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"`MCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOrr" THIS CERTIFICATE IS ISSUED AS CERTIFICATE DOES NOT AFFIRM MA rIVE1.1i R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TH 11/6/2019 CERTIFICATE HOLDER. THIS BELOW. THIS CERTIFICATE OF I SURAI OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE AFFORDED BY THE POLICIES REPRESENTATIVE OR PRODUCER, kND Tli ISSUING E CERTIFICATE HOLDER. INSURER(S), AUTHORIZED IMPORTANT: If the certificate holds is an DDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, sublet this certificate does to th terms and conditions of the Policy, certain policies may require an endorsement. A statement on not confer right to the ertificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher & Co. CONTAC Edka SOk011k 77 PNONE 818534-3558 FAx x . 818.316.0990 Insurance Brokers of CA, Inc. LIC 2629 21820 Burbank Blvd. Suite 175 EMAIL , Edka Sokolik a' Woodland Hills CA 91367 .corn INSURED Downey Vendors 6814 Suva Street Bell Gardens, CA 90201 COVERAGFS rebTrnrArc .rr r..rs,•... ..._.. .. _._ THIS INSR IS TO CERTIFY THAT THE POLICI NOTWITHSTANDING ANY MAY BE ISSUED OR MA AND CONDITIONS OF SUC TYPE OF INSURANCE X S OF I EOUIR PERT POLIC ADDL Y SURANCE MENT, IN, ES. BRL LISTED BELOW HAVE BEEN TERM ORCONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER ISSUED TO CONTRACTOR THE POLICIES REDUCED BY PVUDCDYEFF 4/1/2019 THE INSURED OTHER DESCRIBED PAID CLAIMS. FOLICOYEXPLIMBA YYYYj Kt:VISIO NAMEDN DOCUMENT HEREIN I BOOVE ED I TjPOLICYIODINDICATED. WITH RESPETHISCERTIFICATE SUBJECT TMS,EXCLUSIONS COMMERCIALGENERALUABILRY CLAIMS.MADE�OCCUR BKW56585014 4/1/2020EACH OCCU RENCE APREMI S ewes ce MED EXP one arson PERSONAL S ADV INJURY $1,000,000 GEN1 AGGREGATE UMRAPPUES PER: GENERALA REGATE $2,000,000 A X JPERR1:1 LOC POLICY OTHER: AUTOMOBILE LIABILITY X ANY AUTO BAW56585014 4/1/2019 4/1/2020 PRODUCTS- OMP/OPAGG $2000000 COMBINERS NGLEUMIT $ $1,000,000 Y(Per person) $ OWNED AUTOSONLY AUTSCHO$EDULEO AUT X HIRED X NONONMED AUTOS ONLY AUTOS ONLY BODILY INJU BODILY INJU Y (Por ecGdenl) s PROPS Ee D AGEiftr E RENCE E $10.000,000 B X UMBRELALVU! X OCCUR EXCESS LIAR ClA1Ms-MAD USA56586014 4H/2019 4/72020 EACH OCCU DED X RETENTION$ AGGREGATE S10,000,000 WORKERS COMPENSATION E AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBEREXCLUDED9 (Mendatery In NMI NIA I STATUTI ERµ E.L. EACH ACCIDENT $ E.L DISEASE EA EMPLOYEE E byes, describe antler DESCRIPTION OF OPERATIONS below E.LDISEASE SI,= E1,000 POLICYLIMIT S A HIrsd AV PD CoUelon Dee. BAW56585014 4/1/2019 4/1/2U20 DESCRIPTION OFOPERATIONS ILOCATIONSIVEHI City of Santa Ana, Risk Management, it's General Liability coverage on a primary an U:S'AC fOcels, non c D 101,AddItlonal Remarks B .dule,rsaybeH .hedXrsoreapece lerago.d) mployees, agents, representatives, and volunteers are included as Additio ntdbUtory basis per attached form CG 88100413. 30 days Notice of Cancel al Insureds with respect to allon Applies. R VIE & APPROVED CERTIFICATE HOLDER MAKISK MANVIGEMENT UIVISIUN --Z=.._.. -_.__. V 13 2019 SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, Ni City of Santa Ana ACCORDANCE WITH THE POLICY PROVISII Risk Management M. LAMBERT 20 Civic Center PI AUTHGRIZEDREPRESENTATWE Santa Ana CA 92702 /jiYr �t• avv-Av rO qt, ACORD 25 (2016103) TheACORD name and logo are registered marks of ACORD ES BE CANCELLED BEFORE WILL BE DELIVERED IN rights