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Policy Number: Date Entered: <br />C;LKIIt- IUA1tzOF LIAbILIIY INSUKANk," 3/2/2017 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />if SUBROGATION 15 WAIVED, subject to the terns and conditions of <br />*kte ..a.tlnran« Anes not router dahts to the corliBcate holder in Man of s <br />PRODUCER Michael Geffre Insurance Agency <br />496 N COAST HWY STE A <br />LAGUEA BEACH, CA 92851 <br />N-2017-206 <br />IR54REP t3EiH}Ut E�.iTCR2ES,..ISIC..._.____®._.....___._._._.._..._.-_._.. <br />and DBA ISOM ADVISORS <br />17821 E, 17TH ST. STE 245/255 <br />TUSTIN, CA 92780 <br />15 TO CER] IFY IF -Ai I HE t" UUt <br />ATED. NOTWITHSTANDING ANY F <br />IFICATE MAY BE ISSUED OR MAY <br />,USIONS _AND CONDITIONS OF SUC <br />TYPE Or INSURANCE <br />COMMER.CIALGENERAL LIABILITY <br />.�_ CLAINISMADE X OCCUR <br />i <br />ENL AGGREGATE LIMIT APPLIES PER: <br />PODGY_.�,PIECT �,,, i LDC <br />NT, TERM OR CONDITION OF AN <br />THE INSURANCE AFFORDED BY <br />LIMITS SHOWN MAY HAVE BEEP <br />ANYAUTO 1 j <br />OWNED SCHEDULED i <br />ALTOS ONLY AUTOS 805900024 <br />AUTESONLY IPuTQS ONLY , <br />DAIDRELLA LtAaOCCURI <br />EXCEssuna ',—.... wMsnaaDE {. 1=91008271 <br />YIN <br />I <br />i..,-JN1Ai IND9192 09 <br />must have ADDITIONAL.. INSURED provisions or be endaread. <br />certain policies may require an endorsement A statement on <br />M <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />3 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. <br />17 (e3j].l%2428. i Mvmm jnrmr.vc I § <br />DE SCRIPTION OF ONE RATIONS i LOC ATION S) VEHICLE 5 IACORD 101, Addtecnat IMMO ke SCaS(Mre, may HB nlUMFOd It MOM SIMM FF raeu Md) <br />I <br />$90,000 <br />THE CITY. OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATTN: RISK MANAGER ACCORDANCE WITH THE POLICY PROVI SIGNS, <br />20 CIVIC CENTER DR. <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />1 <br />ACORD 26 (2016/03) The ACORD name and toga are registered marks of ACORD <br />Produced using Forms BOSS Plus sOttwam www.FOrmsHoss.com; Impressive Publishing 500-206-1977 <br />12�v� � i,uErl� '131.; ,�-���a cA��r�jZC�^✓ <br />