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CERTIFICATE OF LIABILITY INSURANCE <br />ODWYC <br />oArE(NM2 <br />g 9/9 <br />019 <br />THIS CERTIFICATE Is ISSUED AS A MATTER Of' INFORAwrGN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER: THIS <br />-CERTIFIOATB DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFPORD90 BY THE POL101E8 <br />SEL,OW, THIS CERTIPIOATS OF INSURANCE DOES NOT CONSTITUTE A 00NTRACTBETWEEN THE ISSUING INSURER(S), AUTHORInD <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT,- It the card(ibataholder is an ADDITIONALNSURED, thepalloytles) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, aupJoot to the terms and conditions of the Polley, certain policies may require an endorsement. A statement on <br />tills aert(HsatJi dose net confer YI h10 to lhs serlifkafe holder In lieu of anh endaraerrinni a, <br />PRODUCER <br />Cresoenla Valley Insurance <br />Where Davy _ <br />3180 Foothill Blvd. Ste A <br />010 2aN acVo *gy �e7Sl2au Seboa <br />1. ovIno.agm <br />La Crescents, CA 91214 <br />__dakota ............,..__ <br />LIO®nS911; gC91996 <br />I1N URERtajAPPOROINGCOVBNAGE <br />NAIC <br />__ M� <br />0 At Californla.A,uko <br />_ .. <br />INSUNEO <br />INSURER BY <br />Jolly Bouncers <br />SURE <br />4788 Promenade St <br />MVNR <br />Simi Valley, CA 93083.0411 <br />INSURERMI <br />COVERAGES CERTIFICATENUMI 00005000424204 REVISION NUMBER; 24 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TITHE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANYREQUIREMENT, TERM ORCONDITIONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />}} TYPSCPINeURANCE 9 POUCYNUM R. P OCP 1.1111118 <br />EAOHOCCURREt:CEAefi <br />TW11MLERCIALGENERALUAWLITN' <br />❑ 000URH6TIE <br />MfiO E%P One r60P <br />$_ <br />PERSONA4 aAWINJURY <br />$ ..� <br />MR ASPRE(G�AI1MUTaND�'APPLIE8 PER: <br />OENERALACOREOATE <br />$ <br />PRODUOTS•COMROPA00 <br />POCCYL_JJECT ❑LOG <br />-- <br />a <br />A <br />AVrOMOBILELIABILIIY <br />Y <br />BA04000OD14994 <br />oswanols <br />a6116/2e20 <br />.N NN <br />ANYAUTC <br />WDILYINJURY(POYp.M" <br />$ <br />Sgf1aULE0 <br />BODILYINJURY(Pm occlden4 <br />$ <br />V tUTYDONLY <br />eSL A EA90NLY AU�TpONLY <br />5 <br />UMaRELLALIAB OCCUR <br />EA CH OCCURRENCE__ _ <br />„, <br />a%CEee LIAe GLAIM MA E <br />AOGRECWTE <br />—WORKERBCOMPENSATION <br />OED E TIC,,.,, <br />$ <br />O ' <br />ANC EMPLOYBRIP LIABIDTY YIN <br />ANY PROPRIETOWPARTNEUXECUTIVE <br />E.L. EACH ACCIOEff <br />$ <br />0FFMEPoME AH RF$OLQ0W <br />++MMtlalerylnNII <br />alwy1eunder <br />NIA <br />ELINeEASE. FA EMPLOYE <br />--"'---- <br />$ <br />— <br />If <br />IFIION 4FgPEPATK%ie hOloYY <br />EA. DISEASE• POMCY LIMIT <br />..,..wr <br />D68CRIP'IION <br />OI'DRERAIIONSJLOGATIONe lVkI1NJLEa(peqnD <br />Tat, AddUO,fpllina(ntko Sehedulo, may lwakao-Ned <br />if inmoapone <br />lO railuhuel) <br />City <br />of Santa Ana Is named as additional <br />Insured <br />per Insureds operations, <br />Primary <br />and Nonoontdbutorywordlog <br />a <br />Ites por <br />attaohad <br />ondorsolnont <br />I <br />O ; <br />R <br />SHOULD ANY OF 1HE ABOVE DESCRIBED POLICIES NE CANCELLED DEPORR <br />Oity of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL DE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLCY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AutHoNn 11R 4 rrcatly <br />YY'1 T A,k <br />ACORD 26 (2018103) Tito ACORD name and logo are registered marks of ACORD <br />.- !! It 11Zt C ¢YARD <br />