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I Hdr."YS.451 QOr1M7Ai F7 <br />INSURANCE - ATE IMM11 <br />OF D03/0112018 V, <br />CERTIFICATE LIABILITY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 NOTCONSTITUTE A CONTRACT BETWEEN THE ISSUINGINSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements}, <br />PRODUCER License fP 0757776 <br />HUB International Insurance Services Inc. <br />P.O. Bax 5345 <br />Riverside, CA 92517 <br />gONEACT Jennifer Houses <br />(AiCNNo, Ez9Z-} 77g-8FJ$3 FA% 951 ��1�2572 <br />t»rc, Nag{ } <br />E- oatE-eal,epu hubinternationaLeom <br />i R $ AFFORDING COVERAGE (C <br />^� <br />$ <br />INSURER A: Beazleinsurance Company 37540 <br />$ <br />INSURED <br />INSURER B: _ <br />INSURER C; <br />Linear Systems, Inc. <br />INSURER D <br />8403 Maple Place <br />Rancho Cucamonga, CA 91730 <br />INSURER E: <br />INSURER F: <br />LIABILITY <br />ANVAUTD <br />OWNED SCHEDULED <br />AUTOS AUTOS <br />��++// <br />AUTO&ONLY AOTO-0SONNLY <br />I <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. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 BEEN REDUCED BY PAID CLAIMS, <br />IN$R <br />R <br />'rYFE OF INSURANCE <br />ADDLISUBROID <br />p <br />POLICY NUMBER <br />POLICY <br />POLICY EFF <br />XAOPEXP <br />p LIMITS <br />y COMMERCIALGENERALLIASIUTY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE <br />DAMMAIGgE�4�ENTED <br />MED EXP Aff ane arson <br />_P_ER_SONALBADV INJURY <br />G ENERAL AGGREGAT <br />PRODUCTS-COMP/OP G— <br />w <br />^� <br />$ <br />-----J17 <br />.Si_..._.__^T <br />$ <br />_, � <br />$ <br />_ <br />LIMIT APPLIES PER: <br />'LAGGRF ATE L <br />POLICY'] JEqCT F LOC <br />$' <br />1_-- <br />AUTOMOBILE <br />.� <br />_ <br />LIABILITY <br />ANVAUTD <br />OWNED SCHEDULED <br />AUTOS AUTOS <br />��++// <br />AUTO&ONLY AOTO-0SONNLY <br />I <br />COMBINED SINGLE LIMIT <br />_BODILY INJURY Per arson <br />80qDILYINJURY Perawidenl <br />Pedsca�ry. AMAGE <br />$ <br />$ <br />- <br />UMBRELLA UAB L <br />EXCESS UAB F-ICLAWS-MADE <br />I OCCUR <br />EACHOCCU R NCE-- <br />AGGREGATE <br />III <br />DED J_LRETENTION <br />5 <br />A <br />A <br />wpRKRftB COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />AANNTN <br />Y PROPRIETOR/PARERIEXECUTIVE ❑ <br />andaIn ryn)EXCWDEDI <br />(m tory <br />IfS, desolibe under <br />D f P IOh',QP,OPERATIONS We,, <br />Professional Lab <br />PROF 11 $10,000 <br />NIA <br />_ <br />V102F'2180901 <br />V102F2180901 <br />03/0112018_ <br />0310112018 <br />RER OTH- <br />E. L. EACH ACCIDENT <br />E.L. EMPLOYS <br />E.L, DISEASE -POLICY IMI7 <br />001%2019 Each Claim <br />0310112019 Aggregate <br />_ y�— <br />" <br />_$ <br />$ <br />$ _ <br />2,000,000 <br />2,000,000 <br />(ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />R01417761EWITFAMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRE$ENTA nvE <br />Ca71988.2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />riaitts reserved. <br />