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Acarra� CERTIFICATE OF LIABILITY INSURANCE EXHI AT IMMIDDIYYYY)
<br />2/ 1 /2o'2 1 /26/2021
<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(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain 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 IOLLICII In[III".ince TilT1 ei,, fT.0
<br />CONTACT
<br />NAME.
<br />777 S_ I'laUiIL)d STIi CT, 52nd FI-
<br />PHON�AiCE
<br />CA L1, crt,L: µOr15767
<br />ExI: fAlf, Nol
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<br />Lpi .1DgeIGc CA 1)1)()17
<br />ADDRESS:
<br />(213)689_000S
<br />INBURERR AFFORDING COVERAGE NAICN
<br />INSURER A: C 111111 & Iol'mel S ectilIt InSLIMOCC CO
<br />44-t20
<br />INSURED RIIILLIII ('011I 111LUIN, hlL_
<br />INSURER B. Hai tford Fllc Insuianco 1,om fall
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<br />INSURER C:SmisiAnCN3[1p1101In.SUranCCL_,impin
<br />25496
<br />INSURERD:
<br />Vdnliiiii (7A )11003
<br />INSURCft C:
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<br />COVERAGES kIN ) I CERTIFICATE NUMBER: ) ) REVISION NUMBER: 160 0- xXXXXXX
<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 />CFRTIFIC.ATF MAY RF I$SUFD OR MAY PFRTAIN THE INSURANCF AFFORDFD RY THE POI I(:IFS DFSCRIRFD HFRFIN IS SURJFCT TO Al I THE TFRMS,
<br />EXCLUSIONS AND CUNDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POUCY NUMBER
<br />POLICY UP
<br />POLICY EXP
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<br />FPK-191g51
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<br />7/I /2077
<br />taCHO C-HHtNCt
<br />a'3,000,000_
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<br />MEu tsH (nny one pemonl
<br />S 10,000
<br />SIRRSO-000
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<br />HLHbONA'_SALVIN)!IHY
<br />S 3000000
<br />GCN'LAGGREGATC IJMITAPPUCSPCR.
<br />GCNCIRAI_ AGGREGATC
<br />it 000000
<br />YGJI:Y ❑ FRG- ❑ LDI:
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<br />.R '1,000,000
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<br />AUTOMOBILEUABWTY
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<br />71ILNOL?481
<br />2'1;2(121
<br />2/1/2022
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<br />t 1,000,000
<br />80JILYIIWILKY(IWI)D 1a.n1
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<br />O,NNEU9L'HEUULtU\X,(XXXX
<br />P., I09 ONLY A!I109
<br />PROPERTY D'njAMACEa0.,
<br />S x Xixa
<br />ONLY AUTOS6,6 ONFY
<br />$XXXXXXX
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<br />UMBRELLA LIAR
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<br />NI
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<br />2/1/2022
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<br />ACCHECATE
<br />S S 000 000
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<br />x RETCNTIONI 10000
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<br />2'1;2021
<br />2/1/2023
<br />him: F3,000,000(X4,000,000
<br />1:&0 1JA) -Claim, Made
<br />Limit .1T 3,000,0001$4,000,000
<br />Reno Oate: 11_1911994
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE9 (ACORD 101. Addltl nl Re1nalN S011adule, may La altnchad Ir more apaw It ropulro<e
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<br />CERTIFICATE HOLDER CANCELLATION Seo AuaelwiiIUL3
<br />16059509
<br />City of Sanla Alla
<br />ltlik Nlanageint tt 1)1V6un
<br />20 Civic Ccmi Plaza, 4th Floor
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Aim CA 92701
<br />AU I HORILLU REPHES�Kr
<br />�YT
<br />> 1488-20ltACORD CORPO II rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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