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ArC401Z& CERTIFICATE OF LIABILITY INSURANCE �" GATE (MMI06 YYYY) 1/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER Or INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polioy(ios) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the cenificats holder in (leu of such endorsemen4 e . PRODUCER CONTNAMD�IT Lizette Bargae Amorelli, ROsenlann G Associates Insurance Services PHONE (909) 967-7600 PAS Hall (909)9117-7656 3333 E Concours St EMAIL lizetteb@arainaurance. com ADD s: Building 9-200 Ontario CA 91764 INSURERS AFFORDING COVERAGE NAI M (SURE A:State COMP. Insurance Fund 35076 INSURED INSURER 8: Mdg Associates, Inc. _ INSURERC: 10722 Arrow Route Ste 822 INSURER D: INSURER B GENII. AGGREGATE LIMIT APPLIES PER: POLICY YROT 71 LOC OTHER: Rancho Cucamonga CA 91730 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1762916976 RFVIginN IdIIMRCR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HLTR ERTypE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN R POLICY NU6IB MIDI �AIIF YYYPOLICY &&D11 E%p LIMITS 20 CIVIC CENTER PLAZA COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 71 OCCUR _ Lizette Bargas/GHEES EACH OCCURRENCE $ TO RENTED i tante $ MED EKE (Any oneperson) If PERSONAL A ADV INJURY $ GENII. AGGREGATE LIMIT APPLIES PER: POLICY YROT 71 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS %MFINEUISINGLE LIMIT$ BODILY [NJ URY(per parson) $ BODILY INJURY Peraccidenl $ ( ) PerOeccldanl AMAGE $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ OED I I RETENTION $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIV8❑NIA OFFICMMEMBER EXCLUDED? (Mandatory In NH) (lyyes describe under OES41RIPTION OF OPERATIONS below 1980750-17 7/1/2017 7/1/2018 PER TH- S STATUE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE. EA EMPLOYE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule,maybe attached 11 more apace is required) PROOF OF INSURANCE FOR CITY OF SANTA ANA COIXRMNITY DEVELOPMENT AGENCY. CERTIFICATE HOLDER CANCFI_I CTION ©1988.2014 ACORD CORPORATION. All rights rres^,erved. ACORD25 (2014/01) The ACORD name and logo are registered marks of ACORD - �`�"(yl,Vt`y�-1 INS025 r2f)1401) \ SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: TERRI EGGERS, SENIOR MGMT ANALYST ACCORDANCE WITH THE POLICY PROVISIONS. CONg,=ITY DEVELOPMENT AGENCY AUTHORIZED REPRESeNTATIVE 20 CIVIC CENTER PLAZA $ANA ANA, CA 92701 _ Lizette Bargas/GHEES ©1988.2014 ACORD CORPORATION. All rights rres^,erved. ACORD25 (2014/01) The ACORD name and logo are registered marks of ACORD - �`�"(yl,Vt`y�-1 INS025 r2f)1401) \