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cc�RJra CERTIFICATE OF LIABILITY INSURANCE DATEtMhLDDY YYi
<br />1 Df1 Sf2o17
<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 />IMFUNIAN'i: IT the CSThnCate hOKIGr [San ADDITIONAL INSURED, the polft y(les) must have ADDITIONAL INSURED provisions or ha endorsed,
<br />If SUBROGATION IS WAIVED, subtect to the terms and conditions Of the policy, certain policies may requite an endorsement. A statement on pf
<br />this certificate does not confer rihhts to the certificate holder in lieu of such endorsement(st.
<br />PRODUCER
<br />CA DOI License No.
<br />INSURED
<br />Alliance Environmental Group, Inc.
<br />990 West Tenth Street
<br />Azusa CA 91702 N-2017-213
<br />COVERAGES CERTIFICATE NUMRER- aARAnRgo RC'vLclnM MINJRPP,
<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, NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION
<br />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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE
<br />BEEN REDUCED BY PAID CLAIMS.
<br />—--rINSDIBgBR_WV
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<br />TR 1YAE,9PINSURANCB I D P12DeYNUMaER
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<br />LMfDIYYYVI IMMDOIYYYYI LIMVTS
<br />A
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<br />C9MMEROAL GENERAL UASILITY ! f 1000065722171
<br />O/10f2Q17
<br />8110/2018
<br />11 eACHOCCURRENCE i $
<br />$1,000_, IOFID
<br />T CLAIMS -MADE E�(]OCCUR
<br />!DAMAi3E-i'Ol'fENTEO--_
<br />PREMISES (Ea AaURanosL�A
<br />$60,9DD
<br />IMED EXP {Any orePerson} i_$..._
<br />$80,000
<br />_
<br />ERGONAL&AnV INJURY 1,$
<br />$"1.ODB,OfIO
<br />i( GENUAGGREGATE
<br />LIqMpIT, APPUPS PER:
<br />_
<br />I_0@NERAL AGSREGA4B '$_
<br />82,OD0.000
<br />POLICY ✓ I JECT 1-1 100 1
<br />PROGUCT6-COMPIOPAGG 1$
<br />$2,000,000
<br />OTHER'.
<br />i
<br />I S
<br />—_
<br />B
<br />AUTOMOBILEDABIDTY
<br />! SISIPCA08264417
<br />6/10/2017 1611012018 CO eNEOSNGLE LIMIT i$
<br />�,SEa�aWeln)„_
<br />I1 090 oai
<br />✓
<br />ANYAUTD -
<br />iBOOILY INJURY(Per parson)}6
<br />1
<br />OWNED SCHEDULED
<br />AUTO$ ONLY AUTOS
<br />BODILY INJURY Par AeCin9nr $
<br />J
<br />IRED ! NON -OWNED
<br />I AUTOS ONLY ✓ I AUTOS ONLY
<br />VR(TPERTY DAFAAGE
<br />j 1Pergcaltlentl S_
<br />I ✓
<br />I Come # Coli
<br />MediDal Pa mints is
<br />$6,000
<br />UMBRELLALIAH OCCUR
<br />EACHOCCURREN�$
<br />EXCESS LIAR CLAR1184AOE
<br />li IAGOREGATE ,S
<br />�-
<br />DED 1 i RETENTIONS
<br />S
<br />B
<br />WORKERS COMPENSATJON 11000002015
<br />1/29/2017 1129/2015 fATUTE,�
<br />AND EMPLOYERSLIABILITY qq����
<br />1ERP
<br />ANYAR9PRISTORIPARTNBRIEXEGUTIVE r^^1
<br />E.6 BAOH AOOIDENT $
<br />S1 0o0,00D
<br />OFFICER OWPEREXCLUDED7 off INIA
<br />(Mandatory In NH)
<br />rE.L DISEASE - EA EMPLOYE6_S
<br />$1000000
<br />Of yy9s, deaetlhagnaer
<br />DESCRIPTIONOF OPERATIONS ndoW i
<br />IEL DISEASE -POLICY LIMIT I $
<br />ST,Q00,00R
<br />i
<br />i
<br />I i
<br />I
<br />DESCRIPTION OF OPERATIDNSd LOCATIONS I VEHICLES (ACORD191,Adam... I RemarksSchasuN,
<br />may he attached if more apace is requlmdG
<br />The City of Santa Ana, its: officers, employees, agents and representatives are named
<br />as additional insureds and primary/non-contribCut
<br />$
<br />clause applies to the general liability policy -see attached endorsement.
<br />The above policies Contain s 30-day notice provision for non -renewal and cancellation, 10=day notice for nonpayment of
<br />�tl.�tt�� `r{,
<br />\
<br />ry,�
<br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: PRCSA ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center Plaza, M-23
<br />Santa Ana CA 92701
<br />AU'mOR12EO REPRESENTATIVE T r�1
<br />aAlnl�n'il Pl,nlnllnm
<br />ACONO 2512015103) The ACORD name and logo are registered marks Of ACORD
<br />36W532 I Alliance 1 29-18 WC, 1948 OL-AL-VAI-CPL-PL 1 Aharry Yonrp 119/16/261'1 006,1&AM (Rw) I Fagg i of 3
<br />
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