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CERTIFICATE OF LIABILITY COVERAGE DATEIMMDoYYYY) <br />sit/= <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 LIABILITY COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: It the certificate holder is an ADDITIONAL COVERED the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to <br />the certificate holder in lieu of such endersement(s). <br />PRODucrrt <br />CONTACT <br />Union -Employer Joint Plan Sponsors <br />NAME: <br />Compass Pilot <br />Omega Community Labor Association <br />330 Bullard Avenue <br />PLANE <br />FKI: <br />Clovis, CA 93612 <br />N. E.n <br />(B33)427.4568 IAR'. Not, (800)673-0183 <br />MAG <br />In1D@compasspilotwc. W m <br />ISSUE") AFFORDING COVERAGE <br />COVERED <br />1551JER A:_ <br />- --. <br />CQMPASSPILOT <br />Santa Ana Security Services, Inc <br />FRISA-based member benefit program of <br />1717 S. Main St. <br />OMEGA COMMUNRY LABOR ASSOCIATION <br />Santa Ana, CA 92708 <br />SwERD <br />ISSUERC: <br />COVERAGES CERTIFICATE NUMBER: EP1OOt <br />REVISION NUMB ER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF COVERAGE LISTED BELOW HAVE BEEN ISSUED To THE COVERED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS EXCLUSIONS AND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LnR 7YPa OFCOYERAGE AOUL3 V0 <br />CGYPOLICY EFF- -POLICY t7lP <br />O YfYO POLILYNUNGER .. UrefE .... <br />COHMERCLLL 6EHEFAL Wfiaf[T EACH OCfAMENGE S <br />MMAGETO RENTED_ <br />GRAILS 4AOE OCCUR PREARSEStEsewnw,w) S <br />PEPSOGML A ADY RIARr'I ; <br />GEN'L AGGREGATE LIMIT PER GENERAL AG(>ltEGAIE S <br />POLICY PRO LOC PRODUCTS CCaPRJP AGG S <br />JECT <br />S <br />AatouoBLLE uAeturYCOM811140 - _ I 5 <br />tE" erg+ee m <br />ANYAUTD BODILY INJURY(Pw Tp,wn) S <br />ALL OWNED SC"kD4A1:n - <br />AUTO5 AUTOS BODILY PRAIRY P.a 11 S <br />HIREOAUr OS NON OWNED AUTOS,rPRPOPETTY IMAGE S <br />S <br />UMERELLALL" IX:C1R <br />_. _.. EACFUOCWPfIENCE S <br />E%CESSLWa CJJ,WS.MAOE AGGREGATE S <br />DED RErEHUCN S <br />A WORNEH.S bO100`90011001 - .EP-CA-202"i 412712020 46M20 1 j P9R <br />ANDfLPLOYERS LU,aIIiY J/ STATUTE_. EGt <br />My PMETOEUPARTNEIL'EXEW <br />EL, EACHACCIDENT S _ I.000,000 <br />OPciCE FICERAdBR1(IER F%CLINED IYGNJNJ EL O15E(LSE FA ELPLOYEES 1,000.000 <br />E.L. DISEASE POLPCYLOAT S 1000000 <br />�CMl OPOPrdrAl tLOCATgNSrWWUS:I?EVI WED & dpp <br />Omega Community Labor Association offers employer Na " !� I �RQ's a e mge limits As an edsa-protected member beriefit <br />program (Compass Pilot) AN liability protection and mamber��1(jofrpesYSS'�i '� il3��Ve bargaining agreement only. U.S Dept of tabor <br />Form M-1 Multiple employer welfare arrangement fang coda: ECE. ''ii'' <br />Workers' compensation coverage benerit provided Solely for the NJLW r d ��jh tho agreement 4eMreen Elemental PEO arw Onlage <br />Community Labor Assodaeon. <br />CERTIFICATE HOLDER 1114I1, HCE FG L ATIoN <br />Covered Copy <br />SHOULD ANY OF THE ABOVE OESCMBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICYPROWSIONS_ <br />AUTHORIZED REPRESENTATIVE <br />0mC a <br />