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,Ec !Pbr CERTIFICATE OF LIABILITY INSURANCE <br />OATS(MMIDONYYY) <br />9/25/2016 <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 NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polloy(los) 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 <br />Lovitt & TDUchA -Tampa <br />1050 W Washinggton Street, Suite 233 <br />Temps AZ 86287 <br />Tenla SBitrd 0 <br />W elfin <br />' <br />� 602 60 I �AX <br />''rnnan..e39:— c xa1 90z-956.229a <br />laeHrldae�lovl„ t-o-uche,com <br />INSURER E AFFORDING COVERAGE NAIL <br />INSURER A: Philadelphia Indemnity Insurance Co <br />18098 <br />INSURPA NA7IHOU41 <br />�"' $�ORION <br />N1,91 <br />NT <br />INSURERS: <br />INSURER C : <br />_ <br />INlURERa, _ <br />3Valancla St <br />Santa Ana CA 92706 <br />INSa: _ <br />IN9UREURERRF I <br />COVERAGES CERTIFICATE NUMBER: 12g4472462 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />M R <br />TYPEOP INSURANCE <br />WWH <br />FOLICYNQMBVREP <br />LIMITS <br />A <br />X <br />COMMERCIALaENERAL LIABILITY <br />CLAIMS•MAOE FRI OCCUR <br />PHPK1735IN <br />Irenoia <br />10201% <br />6ACHOCCURRENCE <br />1,010000 <br />91 mO000 <br />MEDEXP n me amon <br />20000 <br />PERSONAL B ADV INJURY <br />11 000 <br />GEN'L AGGREGATE UpNpIT.. APPUES PER: <br />)( POLK:Y ❑ JECT LOD <br />OT E ' <br />GENERALAGGREOATE <br />2000 an <br />PRODUCTS-COMPIOP AGO <br />92OW 000 <br />$ <br />A <br />AUTOMOSILSLWBUTY <br />)( <br />ANYAUG <br />OWNED SCNF.OUI.FD <br />OM.VNAUTppgg <br />HIRED NOOWNEAUTOS ONLYAUI OS ONLY <br />PHPKU3u B4 <br />19nare <br />varm1g <br />I <br />HDDILY INJURY (Per serum) <br />$1,0W,000 <br />$ <br />BODILY INJURY(Far ecdden8 <br />(Far <br />9 <br />s <br />UMSRELLAMAS <br />EXCESS LIAR <br />OCCUR <br />CUJMS-MADE <br />- <br />EACH OCCURRENCE <br />f <br />AGGREGATE <br />9 <br />ORD I I RETENTION$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LMSILnY YIN <br />ANYPROPRIETORIPARTNEMEXSCUTNE <br />(Mamblary In NH) <br />x adeadtn undarOPERATIONS <br />NIA <br />E.L. EACHACCDEM <br />IS <br />EL OISRASE- EA EMPLOYE <br />$ <br />EL DISEASE -POLICY LIMIT <br />9 <br />A <br />PmNitlOnal Uablllly <br />9oxuetlPhYakul Ahuee <br />MPKI728IN <br />VBfL018 <br />110r201a <br />Aggragdu <br />AS&oats <br />2,000,000 <br />30D,00D <br />DESCRIPTION Of OPERATION$ /LOCATIONS 1WHICLE6 (ADDED 101. Addmand Remarks Schedule, may Im Ateahed It man specs le nqu 0.WY <br />Certificate holder Is named Additional Insured to General Liability coverage If required by written contract, "'GE <br />Certificate I po lcy terms, c Ilona, definitions and <br />exclusions. Primary/Non-Contributory applies. J`e,1r�lii <br />CERTIFICATE HOLDER CANCELLATIO . NY- Y" —XI <br />SHOULD ArNY OF THE AHOVe DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana <br />Its officers, employees, agents and volunteers <br />THE EXPIRATION DATE THEREOF, NOTICE WILL Be DEUVSREO IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />01058-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/03) The ACORD name and logo are registered marks of ACORD <br />