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Policy Number Uaia <br />1--00111 <br />CO/2 Ci GLR I RIGA 1 k Uh LIABIL1 I Y INSUKAN(:k � 9/2f2017 <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(Sh AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the cardficaM holder is an ADDITIONAL INSURED, the policy(es) must 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 />A— .,..+AnF+<tn the eAra&catm hoiderin lieu of such endorsement(s). <br />PROOUCER „R$ ME'.„.....�... - <br />Michaal ce££re TAsur4008 AHanOY PRONE sir`{"9491499-7261 <br />496 N COAST RW STE AEMAIL <br />LAGUNA BEACH, CA 926.51 AODRE $c <br />H19URER!$)Afft <br />INSURED U=,FWPI cv.tvrc.a, � <br />and DHA ISOM ADVISORS <br />17821 E. 17TH ST. STE 2451255 <br />TUSTIN, CA 92780 <br />COVERAGES <br />THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />LTR <br />tMr<tirtun. <br />IS TO CERTIFY THAT THE POLICIES <br />NOTWITHSTANDING ANY REQUIREMENT, <br />MAY BE ISSUED OR MAY PERTAIN, <br />AND CONDITIONS OF SUCH POLICIES. <br />_.... <br />TYPE OF INSURANCE <br />t c tNva,vcn. --- - <br />OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />TERM OR OONDTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTOWHICH TMS <br />THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />AD['iE Stldit_..................-.,_a..,._................�_ ... -00CV -� —WOCY ......_..__,..._.._.........LIMITS ._.�,...,�... <br />3 Be 1 Y NUMB I Y <br />EACHOCCURRENCE $1x000,000 <br />A <br />COMMERCIAL.GEN€RALtIAE1LRY <br />CLNM3.M4DE OCCUR <br />€ 1CPS`2560061 �12Tj201S izl2�jze1't. Pum', DVA -pirrin"L $J.DOr000 <br />LMED ERP A ono anion $5,000 <br />�PERSONALRMVINJURY ,61e 000x000 <br />1 bENCRpL AGGREGATE 821000,090 <br />GEN 4+xS'iGREGATELIMR APPU€a PER: <br />99 PRRpp.. � <br />i POLICY JECT ; LOC <br />E <br />'= PROD CTS-COMPIORAGO gT,; <br />F 4 <br />, <br />i <br />I OTHER'....... <br />-” EI IN 1. $rODOrQ00 <br />AUT'QM404E L7Adii:1TY <br />--ANYAUTO <br />E as ant <br />€ODILYINJURY(Pu parson) $ <br />OWNED I SiCHEOULED <br />ONLY AUTOS <br />$001LYINJURY(Peracddent) 5 _ a <br />j. � <br />C <br />C"+'" HIRED NON -OWNED <br />a, TOS <br />I i6059000`2 R8f1Yi2018 ( � 3 <br />/°\ NJTOSONLY 'AUTOS ONLY <br />�3/1Yj2027 <br />1 $ <br />.. <br />2, 000, <br />TI <br />I UMBRELLALtkn = OCCUR <br />I ;ZH OCCURRENCE $ OBO-- <br />�12(27j20t7 G ��.. ,004x000 <br />EXCESS LOUCWMS MADE <br />y~I <br />`EEXSIOD8271 �2j2ij2019 <br />�5 <br />PED RETENTION <br />I I_ r <br />W ILKERS COMPENSATION°( <br />AND EMPLOYERVLNa113TY YIN <br />I I II IrLF CHACCIDENT IS1r000r00.0 <br />R3j1ij2017 03jYij2Dta --• <br />( ANY PROPRIETOR'PARTNERIEECUTIVE 3 <br />EMREREX01.U4EpR <br />IN)AI N4915 67 (}t� ,.. <br />j, 0000 <br />i EAE_MPLOYEE $ UrU <br />OFFICER' ;�1 <br />((Mandatory THEIR <br />NN dosalbe In a' <br />S. <br />I EL DISEASE. <br />i Ek DI�SEASE� POLICY UNIT[ 51, (TO01000 <br />DESCRIPTION OF OPERATIONS Wo w— <br />� <br />12/2712019 12/27/2017 OCCURRENCE $25,000 <br />A <br />SEXUAL/PHYSICAL ABUSE <br />I CPS2560061 <br />I /AGGREGATE $50,000 <br />6 tVEHICLES <br />(ACORN 709. AtltllttnRat Remarks SCNedUFx, may as attaChGil I/ mala xbaCe M regNirodl <br />HE SCRfRF1ON <br />OF OPERATIONS f LOCATION <br />THE CITY OF SANTA ANA <br />ATTN: RISX MANAGER <br />20 CIVIC CENTER DR, <br />SANTA ANA, CA 92701 <br />.SHOULD ANY OF THE ABOVE CESORSED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATIDN DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVI SION1 <br />jMxCRAEL DEffFRB <br />�(----- " R) 1988.2016 At <br />ACORD 26 (2016tD8) The ACORD name and logo are registered marks of ACORD <br />Produced using Forms BOSS Plus SOfrwm0. www .Formseoss.cdm; Impressive Publishing 800.208-1877 <br />1�6, 4')I Jae 6om" aC-) <br />3/q <br />