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I/ <br />11A <br />ACC)R" CERTIFICATE OF LIABILITY INSURANCE <br />Ii <br />612 1( M/DOIYYYY) <br />4/6/2017 <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />United Agencies, Inc. <br />One Post, Ste. 200 <br />Irvine CA 92618 <br />NAME: CT Jenn far Castaneda <br />PHONE FAX <br />x0..949=988.7_1..69 AIC No: <br />nD aIL eda encies.com <br />g <br />.S.;jDBS1:tiLe5la%�nit <br />INSURER(S) AFFORDING COVERAGE NAICq <br />4/8/2017 <br />V// <br />INSURER A:Un ted Fire & Casualty Company 13021 <br />EACH OCCURRENCE $1,000,000 <br />INSURED DEKRI N D-01 <br />INSURER B: <br />INSURER C: <br />Dekra-Lite Industries, Inc./ <br />3102 W. Alton Ave V/ <br />Santa Ana CA 92704 <br />INSURERD: <br />LIMIT APPLIES PER: <br />L PRO- LOC <br />JFGI <br />PRODUCTS - COMP/OP AGO $2,000,000 <br />INSURER E <br />INSURER F: <br />AUTOMOBILE <br />X <br />X <br />COVERAGES CERTIFICATE NUMBER: 142024064 REVISION NUMBER: <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, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IL R <br />TYPE OF INSURANCE <br />INSR <br />WVO <br />POLICY NUMBER <br />POLICVEFF <br />MM/ODIYYVV <br />POLICY EXP <br />MMIDONYYV <br />LIMITS <br />A <br />/ <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 171 OCCUR <br />Y <br />60475294 <br />4/8/2017 <br />V// <br />4/8/2018 <br />J// <br />EACH OCCURRENCE $1,000,000 <br />PREMISES(Ea occurrence $100,000 <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1000,000 <br />GENERAL AGGREGATE $Z0001000 <br />GEN'L AGGREGATE <br />POLICY <br />LIMIT APPLIES PER: <br />L PRO- LOC <br />JFGI <br />PRODUCTS - COMP/OP AGO $2,000,000 <br />$ <br />AUTOMOBILE <br />X <br />X <br />LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />Y <br />60475294 <br />4/8/2017 <br />/ <br />4/8/2018 <br />Ea accident 1,000 000 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Peraccident <br />Leased/Rented Autos $ACV <br />A <br />X <br />UMBRELLA LIABX <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />60475294 <br />4/8/2017 <br />4/8/20/1$ <br />V <br />EACH OCCURRENCE $2,000,000 <br />AGGREGATE $2,000,000 <br />DEO I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DE SC RIPTION OF OPERATIONS below <br />NIA <br />N <br />WC STATU- OTH- <br />E. L EACHACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />F.L. DISEASE -POLICY LIMIT 1 $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />The City of Santa Ana its officers r employees, agents, volunteers and representatives are named as Additional Insured as required by written <br />contract per attached forms. _ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />©1988.2010 ACORD CORPORATION. All <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />