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ACC>Ra CERTIFICATE OF LIABILITY INSURANCE DAM IMMIDDI(YYY) <br />_ 10102017 <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 policy(ios) must be ondorsad, It SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiFlcate does not confer rights to the <br />certificate holder in Ileu of such endorsement(sl. <br />PRODUCER fCNAQMNN�'TIE�CT <br />_Arrow Bay Insurance Agency E 888 308 5165 FAX 888 231 13979311 Recite Vista Drive _._.._„_ !1 -a <br />Moreno Valley CA 92557 <br />iNsuaao ------- <br />Southwest Trails <br />P,O_ Box 419 <br />CA 90248 <br />CERTIFICATE 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 NOTVMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NBTH 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 SEEN REDUCED BY PAID CLAIMS. <br />IN -SR -------- .----.0Dl,BUTF'"_._ .. .__._..._.._._ _.___ ----- <br />LTR OF INSURANCE POLICY NUMBER IMMIDYYY {MWon,YY"YYI <br />LIMITS <br />_TYPE <br />GENERAL LIABILITY <br />_ <br />EACH OCCURRENCE 5 <br />:_... �._ <br />- DAMAGIE ro-krIIsT o_ <br />OO M4IERCAL GENERAL LiA61LITy <br />........... -._ <br />+- <br />CLAV$4ADE--. iOCCUR <br />'.F MED EXp tAM ane e150M ;s <br />iPERSONALRADVINARY [3 <br />•: OENERALAGGREGATE <br />CENT AGGRSGATE Lf IIT APPJES PER <br />RODU T S-COMPIOP AUG = 5 <br />PRO. <br />POLOv w:T 14cc <br />.___._._.,.._.._ _.� __.. _.__......_.._�_._ <br />§ <br />_'. _ <br />j AUTOMOBILE LIASILn''t <br />S OM 6'NE aiti LE DMIT S <br />IL_. <br />ANY AUTO <br />BODILY WURY Pe, <br />- <br />ALL OkONED SCHEDULED i _ <br />-- _4..� .... _. <br />BOCY N'URY (PewdenH S <br />AUTO$AUTOS <br />NOTICwNE) <br />;HIRED AL.OS (AUTCS ! <br />iS <br />UMBRELLA LIAR r DOCUft <br />—Y� <br />EAC7IOC,.URNEFf ;E S <br />EXCESS LIAR LAsAS-MADE r <br />AGOREGAIT <br />DE3 - ' RETENTADN S <br />is <br />_ <br />IWORKYRSCOMPENSATION <br />SIA`U <br />ANDI„MPLOKERS'LIAR141TYYIN <br />IX Tnav UIg TE E;B— <br />�S <br />AN .YPR0F 1OP.�ARTNERrEXeCc':IVE <br />A 'OFPKfLRAMF seREXCLUDED? O N NIA , TRK9112614-fib 1 011 512 01 7 IOJ161201II <br />ELEAC ACCIDFN I_.._ 1000 -DOD .. <br />,(MandatarylnNHl ! <br />EL DISEASE EA EMPLOYPIS51DnU,ODO.. <br />`.;as den7haUMOK <br />,.E5CRIP710N OP GPERAiI.CIP'S tvf¢ry <br />L DISEASE -POLICY LIMIT 15 1,000,000 <br />� <br />aESCIIPTION OFOPERATIDNS 1 LOCATIONS I VEHICLES (AtO.H ACORD Uh. AddW011.1 RamarBS Sched.I., If mora spat. is aeq.N,ml� <br />Certificate Holder IS Named as Additional Insured <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS`? <br />20 Civic Center Plaza - ` <br />Santa Ana CA 92701 AUTHORIZED RedRasENTATrve <br />ACORD 25 (2010106) @11988-201 ACORD ,ORPORAT*W All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />