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f <br />a f�'eNti <br />WESTCOM-16 SGONZALEZ <br />r <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIeDrrvYYI <br />PQLICY PNSMHER <br />42 2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) most have ADDITIONAL INSURED provisions or be 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 Wirt cote does not confer fights to the Certificate holder in lieu of such endorsement S . <br />PROOUI License 90757776 LguEAct Jordan Epodgeon _ <br />HUB International Insurance Services Inc, 969 239.2$72 <br />h�r<�. Easy 12$9} T79r8576 rtA�, Kop�___�__,�,_,— <br />2390 Uakverafty Ave., Ste 304 -- <br />Riverside, CA 92501 =gq . cai.e lA}lUttltytarna$1ot1a).GO}r1 _ <br />Riverside. <br />.., IN.yg?.4?LiLAEE�4N?OCO PSP �,_. RAtOY <br />rxsuRERA:SetlnsOrancBCamnanv ttd. -1110o0 <br />INSURED xEaa H3 rd Accident and Indemnity Company '2,2„357 <br />A <br />Westbound Communications, Inc. ' INSURER C.A1tis InsUremea Carnpany <br />37 3 <br />625 The City Dr., Ste 480 INSURER D: <br />725DAIS4627 <br />I <br />Orange, CA 92868 SURER <br />MINE SING LE LIMIT + 2,000,000 <br />EDDILYIwUa aarpe<arnru, ..�. <br />ODDLY INJURY (Por accgenFl <br />PPet a�cndent AMAGE, <br />_.._...... ...... _ _ _.......... ...... -------- INSURERF _.._..._ <br />CnVERAn9S r1PRTIPIOATE NtJMSFR- REVISION NUMBER - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISBUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />(INDICATED, NOTWITHSTANDING ANY REOUIREI,IENT, TE,RNI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES 04SCRBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND OF SUCH POLICIES. LIMITS $HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />_CONDITICNS <br />INSRHi .�_ TyP@4F lNSURASNCE AVrffESei,+a4aR <br />PQLICY PNSMHER <br />!IF LIG ,.eP__.._ <br />1 CIMnS ^�^ <br />A x eoraeraRtdAL aENER�,uLwaxlTY <br />Ot.AthL4MADE LA2 OCCUR X <br />x <br />( <br />(72SSAIB4627 <br />0510612917 <br />ON0612018I <br />I EACtiOCCURa�NCE } s 24000.000 <br />oauaGe rORENTEo - 1.000,000 <br />PEREI&ADV RVAUfTY 2,000000 <br />V <br />N'L AIaOREGATE LIMIT APPLIES PER. <br />PGLIGY dECT LGC <br />GENE AGGREGATE <br />PRODUCTS •COMPIOP GIT A,000,000 <br />A <br />I ,NTOMdSILB 614e141TY <br />pANYAEUTO <br />MJw �CJ[I5 GINLY �s.WOS,ryU'n <br />x 911 x AUr)1%,RY <br />725DAIS4627 <br />I <br />05/0612017 0$10612018 <br />MINE SING LE LIMIT + 2,000,000 <br />EDDILYIwUa aarpe<arnru, ..�. <br />ODDLY INJURY (Por accgenFl <br />PPet a�cndent AMAGE, <br />1. <br />A <br />UMOMIUA LMS I X OCCUR <br />exCfis6LIA9 I Ctasais-MAOE <br />�7ZSSAIS4627 <br />1 <br />05106{2017; OW0612018 <br />EACHOCCURRE"C=_)_t 2,000,000 <br />AtiGRE6 TE I E 2'000,000 <br />I` pEp 1 X RETENTKSR3 1{#.DOO <br />B ioonsaI SSfi�0�tt1PENSAnON <br />AMEN Pl,tlYERS'LSaefMTY <br />1ANYPROrRl9rtkuPARTNEREJ(ECUTHE YIN <br />(gcFl(;C%Alen sxcLuaEm Y <br />1901,14 4414 <br />P Ra 0 - h coda+ <br />9° rl MOIPERAn0N5bclmv <br />E <br />NIA <br />i«e m._ <br />72WSCLR3783 ! Ogf2a12016 0912812017E <br />X:PER TH' <br />T3T3 <br />+E.L. crcH acaDCTir 3 2,000,040 <br />DfSEPSE .EA ErA OY X1.000.0{10 <br />_E.L. <br />! EL. DISEASE- POLICYIMT 1,000,000 <br />C Poesslon Liab <br />C !Retention: II70,000 <br />I <br />MGN0002343516GI 11912V2-001 12 17 <br />MCN0Q023435160i 09/25120160012512017 <br />leer Claim 3.000,000 <br />Aggregate 3,000,000 <br />DESCRIPTION CP OPERATIONS I LOCATIONS I VEHICLES(ACCRU 101. AtINIL0141 Aemmka Schedule. may be anachod If n%ve dans is r ll <br />The Cit yy of Santa Ana, It's officers, employees, agents, volunteers and representatives are Additional {naured�in regards to General Liability per form <br />IH12001165 which Includes 30 Day Notice of Caneellatlon, primary 8, Nan -Contributory wording and WoNor of Subrogation coverages apply to the Goneral <br />Liability policy when required by written contract per the attachad endorsement SS0008 04105 (p9s, 1647 0124). <br />i <br />SNOULO ANY OF THE ABOVE OESCRIBED POLICIES nE OANCELLLO SURE <br />Cil of Santa Ana THE. EXPIRATION DATE THEREOF, NOTICE W14L BE DELIVERED IN <br />Y <br />20 Civic Center Plaza AC COROANCE. W0 THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 AUTHORtWO RePREMNITATIVE <br />ACORO 25 (2010103) (01980,2015 ACORD CORPORATION. All fights <br />The ACORD name and logo are registered marks of ACORD <br />,,,7 ppfza f�r <br />.4 i -rt fcD17--'a <br />