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ACIICERTIFICATE OF LIABILITY INSURANCE <br />r DATE(MMIDD/YVYV) <br />7/19/2017 <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 BY 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Frederiksen & Frederiksen, A Corp. <br />Insurance & Risk Mgmt Services <br />12900 Preston Road, suite 500 <br />Dallas TX 75230 <br />CONTACT <br />NAME: Melinda Carel! <br />PNONE (972)387-8646 FAX <br />AIC. No). (972)991-930'! <br />_ <br />App IL melinda@fredandfred. com <br />INSURERS AFFORDING COVERAGE NAICk <br />INSURER A:Phoenix Insurance Company 25623 <br />INSURED <br />CE Dean Enterprises,Inc. <br />LD Systems <br />2221 Justin RdSte 119 <br />Flower Mound TX 75028 <br />INSURERB:Trayelers Indemnity Company_ 25658 <br />INSURER C:Charter Oak Fire Insurance Co. 25615 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />nry=Q C;ERTiFiCAIt INUIVI[9tk:"il/ A/UZ/B4 REVISION NUMBER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />(NSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />I00/YYYY <br />POLICY EXP <br />M/DD/YVVV <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXIOCCUR <br />680-0661W261-17-42 <br />2/25/2017 <br />2/25/2018 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Anyone person) $ 5,000 <br />PERSONAL &ADV INJURY $ 11000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />GENT AGGREGATE <br />X POLICY <br />LIMIT APPLIES PER <br />7 PRO- <br />RO LOC <br />PDT <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />LIABILITY <br />!MBI EDtSINGLE LIMIT1 O00 000 <br />BODILY INJURY(Per person) $ <br />AANY <br />POMOSILE <br />AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />680-0661W261-17-42 <br />2/25/2017 <br />2/25/2018 <br />gODILV INJURY Per accident $ <br />( )HIRED <br />AUTOSX NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident $ <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />$ <br />EXCESS UPS <br />CLAIMS -MADE <br />UP -7564Y575-17-42 <br />2/25/2017 <br />2/25/2018 <br />AGGREGATE $ 2,000,000 <br />DED X RETENTION$ 10,000 <br />$ <br />C <br />WORKERS COMPENSATION <br />ANDEMPLOVERS'LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in Ni <br />If yes, describe under <br />N/A <br />IOU85937L148 <br />/25/2017 <br />2/25/2018 <br />WC STATU- OTH- <br />X <br />E.L. EACH ACCIDE NT $ 500 000 <br />E.L. DISEASE -EA EMPLOYE $ 500,000 <br />EL,DISEASE - POLICY LIMIT I $ 500,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD lot, Additional Remarks Schedule, If more space is required) /4 ('� LS '1/ / <br />rev ee�dA�y <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M15 <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />(Mark Frederiksen/MRC <br />ACORD 25 (2010/05) ©1988.2010 ACORD CORPORATION_ All rine+a rucnrvuH <br />Ini (201005),01 The ACORD name and logo are registered marks of ACORD <br />