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'�' CERTIFICATE OF LIABILITY IN sl1RANCE OATEIM..0DIYYYY) <br />o6/27nQ1s <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANtl 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 ihs ctirtlliopEe holder la an ADgITIOIJAL INSUREp; tho policy(les) must.M1avo ApDITEONA INSUREtl provisions or 6«r endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies mayrequire an endorsement. A statement on <br />this certiflcate does not Confer nights to the certificate holder In Ileu of such endoraamant(sj. <br />PRODUCER .'..NAME Mary POJaf <br />ISU- Dunlap Agency 1pHDNE %, (914)038-3168 (714J 922-6157 <br />700 West 1st St" suite 6 A AtG No: <br />._ __� marvnd stasis. nnm <br />Tustin <br />INSURED <br />Heritage Museum of Orange County <br />3101 W. Harvard Street <br />CA 92780 <br />Santa Ana CA <br />JVEKAGES CERTIFICATE NUMBER; OL1962403963 REVISION NUMBER: <br />THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIE& LIMITS SHOWN MAY -HAVE -BEEN REDUCED BY PAID CLAIMS <br />TYPE OF INSURANCE <br />-, ,,- POLICY NUMBER (,iMI00mYVl (IMF OhrWYZ LIMITS <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br />CLAIMS -MADE a OCCUR y�®per— Fi$E$iE g <br />A <br />x POLICY L JECOT <br />OTHER: _ <br />AUTOMOBILE LIABILITY <br />ANY AUIO <br />A OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />LIAR <br />EMPLOYERS' LIABILITY <br />B <br />11111101116 <br />SCHEDULED <br />AUTOS <br />NON -OWNED <br />AUTOS ONLY <br />OCCUR <br />CLAIMS -MADE <br />I$ <br />YlN <br />XECUTIVE ❑ NI <br />PAC 4296301-04 1 07/01/2019 1 Q7/01/2020 <br />PAC 4296301-04 ' 07/01/2019 i 07/OV2020 <br />IJUB-OG54216-8-19 1 07/01/2019 1 07/01/2020 <br />Liquor Liability i $ <br />1,000,000 <br />1,000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS ( VEHICLES (ACORD 101, Additional Remark. Schedule, may be aeachad if more space Is mqulmd) <br />Thirty (30) days noitice of cancellation required The City of Santa Ana, It's officers• amployses, agents, and representative are named as additional Insured r� <br />in regards to General Liability per attached G2015 11 68 Addtonal Insured Form REVIEWED & APPROVED <br />By Risk MANACIEMENT I)iViSiON <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />-City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, <br />Risk Management Division <br />20 Civic Center Plaza 4th FI. AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702, <br />©1988-2015 ACORD CORPORATION, All rights reser <br />AC ORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />