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A-Zo17- I2-3 <br />CERTIFICATE OF LIABILITY INSURANCEe/19/2p1T <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEOR <br />RTIFICAElyTE HOLDER. THIS <br />CERTIFICATE <br />TES oFa NOT <br />INSURANOR CE E NESS TIV LN AME <br />ETu7E NO XAECONTRACT ND OR TBETWEEN THE ISSUING <br />ER THI NBURER(S),TAUTHOR12ED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />. Y I sub eet to <br />IMPORTANT: If the CertlRCate holder Is an ADDITIONAL INSURED, the peke (ies) m Jst bo endorsed. It SUBROGATION S WAIVED, <br />the terms and conditions of the policy, certain policies may requ(re an endorsement A statement on this certiflcete docs not confer rights to th1 <br />certificate holder in Ilea of such endorsements - cDNTACT Selena Ramos <br />NAME: <br />FAX (909)4776-QIOL <br />PRODUCER PWIpN�e��I. (909)476-0600 1eteJ= <br />The Empire Company A-E-MPIL SRamos@91M1pire'co, Gem NAICx <br />qD Efi_ss" <br />7,0201 Trademark Bt., Suite D INSURERIS AFfOROIND COVERAGE 10900 <br />P.O. Box 5400 INSURER A3reEeared ££ lOo' — <br />Am®titan Capital Enterprises, Inc. <br />P. 0. Box 69358C <br />CA 92509 <br />G ANY RI <br />OR MAY <br />OF SUCI <br />ELMMR-MAOE 11 OCCUR <br />L AGGREGATE LIMIT APPLES PER <br />PRO- <br />POLIC( JEOT I we <br />I ANY AUTO <br />ALLOWNED SCV490ULEn <br />AUrOG NON•OWNEO <br />HIRED AUTOS AUTOS <br />eMoizs,. 4LIAO OCCUR <br />"CM. LAB Ct IMS4 <br />ED TE" NY <br />WORKERS COMPENSATION <br />AND eNPLGYGRS' L"lUrrY <br />my PROPRATORiPARTNERIEKECUTIVE <br />OFfICERW9M0E4 ExLLUnE01 <br />A (Mandatory In NMI <br />11yee.dexlroc •ndw <br />pEYLRIPnDN OF OPERATIONS WI <br />DESCRIPTION OF OPERATIONS I LOCATIONS <br />111¢1140438-0 <br />(ACORD 101, "61t0ml R4m3" <br />E BEEN 155UCu IV I"- — <br />)F ANY CONTRACT OR OTHER DOCUMENT' <br />p BY THE POUCIES DESCRIBED HEREIN IS <br />BEEN REDUCED BY PAIDCLQ AIM I_— <br />BODILYINJUW <br />ACCIDENT <br />5/1/20177 16/1/2018 <br />' TO WHICH THIS <br />ALL THE TERMS. <br />15 1,000,0001 <br />aaaGa a mdNndl_ VL le �( I ` <br />u� APPROV I <br />IERTIFICATE HOLDER <br />E. <br />iHEUE%PIRATIONH DA E�THEREDFBEND7ICEI WILL CBE CDELNEREDBEFORN <br />City of Santa Ana ACCORDANCE WITH TME POLICY PROVISION&. <br />p0 <br />Box <br />1988 M-] 7 AU NOW2F0 REPRESENTAT Ye A <br />Santa Ana, CA 92702, <br />Cr1ca It-Drnaday/ERICA <br />p 1998.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and iOgO are registered marks of ACORO <br />INS08511e14m1 <br />