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" °' CERTIFICATE OF LIABILITY INSURANCE DATEIMMIdovrvY)
<br />02/24/2020
<br />THIS CERTIFICATE IS ISSUED AS;A MATTER. OF INFORMATION ONLY AND CONFERS. NO RIGHTS
<br />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 CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
<br />INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE. HOLDER,
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL iNSURED, thepoltcy(tes) must have ADDITIONAL 1NSURED provlsions or be:eotlorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions Of the policy, certain, policies may: require
<br />an endorsement A statement an
<br />this certificate does not confer rights to1hB certIRE to holder-tnlleu ofsuch endorsemont(si.
<br />• PRODUCER Mike Brandon Insurance
<br />coxracT Mike Brandon
<br />31629 Outer Highway 10 Suite A
<br />NAME
<br />Redlands GA 92373
<br />PHONE g09.794 8191
<br />.la NocEwL__ (arc,yoL900-794$1g3
<br />E•M 'IL
<br />�beRESS P91ka Bran dtiltstlr oianco@Yahoo corns
<br />- _. _.._._ .. ....,... _. ......._
<br />Northfield lnsut'ancgno covEAac
<br />INSURER L._
<br />.INSURED I Water Inc.
<br />AIG Insurance "^
<br />INSURERS1.111.
<br />12.GDOdyear Ste. 130
<br />Irvine Ca 92618
<br />INSURER C.
<br />-INSURER D: .. _
<br />fNSVRERE ,
<br />INSURERP .. .. _ ..... _. _
<br />COVERAGES CERTIFICATE NUMBER;, REVISION. NUMBER:
<br />THIS IS TO CERTIFY THAI"'IHE POLICIES Or INSURANCE LISTED; BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REIQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTFIER DOCUtvIENT ABOITHVE
<br />TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
<br />fS SUBJECT TO ALL'THE TERMS,
<br />EXCLUSIONS1-1-UCONDITIONS OF SUCH POLICIES LIMITS SHOWN- MAY HAVE BEEN REDUCED BY PAID CLAIMS..
<br />-AAJffl". POLICY EKF-1 POLICY EXG. •" "'
<br />RCIAL INERAL LIA POUCYNUMBEfl MMRM PMMR)pi
<br />LIMITSCOMMERC)ALGENEgACL1ABIfJTY ! y 1EAR
<br />kktk,
<br />ICC+'URRENCEOCCUR
<br />I iiI ➢tz�rilSEu (ca ncu}
<br />olryrr S100,000
<br />.......
<br />WH008318 IMFO.EAP(A+,yorrtparaPn} ,1,000
<br />1012712019 101271'2020
<br />p(RS� $AOV INIURY s i,000,000
<br />I GE:NLAG(;REL,AIPIJM(rAPPDE iLR f j I
<br />POUCY❑JkCi LGv EIJFNALAGGREUATE S2000,000
<br />Fi2J7Ul ra :COMP/U'AGG 5, 2,000,060
<br />OTHERr - :
<br />AUTOMOBILE LIABILITY
<br />f 'i ON, NEU$INr LE LIMI I
<br />AMYAIbrU ' , ll_Fa msine!T I e
<br />OVMFM -SCHEDULED ' !BOOILYiWURY (Por Pcrspn) 3
<br />i 1 ,:ramennfir 9. �• HIRED 'NONAWNED I .. ...
<br />AUTOSONLY ArUTOS eODILY:NJURY(P
<br />AUTU$ONLV AUYOS OKY i - I i-PROPERIYPANACL,
<br />✓ VMSRELLALIAa y OCCUR
<br />ACi(K_CUR,.R_F._NCC g4,000,000 _.
<br />B ExcEss uAO ,.— t:I❑
<br />828 10/2712019 1cAlSnAre012772020acclewte
<br />s4,000,000
<br />-NETMKIONS
<br />DIED..
<br />I WORKERSCOMPENSATION
<br />!AND
<br />EMPLOYERII'LIASILITY ! :� PER - UtH
<br />YfN : - STATU IE.,. ER
<br />ANYPp,OPRIETOA/PARTNERlEXEEJJr1VE i ., ....,
<br />OFC'1OEWUERIBEREYCLUbEhi ��NIA. j I EL. EACH ACCIDEtvf Is
<br />iMarMntnry in NRl
<br />It ca. eaScnM unJo-r I I I ;. E L DISEASE- EA CMPLOYEEI £
<br />�sCNIa7i0NOPOP
<br />r18 TIefve an ! :. !. .., j _.. ..:.. ... _
<br />DEL bISLASE. POLICY I,IrAJr , I
<br />DESCRIPTION9ROPERATION3ILOGATIONSI VEHICLES IRi:ORDYVI.: ACa111Artal Rornnrka 9chatlulb, mnybb aaanbN7f Mora bpDCa lS roqulreA)
<br />Additional insured: City of Santa Ana REVIEWED &APPROVED
<br />80 Days
<br />Not)ce-ot CanOellati0n with 10 Days notice for nonpayment of pramiytii in: accordance
<br />with the polic'pptMAPMANAGEMENT DIVISION
<br />nVrY1
<br />Cf1y; of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Aria, Ca. 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLEO'BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCOROANCE WITH THE POLICY PROVISIONS.
<br />ACORD 25 l20i61031 rr,.:wnnon a._____...:
<br />
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