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DATC(MMIDDIVYM <br />CERTIFICATE OF LIABILITY INSURANCE I "MA19n,51 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, contain policies may require an endorsement. A statement on <br />this certificate does not confer richts to the certificate holder In lieu of such andorsement(s). <br />PRODUCER <br />NIFP Props & Casualty Services, lnc. <br />1551 North TlustInAvenue <br />Suite 500 <br />Santa Ana, CA 92705 <br />617.2327 <br />wsuREn Sodaru, Inc. -V—SUR0 ACCIclent and Inderninity, Co 122357 <br />ID Modeling _WVRER C zAqM!K@Hn_qwrAnre ComRa" <br />160 E. Arrow Hwy, Suite 101 <br />*114 <br />San D Imes, CA 91773 -INSURERS: ........ . ..... <br />INSURER <br />COVER CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS 13 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, 7HE 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 />3NSftAGOL SUSAU <br />LTR TYPE OF INSURANCE MIRD %Nvni POLICY NUMBER LIMITS <br />A I <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />s1,000,000 <br />ClAiMS4WE OCCUR <br />X <br />X <br />172SBABA9623 01106/2018 01106/209 <br />DAMAGETOKENTED <br />1,000,000 <br />PERSONAL & FOY INJURY <br />G L AD 'REIIATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />-s--- 2,000,000 <br />Y <br />X POLIKI D 5�n <br />DUQ <br />PRO TS_-CQMRQPAGG <br />2,000,000 <br />AUTOMOBILE LIABILITY <br />I <br />M _&O SINGLE LIMIT <br />A =a uL <br />A. ... . .. <br />"'o0 0 <br />ANY AUTO <br />X <br />X <br />72UECPX8358 01/0612018 0110612019 <br />OWN' -SCHEDULED <br />AUTVSONLY AUTOS <br />BODILYINJURY 1011�19((1-1 <br />eS ONLY A NUVOPN 0& <br />reIac<iCant MAGI <br />A <br />UMSRELLALIAO�X OCCUR <br />L <br />EACH OCCURRENCE <br />2,000,000 <br />I <br />EXC a 3 i CUkIMSMADE <br />172SBABA9623 1$ 0110612019 <br />__ <br />I-SoGfcE ATE <br />_$ - — <br />L_] REIENT, <br />2,000,000 <br />_CBD <br />WORKERS COMPENSATION <br />AND aMPLOYERS'LASILOY <br />PER 'OTH. <br />A14Y PROPRIETORIPARUNFIVEXECUTIVE YIN <br />41.155MMARFXCLUDED1 ENIA` <br />1.0A) <br />C <br />Ilk dourb. colder <br />0 ION OF OPERATIONS balow <br />E&O/Professional LIS <br />-N—/301201QF 00076-19 <br />E0000026632005ryr <br />EMPLOYEF <br />E I, DOEAD U11LIMIT <br />_E <br />Per Claim Limit <br />11000,000 <br />0V <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES DUORO 10�, Aed111 IRMm.,k.S.7b.dm.,,1N?V <br />If required by written contract, The City, Its elected or appointed officials, brc 9 S" If, agents, employees and volunteers are Included as <br />Prima Waiver General Liability Endorsement SSOO000405 <br />Additional than reds with ryINon-C a ntributory wording and of respects per attached. <br />r;jK I <br />If required by written contract The City, Its elected — appointed sea and volunteers are Included as <br />... y ­ ' <br />-fk <br />� <br />Additional Insureds with Prlmsry/Non-Contrlbutory wording and W 9=atioaa rele HA99160312 aftachod. 30 <br />bt I or <br />days notice of Intent to cancel policies will be provided Subpar to andursamorn SS12230611 and as <br />respects auto liability per endorsement 1HO3130611 attached, <br />City of Santa Ana <br />20 Civic Center Plaza <br />Ross Annex (N22) <br />Santa Ana, CA 92701 <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 REPRESENTATIVE <br />AGORD 25.(2016103).. 1 0198S-2015ACORO CORPORATION. All rights reserved, <br />The ACORD name and logo are registered marks of ACORD <br />