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<br />DATE IMMIDDNYYYI
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<br />CERTIFICATE OF LIABILITY INSURANCE
<br />09/2612019
<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(SI, 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, certaln 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 - 949-366.5104
<br />ACT Patricia Anderson '
<br />Brakke•Schafnitz Ins. Brokers
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<br />ONE 949.366 6104 - Fnx 849 313 3266
<br />License #OK07568
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<br />18
<br />28202 Cabot Road, Suite 600
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<br />Laguna Niguel, CA 92677.1261"-�--'—
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<br />IrLsug&A;Guida0ne Mutual
<br />INSURED Catholic Chortles of Orange
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<br />County
<br />1820 E 18th Street
<br />Santa Ana, CA 92701
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<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.
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<br />TYPE OF INSURANCE
<br />0.EDL
<br />91JE
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<br />POLICY NUMBER
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<br />POLICY EXP
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
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<br />CLAIMS -MADE 171 OCCUR
<br />EMIStzirO RENTED
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<br />.kLMSONAL A ADVJNHI.€..
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<br />AOORCOALIMIT APPLIES PER:
<br />CtENS ML69(`REG& „W,
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<br />AUTOMOBILE
<br />LIABILITY
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<br />COMBINED SINGLE LIMIT
<br />ANY AUTO
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<br />OWNED SCHEDULED
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<br />EXCESS LIAR CLAIMS -MADE
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<br />10005295
<br />0710'112019
<br />07/01/2020
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<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ADGRD 1d1, Addidonol Romarks Schotlule, may Le saacLed II more apace Is roquired)
<br />Waiver of subrogation WC0403060484 Is Extended on behalf of City of Santa
<br />Ana, Its officers, employees, agents and representatives
<br />P.PDTIMIr:ATP WAI 11P Y (`.AMr`CI I ATInM
<br />SANTAAN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />'` ` t QQ ,T TT r�/�
<br />Clt Of Santa Ana REVIEWED f it"I11[OVI
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<br />�t'�THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />CORDANCE WITH THE POLICY PROVISIONS.
<br />Risk Management Divisioi�y ('i I51C MANACIEMENT DIVISI
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<br />20 Civic Center Plaza
<br />AUTHORIZED REPRESENTATIVE
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<br />Santa Ana, CA 92702 CT 0 G 2019
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<br />ACORD 25 (2016103) L' Ahf(` t �tt 'to {Istered m (D 198FACORDCORD CORPORATION. All rights reserved.
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