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A m CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />]IMM/]/13/2201]017 r) <br />PRODUCER <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MaButremsunew AganW, hm. <br />27101 Puerta Rea[ Softe <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2P00 <br />Millon Vlelo,8yU- <br />2E9Y <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />877,438.]959 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NIX <br />INSURED <br />Chat,V Le <br />INSURER): Philadelphia lndemnity Insurance Company 18058IT$ <br />INSURER 0: <br />p Rapiers, <br />INSURER C <br />II CA 92620.2576 <br />INSURER D: <br />X <br />GENERAL LIABILITY <br />INSURERE: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />pDD'L <br />AUTHORIZED REPRESENTATIVC <br />POLICY EFFECTIVE <br />POLICY E%PIRAPON <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DO/YYYY) <br />DATE IMM/DD/YYYY) <br />LMITTE <br />A <br />X <br />GENERAL LIABILITY <br />PHPK66190b007 <br />12/17/2017 <br />12/17/2018 <br />EACH OCCURENCE $1,000,000 <br />% COM MERCIALGENERALLIABILITY <br />_PREMISES IEafSlEa o�Nc re Cel $300,000 <br />- <br />MED EXP (Anyone person) $2,500 <br />CLAIMS MADE � OCCUR <br />X PROFESSIONALLIABILItt <br />PERSONAL & ADV INIDPY $1,000,000 <br />GENERAL AGGREGATE $3,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PfPI <br />PRODUCTS - COMP/OP AGO $3,00)000 <br />X POLIO( f7 PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />IEA acddent) <br />ALLOWNEDAUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) <br />HIRMAUTOS <br />BODILY INIU%Y <br />NON-OWNEDAUTOS <br />HAD, ecGldent) <br />PROPERTY DAMAGE <br />(Par..IAsnt) <br />GARAGE UABILITY <br />AUTO ONLY -EA ACCIDENT <br />ANY ACTED <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />EACH OCCURENCE <br />OCCUR ❑ CIAIMSMADE <br />AGGREGATE <br />DEDUCTIBLEFar <br />RETENTION <br />V <br />RI .COMPENSO <br />ATI <br />CMPLOYERS' LIABILITY YN <br />�ll <br />A - H. <br />TORYLIbi; E0. <br />ANY PROPRIETgR(PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDE Di <br />-+�`✓ <br />gg <br />�J <br />I.L. EACH ACCIDENT <br />(Mandatory in NN) <br />SPECIAL <br />5/n� .3 <br />EL. DISEASE - EA AMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />PROVISIONS he PRY <br />`'`�r <br />.�(�`�l <br />\" :N <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENOCRIMEMENT / SP4E\C/Ip1L VflOVIS10N5 <br />It Is understood and agreed the the followln6 entity Is added as an additional Insured but Only with respod(sl to the operations of the named Insured except that liability resulting hom the additional Insured's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana, ILS ofroal%employee, apenU, aprasantasivea&volunteer. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAIS <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAY] WR17FN NOTICE TO THE <br />20 Civic Center Playa M-25 <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 111011 11 OBLIGATION OR <br />5.0 Ana, CA 92701- <br />LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS On REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVC <br />eo <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />