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Policy N um bars <br />Date Entered'. <br />DATE <br />�7PL7 GLK I II-JUA 1 k Uf- LIABIL1 I Y INSUKANUL 3/2/2017 <br />THIS CERTIFICATE I$ ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br />THIS <br />CERTIFIBELOWTTE DOES NOT HIS NIS CERTI I ATE�OF INSURANCE DOES NOT IRMATIVELY OR L CONSTITUTE Y AMEND, XAEALTERND OR AFFORDED CONTRACT BETWEEN THE ISSUING IINSUER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an Auul ZONAL INSURED, the pollcyges) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and canditlons of the policy, certain policies may require an endorsement, A statement on <br />PRODUCER Michael GBffre Insura m Agency <br />996 N COAST HWY SSE A <br />LAGtM BEACH, CA 92651 <br />INSURED <br />and DRA ISOM ADVISORS <br />17621 E. 17TH ST. STE 295/255 <br />TUSTIN, CA 92780 <br />A <br />ERTIFY THAT THE POLICIES OF 1NSIJRANOE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FLKWU <br />VOTWfrHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />COVM&MADE M OCCUR <br />POUCY [..] JECT [_LOC <br />.�_ ( <br />BOBILYINJURY(POr Pawn) Is <br />ANYAUTO <br />,��' Ii..,, <br />s <br />_ <br />i BODILY INJURY(PIA Aoddanq <br />S mm <br />MOOS pSyC�HEDULED <br />HIRE00.S ONLY ,4 <br />NON OWNED <br />AUTOSONLY ? 11i AUTOS ONLY <br />I i(tUJ i)QD � <br />3/11/2017 <br />0311:.1/2410 P�kba AMAb <br />gE <br />1 <br />t <br />D( <br />UMSRELLALIAS OCCUR <br />I <br />I IEZXS1 <br />2/2[/2916 <br />EACH RCCURRFNCE7&2,000, <br />I <br />5''tQDQri}j <br />EXGE SS RATi i ClNM5ititADE <br />Qi}'7.1, <br />�12/27%201TACbOREOAI'El <br />f <br />DEDRETENTION $ CL <br />HERS COMPENSATION <br />, E <br />SIATI11E,_,L„ <br />ISI, 000,0, <br />EMPLOYERS'LIABILITY YIN <br />>ROPRIETORIPARTNERIEXECUTiVE ' <br />IXGt.U0E0R <br />I <br />NIAi N{}�.i.5 67 Q) <br />3/11/2017 <br />03/11/201a FLEACH AOCIQFNT <br />4 EMPLQYEEfS <br />m. <br />�. t}QOrt1' <br />;ER�h1EMBE pR <br />darory in Ntp <br />i <br />�E L. BISEAS4^•FA <br />IF <br />51, 000 r 0 <br />desalba u0dar <br />;RIPn0N OF 0PERATIO14S 6.1-11 <br />� <br />DISEASE PO <br />121 +OCCtTRRENCE <br />$25,000 <br />325 rDGB <br />XUAL/PHY&SCA% ABUSE <br />CT#52550051 <br />,12f27f201b <br />=AGGREGATE <br />$50:000 <br />Or OPERATIONS I LOCATIONS I VEHICLE 5 OCORD 401, AMIMOMNR MPks SCNoduu, mNy ua5"ACNOd "MOM "IM0is raWMHU <br />THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBER POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATTN: RISK MANAGER ACCORDANCEWITH THE POLICY PROVISIONS, <br />20 CIVIC CENTER DR. �_......... <br />SANTA ANA, CA 92701 AUTHORIMI)REPRESENTATIVE <br />HICHASL GISFERZ <br />61335.2016 ACORD CORPORATION. All rights rAUnU`V d. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD / J <br />Produced using Forms BOSS Pius SORwam. www.FormS6oss.COm, impressive Publishing 500-206-1977 <br />V L5U` c p o t� 6, ltLvV} 20 � S '% LCcagJ <br />