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ACC)RDl CERTIFICATE OF LIABILITY INSURANCE DATE tMMIDRM YY, <br />i%' 91!221 <br />,,,,,,.- 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyhos) 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 />PRODUCER <br />4ndreim & Company -San Mateo <br />220 West 20th Ave <br />San Mateo CA 94403 <br />INSURED SOUTH -3 <br />Southwest Trails, Inc. <br />19203 S. Figueroa St <br />Gardena CA 90248 <br />r'r1VP0Al:9C riPPTIFIr:ATP NIIMRFR- 319616000 PPLHAU llo WIMRF'p. <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 />Arm Purchasing Department <br />NSR 7"S30R _._-...- pp------ <br />.._...._ UMTS __.__... <br />_LA <br />Lm TYPEOFINSURANCE NSDWcPOLICY NUMBER MMIDDIY <br />Santa Ana CA 92791 <br />A X COMMERCIAL GENERAL LIABILITY v 'PFHRUG0730301 121112017 /2`1;2918 <br />CA.c:^ CCCLRRENGE .$1.000.000 <br />_ <br />CIRll.15-MI CCCUR ; <br />10 <br />�1OADEK <br />i RE ISES,I:3..-cGyrc,r0 000 <br />.............._.._. _..�.v i `: <br />41P0 XP {Any areperoR, .96000 <br />'PERSONAL <br />R3 -4F $1100 ,000 <br />-- <br />(u'cN'L AOitRn.sAT =41r G{P =9 ?.R <br />ALAGGREGXrE 32,000000 <br />_ENF <br />X pCLICt LOC <br />�._... JED- <br />�RCf.4 9-CCM>1GP aG� $2,000,000 <br />A AUTOMOSIL'e UASILITY :PFHRUOW38301 '1'112917 12/112018 <br />aacr ce�r _� LI S1 OOO 000 <br />ANY AUTO <br />BODILY INJURY 1Pw Parlan; (S <br />X Cv4NED $- HEUOLED <br />0('0ILYINJURY(Perpawnerq_$ ...._ ...._ ._. <br />AUTOS ONLY ALTOS <br />HIRED ._."_NOTAfP:ED <br />R6R "N"t'DAMAGE'. <br />X AUD)S NLY X 1 Atr. 9 }d.Y <br />_I'CA98Ad '.. X IlMCS-90Eno[_�-- <br />-X ., <br />S X I UMBRELLA LIAR X_CCCLYt ' 15RENMA16090650@240960 ' 12142017 121PS018 <br />E Cry OQCLR,RENCE Ta 000.DOO <br />EXCESS LIAR CLAMFMACE <br />AGGREGATE 36000,000 <br />*DED X R i-NTIONSO <br />3 <br />WORKERS COMPENSATION <br />SER LTE <br />AND EMPLOYERS'LIABILITY Y1Nl <br />'ANY PRLI°RIE" RPARTNERrt{k,�VTiVE r"^ - <br />A tI IFIDi-E`I 5 <br />- --_- .._......__ ..__—__.._.. <br />OPFICERVE43B EXCLUDED'' �INtA <br />;(Mandatory In NH) : <br />E DISEASE - GA EMPLOY`E;S <br />' uESCRIPBON OF OPERATIONS�ebw <br />L.DI$ASE40UOY M1T:S <br />C Excetc Liability = E:D3600B09'PI00 121112017 13/4/2018 <br />=EAOCIAGG 3000000 <br />A = Motor Tuck Cargo iPFHRU00738301 XLBIJ2017 '12%12018 <br />Eacft OccuaAnce 100000 <br />-Deducible 1,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES tACORD IGI,Addltlpnal Ramarks S.hadui& may ba attached R niam spam Is raquVM,H <br />Thee City of Santa Ana, it's officers, employees, agents.. and representatives are named as additional <br />insured per attached endorsement <br />form* <br />rinxvc wnt ncn - r`AkNf MI I ATIn KI <br />91$N&2.015 A(;CHBU QUHWVRAIIVN, A€t rtgnm roservea. <br />ACORD 25 (2018!03) The ACORD name and logo are registered marks of ADORE, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Arm Purchasing Department <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center P o7a <br />T <br />Santa Ana CA 92791 <br />------'---�' <br />AUTHORIZEDREPRESENTATIVE <br />91$N&2.015 A(;CHBU QUHWVRAIIVN, A€t rtgnm roservea. <br />ACORD 25 (2018!03) The ACORD name and logo are registered marks of ADORE, <br />