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fDDfY ` CERTIFICATE CIF LIABILITY INSURANCE D 7 /22� /22/201s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, MEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SVWEEN THE: ISSUING INSURER(S), AUTHORIZED REPRESSNTAME OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polloy(tes) must be endorsed. If SUBROGATION IS WANTED, subject to the terms and conditions of the policy, certain polic let may require an endorsement, A Statement on this cartlfiante does not Confer rights to the certificate holder In 4eu of such endarsement(s). PRODUCER GA ACT Shellsy Escobar CT5R James G Parker insurance Associates oNe (559)222-7772 arC (5591222-LT21 License #0554959 RL , aelgaobarg jglsarker. cam ADDRr$URER E? O Sax 3947 S AFPCRAINO COVERAG6 NAIL R Fresno CA 93950 $URQRA:SCl7ttsdale Insuranco caMEany 41297 INaURED IH U ER 5 : ISxti,e Kalivaas dba Climb Ib INSURERC: 2565 Royal Crest: Drive INSURER 0 i SURER E : Escondido CA 92025 INSURERr: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE; MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1LTA TYPEGFIN$URANce POLICY NUMBER AND PP YIY LIMETS R COMMERCIAL DaNERAL LIASILITY EACH OCCUAMENCQ I 1, one, coo R CLAIMS -MADE ' i{._: OCCUR PR tlE$F$1£a a�un�eea S 100,000 - MED�1tPtAn aneA4r m1 T 5,000 C092SI1143 7/13J2016 7/13/2017 PERSONAL 6 ADV INJURY S 1,000,000 GEN'LACGREOATELIMIT APPLIES PEA: N_ GENERAL AGGREGATE S 21000,000 X POL4Y JgC ' LOC PRODUCTS -COMPICPAGG 1 2,000,000 S OTHER. AUTOMOBILE LIABILITY IN GL IM1T S ANY AUTO SCOR,Y MLJURY (ParpuSpn) S LL OWNED NELI AUTOS AUTOS ROCKY W KYINJURYtPermddeall S MIRED AUT05 AUT SWNED y #J PROP6itTY DAAW , S { Y � $ 1��e 0 ON 1 UMBRELLA VAS OCCUR i EACH OCOUiipENGti S E%CE93 LtAB CLAIMS.MADE � AGGREGATE ED RETSNrO14 SS WORXERS COMPMATION AND EMPLOYERS` pP S R UABIUTY E.L.F.AGHACODINT S ANY PROPRIETORIPAATNERVCCVt" -- — OFFECERUMIEMSEREXCLLIOE07 (Myyaa�ndawy is NIIN) .d WA / � f kco�r� E.L. DISEASE. LEA EMPLOYE S e G�! Y^� E« DISEASE.POLIGYUM1T S OESCaAto ONOFefP RATIONS below c,P A Participant Liability CP22S111/3 1p?, 7/13/2016 7/13/20,11 P,troccumm $25,000 I A44muele $50 , 000 DESCRIPTION OF OPERA710143 1 LCCAnoNFs I VSKICLES iACORD 101, AddlUonaN Remake Sc:neula, may ba S"Chad If mere apada le nqulmd) city Of Santa Alta, its Offi,aara, Agents, and r4P10yee3 are named as additional insured as respects general liability and per Form CG2026 attached. City of Santa Ana Its Officers, Agents and Emgloyeas Atkin: Purchasing Department 2D Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GANC9LLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILT. BE DELIV£REA IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE z Parker III/SCG At-wnu 4a j4U 14ruTI I he ACORD name and toga are registered marks of ACORD INS025 r7n,an+l