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c c �rcv CERTIFICATE, OF LIABILITY IN$URANCE � lvlreamuum>fTI <br />10J1�(20f <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NQT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: I}Sho Fartifioata holder is an ADDITIONAL INSURED, the polley(les) must have ADDITIONAL INSURED provtsl'ans or he endorsed. <br />If SUEROGATFON IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on <br />this certificate does not confer rlNhts to the certificate holder In Neu of such andorsamantfsl. <br />Group, Inc. <br />N-2017-213-02 <br />N-2017-213 <br />COVERAGES OFRTIPICATE NIJMRFR- nAknnRan ocImmulu NUIURco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 <br />INDICATED, N07WTf RSTANDING ANY RERUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />�A�4�0 <br />Y <br />1 <br />S� T=QS18� <br />, <br />...^�.. E1 <br />COURHG <br />fTR"LIM4TL16 <br />6 ,—..—.^$O6O0Q,0O..0D_0O. <br />NMaIAYCAIARLCaPEINNe2URRAALNLIABILITY <br />. CAIM6MAOE OCCUR <br />! <br />_.__ i I <br />IMED E'XP IAny aMl Pnrnoa) <br />PFRSONALa ADVINJURY <br />s $00,040 <br />IS _ S1,000,gOq <br />GENIAGOREGATE LIMIT APPLJES PER. <br />PHO <br />POLICY I JECT LOC - <br />OTLAS <br />I <br />IG7ENERAL A04REOAYfi <br />�.PR..q tC8 RI.O_TCOM ,AGO <br />_§ Off0,000 <br />IS $2,OOD,000 <br />I S _- <br />8 AUTOMO <br />j ✓ <br />1✓ <br />✓ <br />1 <br />'_..._ <br />I ! <br />AUTO <br />OWNED O <br />1 AUTP5 AUTOS 2D <br />AUT S ONLY <br />pp <br />WRED I NONAMNED <br />ALTO$ ONLY AUTOS ONLY <br />Cnm &Coll 1 <br />UMBRBLLAVAS COO - <br />EXeaa&LIAD I CLAIMB.MAOS. - <br />_ ..T..._ .._.1. ._� <br />LED I i RETENT ON <br />�SISIPOA08264417 <br />1 <br />6/10/2017 16/l0/2016 I a$� NOLELIMIi <br />a0014Y INJUhY IPerpe(bM) . <br />! BOC&Y INJURY (Pare6aiannq <br />-PR2SP^R�r�AJtA7aa—' <br />Medical Pa ments <br />�_ EACH OCCIIRRENC2 <br />:AOPR66ATf <br />s 41 �C,60_0_ll <br />9 <br />S .....__..,._... .._._ <br />g <br />11 $5,000 <br />( S <br />-^ <br />,_____.__ <br />_ <br />WORKTIRAGIg <br />B ' ANOEEgMgr0 lµtl WAIULo oa I-d^� 110A0002915 <br />ANYAR9PR1E4MTp0PoPAkTNER1E%EOVTIV6 Y NIA <br />�f <br />rYI Nyy <br />CRIRR PF OPERA71CN84alaW <br />I11812 7;1/2912P18 �.. qT"nHI.... l�P <br />(f L EACH ACCIPENi j <br />i <br />I , ILL 01SCASE_EA EMALOY�s <br />RISEASR - PCLC LIMIT <br />$ __ _ $4 0O0 000 <br />11000000 <br />I S $i3OQ0,000 <br />i i <br />. _. <br />( <br />i i i <br />DESCRIPTION OFOP"WN51 LACAn10NItVaLI16L03(A0ORD19y Add1IWn4l ReMalks B<Ne4UID, Mny Ce ctlacPauilmamepam rs regWredlQ �Y <br />The City of Santa Ana, He offlcars, employees, agents and representatives are named as additional Insureds and prlmaly/non-00numU <br />clause applles t4 the generei liability pallcyaee attaohec endorsement$ <br />The above po11cles contaln a 3Dday notice provision for non•renewal and cancellation, 10•day notice for nonpayment of p <br />�G5 <br />P <br />Cityof Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE OF,LIVERED IR <br />20 Civic <br />Canter Plaza, M-23 C$A ACQOROANCE WITH THE POLICY PROVIMONS. <br />lc <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE f1 <br />6Alnlnnr�l Akrlrvllan �'p ��i�•^ �-^^" "'���,�`\ <br />AUGRfO 20 1201510) The ACORD name and logo are registered marks of ACORO <br />363805.9 1 AIII... 1 19AB PC, 19d8 GI -AL V41•cVL•nc 1 011nrry T.V 11oy16/Daly 906,1i N1 (mml I Pa, L oe <br />