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DRMAU-1 OP ID• T6 <br />?? awTE (MM/DO/wrYl <br />?'?°? ° CERTIFICATE OF LIABILITY INSURANCE 04/13/12 <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 POLICIE8 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(8), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 1( the certlltcate holder Is an ADDITIONAL INSURED, the polley(les) must be endorsed. if SUBROGATION IS WAIVED, sub)ect to <br />the terms and eonditlons of the policy, eertaln polletes may require an endonsemenL A statement on this aertitleate does not confer rlghts to the <br />eartiticata holder In Ilau of such endorsement a . <br />PRODUCER co AcT Carole 3. Mitchell <br />80084-3806 NAME: <br />Hrekke Sehafnitz Waat - D vl(oNE .310-624-1367 FAw?x No :310-624-1368 <br />License X10428916 E- wIL <br />100 Wilshire Blvd. ? 960 oDRESS: CarOle.mltCh011 slg.us <br />Santa Monica, CA 8040'1 NAIC • <br />Darla Gra ,-. =R8-URER(S AFFOROINO COVEMOE <br />Y __ _ __ _? e.. ?..,..e 1 1„ue l..a <br />INSURED <br />P O Box 2028 <br />Palos Verdes Peninsula, CA 80274 <br />rnvl?Iaac3Es <br />...?. t?,c o ,Inv ocarnn <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISIEU Ht LUw nnvc occly <br />ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITI <br />NCE AFFO RD EO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T HE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURA <br />AIMS <br />. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL <br />INBR T'PE OF INSURANCE POLICY NUMBER MM Y E M 1 D P <br />LT LIMITS <br />00 <br />000 <br />1 <br />GENERAL LIABILITY - <br />X 624270427001 06107!12 06lO V13 EACH OCCURRENCE S <br />pRE MISE • orartenra S , <br />, <br />SO,OO <br />A X COMIAERCIAL GENERAL LUBILITY S <br />CLAIMS-MADE O OCCUR MEO EXP (My onp parson <br />PERSONAL 8 AOV INJURY S 1,000.00 <br /> GENERAL AGGREGATE S 2,000,00 <br />X Prot g POIIUt-CLM OOD <br />OO <br />2 <br /> PRODUCTS-COMPAPAGG S , <br />, <br />GEN'L AGG REOATE LIMIT APPLIES PER: <br />Emp Ben. s <br />N/ <br />PODGY PRO LOG OMB O LE IT <br />AV TOMOBILE LUBILITY Ea a - ent <br /> BODILY INJURY (Paf parson) S <br />ANY AUTO <br />ALL OWNED SCHEDVLED <br />BODILY INJURY (Par ac<itlanp S <br />AVT09 AUTOS PROP AMAGE y <br />NON-OWNED pare enl <br />H IREO AVTOS AVTOS S <br /> EACH OCCURRENCE S <br /> VMBRELLA LU\B OCCUR <br /> AGGREGATE S <br /> EXCESS LUIB CWMS-MADE <br /> S <br /> OED RETENTION WC STAT V- TH- <br /> SATION <br /> WORI(ERS COMPEN <br />AND EMPLOYERS' LIABILIT' Y / N <br />E_L. EACH ACCIDENT S <br /> ANY PROPRIETOR/PARTNER/EY.ECUTVE <br />NIA <br /> O <br />OFFICER/MEM BER EXCLVDE O7 E.L. DISEASE - EA EMPLOYE S <br /> (M?ndalory In NNI <br />1/ as, deac?+urWer <br />DESCRIPTION OF OPERATIONS Eebw <br />E.L. DISEASE-POLICY LIMIT S <br />ON OF OPERATION6 /LOCATIONS /VEHICLES (Aaach ACORD 101, AtldHloml Ramarka Sohadulo, H mono apace b npulod) <br />IP <br />OE BCR <br />T <br />a IF cancallad for nonpayment oP premium. Tha CartiPicata Holder ie <br />+10 Da <br />yy <br />nlzad ae Additional Inaurad par endorsement (ENV-3100) attaohad. <br />o <br />g <br />rac <br />City of 8enta Ana <br />Risk Management, M28 <br />Attn: Briza Morales <br />20 C1vlc Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 26 (2010106) <br />CSANTAA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTCE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISION8. <br />AUTHORIZED REPRESENTATVE <br />.???? <br />® 1988-2010 ACORD CORPORATION. Afl rlghts reserved. <br />The ACORD name and IoOo era registered marks of ACORD