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y++"""'� "9 ALTAMEA•01 HFARMAN <br />Ate" 'R"" 0A (MM7DOIYYYY) <br />ikl . CERTIFICATE OF LIABILITY INSURANCE /zosb <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: Hthe <br />CertlRCatalrottlerisen.ADDIriONAtINSURED,thaPaltay(IBs)mucthava'ADDI710NALINSUREOProvtsionaar4oandoread. <br />It SUBROGATION ISWAIVED, aublaat to t4a'termsend CDmiltians orthe nnlN:v. raaAin: „e>,m.,......x„.d.. .,.....w..»__.v. . _.�.__ <br />•'Camsoula <br />INSURED <br />AltaMedNaaith Services Corporation <br />Attn: Office of Compliance & Rtsk'Mgmt <br />2040 Camfleid Ave <br />Commarao,CA90040 <br />C0VFRAE2-91A aem�ve,nxve uuemen: <br />THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW WAVE BEEN ISSUED TO THEINSUREONAMEDABOVEFORTHSPOLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENF. TERM OR CONDITION. OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAN. THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SU$XCTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OFSUCH POLICIES;LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID OLAIMS, <br />FEW[— <br />TYPe or'IRSURwff <br />ADDL <br />SUBfl <br />O <br />FOLICYNUMEER <br />pQ P <br />OLOY <br />IMnS <br />ODMMaaai� aviv luAwTy <br />CLAIMS.MADS ❑ OCCUR <br />NCE- <br />b RENTE <br />MweL <br />AT <br />ADO LAffT &PER <br />POLOV Za LOG <br />A <br />AUTQMOWe <br />ktw0 <br />X <br />WILM <br />�ONLvDHLxR.Eo <br />amy x i� <br />lA <br />WRX2118943 <br />4111t20 0 <br />411021 <br />SINGLE tHllIT <br />JE,RRYOAMAOE <br />JLR <br />1.000, BU <br />B <br />X <br />UMSRSLLALIAS <br />axcas$LlAS <br />X <br />OCCUR <br />CLWS-A" <br />HA247480 <br />71112919 <br />71112020 <br />10,000,000 <br />10,000, 00 <br />AETE{{N�IgqTryONS.. <br />:NMSp <br />IMVLOI aslN BKRI' yy ry <br />ANflPnb aT <br />9DTQR�IP� 'EVOCURVE ('�"I <br />.n�iinryln"'Flit( I_...I <br />H dalc�ia miser <br />T <br />NYA <br />TH <br />S <br />096CRMTION OFOPaRATONS/WCAMRSi VaRICLES IACORD far, AdeNtIm r Remuse. Schedete, may tx illaehed if mdro epeae la raeWred) <br />RE: CoTanavirus (CDSG-CV) Funds <br />REVIEWED & APPROV DIVISION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Ft_Cjt#£RI$ttie'�"eiiIs"p.,DN st � f�/ l�� PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />vkCenterPiaza•MSt 'igkip ORDANCBWITH THE POLICY PROVISIONS. <br />PO Box i9aS MI IE ACEVE 10 _ <br />Santa Ana,. CA $2702 AUTHORIZED REPRESENTATIVE <br />ACORO 2S(281a103) m 1938.201E ACORD CORPORATION. All rights raserved. <br />Lna. A%uvKv name and logo are registered marks of ACORD <br />