWLCIF119WtJAJIIUTY <br />2017.56080 -NPO <br />02!23117 <br />42123148 <br />EACH OCCURRENCE S 1,000,55 <br />GLAi�A& iRAC1E L.A' OCCUR# <br />PRN,►[ a aay, ,6 <br />MOMEJCP(ArNoneponw) S 20,40 <br />PERSONAL&AUVINJURY S 1,000,00 <br />GERL A913REOATF LWIF APPLIES PER; <br />1,044,40 <br />GRN9AAL AGOF49GATE $PRO <br />- <br />POLICY JEI r 17-1 LOr <br />PRODUCT$-GOMPW AW S 1,000,00C <br />OTHER: <br />8 <br />AL1TaM@�II,a <br />LiAeltnY <br />ANYAIJTAtlTO <br />asacuLaaaLtlT <br />�a satidanq _ #_ <br />"OILY INJURY fPv pafwnn) 4 <br />ALL OW 15D fLfiil <br />fIIROp %AUTp$ AUT4 NHI7AWOS <br />I <br />4t)n Y INJURY iPan pcalA>arsfl <br />sods <br />grdBR�Ad.A LN1a OCCUR <br />"cuptaAe CIAIM6 E <br />�� <br />,1� <br />EACH OCCURRENCE S <br />MoR@OATES <br />ORO RITIVITION 1 <br />S <br />��y�"� <br />� '� <br />MOM t.Y, AIMSiiMN <br />me 6Mpf.3}Ygila' UAWLiTY VIN <br />ANY PILOPR UTAI l ARIM aBii"t nve <br />a"Idwwowom arlawasaz El <br />1Maflsatarylfl tato <br />NIA <br />� - <br />r <br />�,LRCHAOCIOEPdi <br />E,LDI$RA30-EAEIVIPLOYEE $ <br />EL 04FA$11^POLICY LJMPT 9 <br />9'a w asoa w'War <br />8 ae <br />A <br />—, <br />soGlalsera€waprufBapi6nwl <br />il <br />2497.36990 -NPO <br />03123117 <br />021.23118 <br />$1000004 -Aggregate $1400000•EaCh OWIn <br />- — <br />06-SCRiP110N OF OPP.iTATIONS I LOCATIONS IVUHICL93 tAr.= lei, KtIdldaaul Room ar,s S,nhaduis, away hs strmW If mnm space Is mqulreM <br />The City of Santa Anal, it's officers, employe", agents and representatives are named as additional Insureds <br />UtM111"WAIt! MUI.LrfdH (;ANUVLLdJKM <br />City of Santa Ana <br />20 Civic Center Plozo <br />SHOULD ANY OF THE ABOVE 00CRIS90 POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATES THEREOF, NOTICE WILL Be 09UVERED IN <br />Santa Ana, CA 92709 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AtaY+lpsi= ftPREW TAPV6 <br />Attention: <br />Lillian Romero -Gomez <br />ACORD 25 (2014141). 0 9988.2014 ACORD CORPORATION. All rights tsservsd. <br />The ACORD name and logo are registered marks of ACORD <br />