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<br />CERTIFICATE OF LIABILITY
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<br />AMEND, EXT-.NO OR AALTERTHECOVERAOEAFF.6KOED RY tilt POLICIES BELOW. MIS GEWfIPICATE OF INSURANCE DOES NOT CONSTITUTCA CONTRACT 55WIILN THEISSUING INSORCR(S),
<br />AL I HORIZED REPRESENTATIVE OR PRODUCER, ANO THE CENTIFICAT£ HOLMR.
<br />144PORrAN'f; IF the ccrtiff cate'1to€deris€ h ADDII ZONAL INSURED, fhe,po€Icy{lea) must linve ADIDITI ONALINSURED pravrsians or 4e endorsed Tr'SUB ROGATION IS WAVIED,snblact to theterids mid
<br />conditions of the Po11g.CettalnptilIclesrnayrerltriro.ppttidorintie-ol.A-vLAtenteotonibis cett(Acetedoes 64conferfights tothe4e4j6catohufil.,tInNet aTsuchendors mmt(i).
<br />PRODUCER CONTACY. _
<br />NAME, Wheel:l miAorl
<br />Michael Brandon, Fermeis InsuTanoe .:. FF# PRONE I FAX
<br />31629 Outer Fllahway 10 Ste A (AID NO, CXT} 9t19 794 5191 (Ali NO) 909 Y94 5103
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<br />UkSCRIPT0N OF OPPRAnONSILOCATJONS/VEHIICLES (ACORD i ol. Addi#Sanal Rar narks Scitedufe, way be attached irtnare space isrequirad)
<br />Additional Insured: City of Santa Ana
<br />3O Days Notice of.cancollation with 10 days' nailJw far non -Payment of premium in acc ordancewith the policy provisions
<br />"Any Auto'I :coverage:i"s not availahie for this policy, Coverage for Hired Autos only, GGheduled Autos and Non -owned Autos only all apply.
<br />CERTIFICNI C HOLDEn CANCELLATION
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<br />20 CIAr Center Plaza, 4th rloor � t��)I;IZE�Ii�� N
<br />a pltl? 25 (2tf'16/03) i1913 = i 7�° 1~S RTi Cc)RPC�.Rt�T1p 3,.Alt ghts Reserved
<br />31'<.17G9 11>t ThA Af'Q Qni m nnrl Ina, rr ie earl n,9vi enP rrtr?rl
<br />City Council 11 — 9 10/3/2023
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