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Apr 16 ?018 10,14AM Faimers Insurance 7141190 4 <br />gage 4 <br />-..3ta (`'''' mtYs irauro-srwr, <br />_..- <br />CERTIFICATE OF i..IASI1..3°6'Y INSURANCE g �aarla2Dla <br />THIS CERTIFICATE IS 19WED Ae AMATTER OF INFORMATION ONLY AMb CONFERS NO RiOlr 9 UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, MILTENO OR ALTER THE COVERAeF APPOROED BY THE; POLICIES , <br />BELOW. THIS CERTIFICATE OF INSURANCE DOE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUR13 INSURER(% AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HSSLIDER, _ <br />W IMPOR A T: If tha certltloat� h01dr�r fa an P,D9Ir.ONAL tNSUR D, iha F <br />lley(Iwu)mUaR have P YlD4T-16 AL BN9U6tELt RrewiaWoa or be +ando+sc*4, <br />It SUBROGATION IS WAIVED, oubloae to U10 WRITE and oondiilAna of the <br />Polley, certain poileaara may NtgUira an satdoraernetst A statement on <br />this sarNL -al does net oondar rights to She coMeava holder in lieu of such <br />endDrramamidat. <br />encAuo6R <br />,ALKRUEC`ER <br />—_ <br />Al KRUEGER <br />_Nnja —� <br />PHONE 714-970-6822 }y� <br />LdEw.iJF'L 7i4?7t3 6W <br />-- <br />LALKRUEGERAGENT <br />4601 E. LA PAOLMA AVE., #120 <br />,yGYAAIL.COM <br />ANAHEIM, CA 92807 <br />I NAICn <br />_,,._.__.____INSU%Sfi(BIAPRD%glNatAVEliAd£ ._.....'-r—moi _..... <br />IweURg,�.I�Stata Gumpensa9on ln6arance Fund of Caiifornls .,.070 <br />._.,,__....._ _..___-_.�.__.._...:____ <br />INsa%Bo <br />I,y RE 1 <br />51EH.iA CYBERNETICS, INC. <br />INaUReRC: <br />6140 E. LA PALMA AVE., #201 <br />EE"LAOGRVIKIELIM'.I APPIIESPEFt <br />, 1 <br />L <br />ANAHEIM, CA 92607 <br />SMINGRAI AOSSEGt�F: § <br />I <br />COVERAGES CEeRTIFICA7E NUMBER! REW'IS1ON NUMBER•. <br />THIS <br />INDICATED. <br />IS TO CERTIP' THAT TI -F OF INSURANCE LISTED BELOW HAVE BE&N ISSUED TO <br />NO'RMTHOTANDINO ANY REQUIREMENT, TERN OR CONDITION OF ANY CONTRACT <br />THE INSURED <br />OR OTHER DOCUMENT <br />NAMED ABOVE FOR, THE POLICY PE <br />WTH RESPECT TO !1h!ICH THIS <br />CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, 1 HE INSURANCE AFFORDED BY THE POLICIES <br />DESCRIBED <br />^iEREIN IS SUBJECT TO ALL THE TERIA,, <br />SX0LUSIONS <br />AND CONOUIONS OF SUCH POLJOIES, OWS 9140MN MAY i 3.4VE BEEN' REDUCED BY <br />PAID CLANS. <br />INR <br />iYPBAPiNaU%ANCe BES <br />_ _.ve._.-_A�._.__.A' cL _ <br />. QONtMERotALaENEaALLlAAIUTY <br />C AIM9+A10.tl& jOCCUR 1 <br />_ <br />.... ._.__._....:.ildfT$ a.. <br />__..___ e....~��•w'_. <br />EAC'MOCCURkRN S <br />AAA fF �g 1 d <br />i I <br />_—•_�—,.,� <br />, <br />MBD 6xv <br />EE"LAOGRVIKIELIM'.I APPIIESPEFt <br />, 1 <br />L <br />SMINGRAI AOSSEGt�F: § <br />I <br />KVCY .IEG7' j__ 1 LOG i <br />bYWIL <br />5_rC''d�K^X>_y?},1tVJCp ACi"v F _ <br />- J �_....,,........ <br />AUTdNfa61Lp4JABi41TY <br />I , i <br />ANY AU'f0 <br />OwN=0 <br />jgJU:LY <br />64JVF1'I FSr Woo 8 <br />nn016Y rldtlrV{P--ar ap`Gptlnt) 6 <br />_ AUTOSONLU:x4 ! <br />HIRED <br />A:;YOB ONLV <br />Y <br />U'M�%BLLALNa j �--~^—i^^'Y" <br />CL33NL4.NAC9rl <br />EXCaSe iJAA11 <br />�.„....�,_,e..,._ <br />I Deo RE7�ENE�T QNi <br />AND EMPLOYEWU4014IT ! <br />AND EMPLOYaRE'S.IAaNJ7Y YIN <br />PER M. <br />-T- -----.--__.__.._........ <br />A <br />IANYPROv%IETGWPA%TN3RIEXECUTIVE <br />oFrluenmlaragga%RatcLttoeoa NIA] X SB2"/836-tB I04I3U/2018 <br />04I3Ci20".9 <br />S'-. EACH. ACCIDkNi <br />$ t,9OD,00D <br />— <br />EL DISEASE• EA EMIL0YEe <br />u- <br />$ 1,OD0,0[,iU <br />IixlanaptaryinNNY j <br />ftft es, duoaribe umer .. �_ <br />I?6�R PrteNGf gPERflT1UNe ba i I_,.._.e....... _.,_ ._�..�..----..... <br />MS`Fi15E•P,:a'ifYliiMT <br />& t,ODD,D4II�. <br />... ._ <br />-T� <br />DESCRIPTION 4-P OPERATIONS r LDAA'ZIXia l lENICLJ",a IAcbAA 105, ACfItlOHld pamarxe aeMpula, may na nlbmMadlF,ean span la Igyujlrotl1jl <br />CERTIFICATE HOLDER CANCELLATION <br />TION <br />0 9980.2096 AGORD CORP(SRATION, All r1gh4s reaorved, <br />ACORD 26 (2078!030 The ACORD name and logo are mgistored marks of ACCIRO <br />SHOULOANY OF THE ABOVE DESCRIBED POLICIES BE CANOEL LED BEFORE��� <br />THE EXPIRATION DATE 7REASOF, NOTICE WILL US DEUVERED IN i <br />T he City Of Sasha Ana <br />A00ORDAMCEVWTH THE POiJCY PROVSIOMS. <br />Finance k OfMagemeIt Services M-16 <br />._.....1 <br />AVTHPnGXeAA6V%aeawtAiTYE <br />Box 1983 <br />San <br />Santa Ana, Ca 92702 <br />0 9980.2096 AGORD CORP(SRATION, All r1gh4s reaorved, <br />ACORD 26 (2078!030 The ACORD name and logo are mgistored marks of ACCIRO <br />