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/iL VKLF DAre,M <br />CERTIFICATE OF LIABILITY INSURANCE - ' <br />05/18/,018 <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 DOES <br />NOT C AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL CIES <br />BELOW. THIS CERTIFICATE E INSURANCE DOES NOT CONSTITUTE A CONTRACT BE THE ISSUING INSURER(S), AUTHO 12ED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED, the policy(lesct ) must be endorsed. It SUBROGATION IS WAIVED, subs to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights t0 the <br />Certificate holder in Ileu of such endoreemen s . <br />PRODUCER <br />NAME: y ANA LEE <br />INSURANCE LAND INSURANCE SERVICES UUNTPHONE 213-3$S-SSDS <br />4032 WILSHIRE BLVD AIC No: 213-388 719 <br />EDDHE <br />SIIITS 309 ADo Ess: INSIIRANCELAND(PGMAIL.COM <br />LOS ANGELES INSURE 8 AFFORDING COVERAGEINSURED Nta <br />CA 90010 NsuRERA: W88T8RN WORLD INSURNACE COMPANY <br />VALLEY MAINTENANCE CORPORATION WNURERe: FINANCIAL INDEMNITY COMPANY <br />VALLEY <br />iN URERD: ICN GROUP <br />10002 PIONEER BLVD. SUITE 101 ININ'SWERE• TRAVELERS CASUALTY AND <br />SANTA PE SPRINGS CA 90670 <br />UIIERF <br />NEVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />100 <br />THIS <br />WS. <br />SURA <br />LIMITS <br />ERAL WBIl1TY <br />LM <br />CLAIMS -MADE © OCCUR <br />EACHOCCURREFICE <br />P E <br />s 1,001 <br />t 30 <br />, 000 <br />1000 <br />MEO EXP maperean) <br />f <br />,GOO <br />E <br />x <br />!77w�.'Ropmw <br />06292185-0 <br />11/02/201711/02/2018 <br />n <br />PERSONAL B AW INJURY <br />s 1100 <br />1000 <br />ITAPPIJES PER: <br />LOC <br />AUTOMOBCE'-'ASIL'TY <br />ANY AlrtO <br />ALL ONMED ACHEDULEO <br />AUTOS AUTOS <br />HIREDAUTOS NON-O MEO <br />AUTOS <br />GENERALAGGREGATE <br />S 2,00 <br />,00T <br />PRODUCTS-COMP/OPAGG <br />S INC <br />UDED <br />.PROPBRTY e'fRRRp <br />eWtleD M <br />t 2 <br />t 2100 <br />1000 <br />,DOD <br />BODILY INJURY(Po, pram) <br />s <br />BODILY IN.IURY (Par aai0en0 <br />s <br />PRMOPER WMA <br />t <br />AGGREGATE <br />EACH OCCURRENCE <br />t 1100 <br />s 5100 <br />,000 <br />1000 <br />C <br />D <br />UMBRELLA IIAB OCCUR <br />E%CESS UAB CLAIMSAIADE <br />XL1578400A <br />WSA5037498 <br />5/02/20185/02/2019 <br />8/13/2017 <br />3/13/2018ANY <br />AGGREGATE <br />s 5,00 <br />,000 <br />DED RETENTIONS <br />WOR11MRS COMPENSAIION <br />AND EMPLOYER.H' LIABILITY YIN <br />OFFICEFINVulBER MLUOED�i ECUTfVE ❑NIA <br />IlMyyeafttle .D <br />OEMdRIPTION OF OPERATIONS bell. <br />PRODUCTS <br />O <br />TA <br />t $00 <br />1000 <br />E.L. EACH ACCIDENT <br />s 1100 <br />1000 <br />EL DISEASE -EA EMPLOYE <br />S 1,00 <br />,000 <br />ELOSEASE-POUCYUMIT <br />$ 1100 <br />1000 <br />8 <br />CRIME <br />105620659 <br />05/24/2018 <br />05/24/2019 <br />THIRD PARTY <br />11DO <br />1000 <br />OESCRIPTON OF OPERATONB /LOCATION$ l VEHICLlS (ACOND 101, Additional RamaMS Schedule, my W aINSMtl rmora space la ra9Wnw1 <br />THE CITY OF SANTA .ANA, ITS OFFICERS,EMPLOYEES,AGENTS,AND REPRESENTATIVE ARE <br />NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER THE ATTACHED <br />FORM. <br />CERTIFICATE LItV nco <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SHOULD ANY OF THE ABOVE DESCRIBED POU( <br />THE EXPIRATION DATE THEREOF, NOTICE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA AN CA 10163-4668 9 /- <br />V <br />®f 988-2014 ACORD CORPORATIO 1 <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />1'7- <br />IN <br />