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rsarn:,RFtY.xv <br />CERTIFICATE OF LIABILITY INSURANCE <br />T �; <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE APPORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATEHOLDER. <br />IMPORTANT: If the Certificate holder Is tin ADDITIONAL INSURED, the poilcy(las) must have ADDITIONAL INSURED provisions or bo artdorsad, <br />It SUBROGATION IS WAIVED, subject to "a terms and conditions of One Fancy, certain policies may require aft OrulmsemerIL. A statement on <br />thlsCartiOasfs doesntMt confer rt sto tDe Garti$afte notder initeu ofauch elslolsemkat a: <br />PRODUCER a: 777 <br />Culver City, CA 4US International Insurance Services Inc, <br />Soo Corporate palms <br />Culver City, CA 90230 <br />Ct _ <br />N P $ <br />a Eqy ; 10 88$•$900 it.: 310 8$•909$ <br />E "— <br />„I.N.,quaeaialAPPoaoaRtcoyeaao,,,.,, <br />s a Iba MU uaiff naur nc Co' an <br />23038 <br />_� <br />a SUaaO <br />AiuMad Health Services Corporation c,y" <br />AMMMed Health NsMww* Inc. <br />u <br />2040 Cartlfieid Avenue <br />I <br />....... <br />Los Angeles, CA 00040 <br />INSURkR P: <br />Y Awc*Kl mo CCCYIWi A' 111 I&ACIC0. �C\heb1�1 �t1A��e C6. <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 CONOrrION OF ANY CONTRACTOR OTHER OOCUMENTWITH RESPECTTOWHICHI'M$ <br />CERTIRCATEUAY SE ISSUED OR MAY PERTAIN; THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED. HEREIN IS SUSJECT'TO ALL THETtRM$, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMiTSSHOWN MAY HAVI SEEN RE0t10ED BY PAID CLAIMS. <br />i <br />TYPE OF INSdRANCB <br />22himl <br />AOUCYNUMBER <br />P <br />UP <br />P Y <br />1.RAtTs <br />COMMERCIALOBMER(�ALLIABILrry <br />CIAM!S5 MAOE 1.� ] OCCUR <br />N <br />RENTED <br />PO Y E !_.1 )o <br />TH <br />AUTOMOEILO <br />UAIPUTY <br />,mom <br />M&N "GU`LIMIT <br />ANYAUTO <br />AU rO.S OM.Y ASNRp�""}NrA"�'��pp <br />MOKY Alt TOONLY <br />ILYIMURY <br />OILY - Y Pore <br />R G£ <br />_ <br />UMQRaLLALlAE I 4CCUK <br />s <br />BXCEsBUAB CLAMAMAOR <br />,..W <br />DEC NETUNTIONS <br />ANY PROPRIE(pRmartTNaR1ExEcwr -_ <br />QEf mRR?E�LieEN EXCLUOEOR <br />ttnY XN1N1ll <br />a T <br />MiA <br />C2-g!"(171S8.010 <br />A1112020 <br />V` <br />41112021 <br />S I <br />Ix ate. '�aPnt :ia <br />'OO�I d7t$ <br />^�1700{0^�,16 <br />'ti -' p <br />OESCRIPTIONOPCPEMT*NSILOCATIONSIWMICLBB AC00.01Bi, AEdN14nRIRmwis 3ch�dWa,Try kY iNaelistl NmMs 6pp��g Ist"w") <br />Should the be cancelled before the axpilration date, Hub international Insurance Services Inc. Independent of any rights which may be <br />policies IHub), <br />afforded within the policies to the oamfIC81aholder named below, Wit provide to such oeru$asta holder notice, of such cancagation whhin thirty (30) days of <br />in* canoffedon date, eaoept in the event the canaeilation Is due to nompsymant of Premium In which case Hub YAM provide to such certificate holder notice <br />of such cancellation within tan (401 day# of the cancellation dste. rt <br />jay Vt kk�1MD EMEN 11UViS10N <br />City of Santa Ana tt'eila"ni:DlfttsAi <br />20 Croti Center Plaza • MM; <br />P4Box 198E <br />Santa Ana, CA 92102 <br />CANCELLED BEFORE <br />BE DELIVERED IN <br />1088.201S ACORD CORPORATION, All rights <br />The ACORD name and logo are registered marks of ACORD <br />