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CERTIFICATE OF LIABILITY INSURANCE,
<br />C111M `12017
<br />THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE iSSUING INSURER&S), AUTFIORZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the —ceffificate ho"ider isanADDITIONAL —INSURED, hie _pohc_y(ios} —must _haveADDffFiONAL INSUREDprovisions or be endorsed,
<br />,
<br />If SUBROGATION IS WAIVED, subject to the terms sand conditions' of the policy, certain policies may re(jUire an endorsernfSnt. A Statement on
<br />this certificate does not confer rights to the certificate holder in liou: of such ondorsoment(s).
<br />PRODUCER
<br />CONTACT
<br />Aon Risk Insurance Services 44est, Tn-.
<br />1-NAYE.i .... ... .. ........
<br />PHONE, 2RI-112" (o,00)
<br />Phoenix Az off�ce
<br />(AVC,
<br />2555 East CanfelbaCk Rd
<br />E-MAIL
<br />SUite 700
<br />ADDRESS:
<br />NIOPniX AZ 8S016 USA
<br />INSURERIS) AFFORDING COVERAGE
<br />NMC #
<br />MISURED INSURER A'; Tt,Iin City Ffire Insurance Company 29459
<br />AX0o Enterprise, Inc. INSURER B: Hartford Casual(y Insurance co 29424
<br />(formerly knomi as TA ER lntternat I anal , Inc. -- --------- . ...... .......
<br />17800 N. 85th Street, Scottsdale A7 SS2S5 USA INSURER C:
<br />. . . . ... ..... ....... ........... .... . ........ . .
<br />INSOPER D:
<br />AINSURED E: v5
<br />INSURER F:
<br />L COVERAGES CERTIFICATE NUMBER', 570066 4578 45 REViSION NUMBER:,
<br />THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED SELOVV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F0TTHE73T1CY PE9101D
<br />INDICATED NOTWITHSTANDING AN;Y REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH2
<br />CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
<br />EXCLUSIONS AND CONDITIONS OF 1SL)CH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as reqUested
<br />7= TYPE OF fNSURANCIE ADM SUDR POLICY NUMBER POLICY -77rrn.= LIMITS
<br />LTR INGO VVIjo 1i� _��U�yyyn
<br />COMMERCIAL. GENERAL LIABILffY EACH OCCURRENCIF
<br />MMS-MADE OCCUR RENFED
<br />CL
<br />PREMISESCfF.
<br />EXP (Any c- pe,san)
<br />PERSONAL & ADV INJURY
<br />.. .......... .
<br />FN L AGG RE GA Tv UNIT PP L R i F GENERAL AGGREGATE
<br />PnuCy ECT LIC PRODUCTS - COMPICIP AGG
<br />OTHERay
<br />AUTOMOBILE LIABILITY 59 UUN Z%1977(f C)7.10/2017 COMBINEDSINGLELIMIT SE. ,000,000
<br />. ...... . . . . .... ..
<br />x AN 'I A UTC) BODIL"y IN,IUy (P.,p .... 1) 0
<br />z
<br />1 )VIN- GCHF[',ULED INJURY (Per 3,.,ident�
<br />1
<br />AUTOSONLY AUTCJS
<br />x HIRED,,uros NON-01NNED PPOPERTY DAMAGE
<br />nNLY AUTOS CNL� -L-PI—IK2�Le LAL-_
<br />dt
<br />UMBRELLA LIAR CCUPEACH'OCCURRENCE
<br />..........
<br />EXCESS _IAB �JLAIM�'A�,DE AGGREGATE
<br />. . . ....... . . . . .................
<br />0•F. D � RETENTION
<br />A WORKERS COMPENSATION AND 59%,VEPE1196 09/11,12016 09/11/20t7 X Per �OTH-
<br />EMPLOYERS' LIABILITY YIN ER
<br />ANY PRCPRICTOR � PAR11,1EP, EALCUTIVE EA.. EACH ACI-IDENr 0()()
<br />R��IELIEER E <CLUDFO I OFFICE r 11 N I A
<br />(Mandatoiy in NH}
<br />r,[DISEA5E-EA EMPLOYEE 51,000,000
<br />D I-- S C R I FT 10 N 0 F 0 P E RA L12,R I S be I C, I L 11I1L;'r,L_,1L1CY 1 11,111 11,D01,10O
<br />... .. ........ . .....
<br />DESCRIPTION OF OPERATIONS i LOCATIONS A VEHICLES ACORNS 14) 1, Additional Remarks Scm,duje, miy be attached if mwe space is requred)
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POHCrES BE CANCELLED BEFORE THE
<br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A(=RDANCf-- WITH THE
<br />POLICY PROVISIONS,
<br />City of Santa Aria PolL(-L Depairtment AUTHORIZED REPRESENTATIVE
<br />60 00c Center
<br />I- Plaza
<br />Santa Ara CA 021702 LISA
<br />Cs)1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The, ACORD narno and logo are registered marks of ACORD
<br />
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