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CC'>RIX CERTIFICATE OF LIABILITY INSURANCE ,�aar2a4120MIta <br />,, DD/(YYY) <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 poticy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terns and conditions of the policy, eertaln policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER GAA00" . M,_.,__._..._.,._..._...,,. .......�__..,...,..._._._....., <br />�. <br />Briton Gallagher PHON�Ea.Ga1:219. .6.Si8�L .199,..,.___._.— __....._.,_ <br />Ono Cleveland Center, Floor 30 • A <br />1375 East 8th Street t!Q0 $ Ht..._,...._.._...,. ... <br />.,........ <br />...___, .__...._„_....„_.._.__w,.�r —^ —_ <br />I�Cleveland 01 1 44114 IIN URERtS) AFFOROINO COVERAGE NAICN yu <br />INSURED <br />I". 0. Box 2329 <br />Rialto CA 92377 IN Ed AE <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 5009fi5780 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE ROLIC111S OF INSURANC'- LiSTEO BEIAW HAVE BFFN ISSUED TO THE INSURFD NAMED ABOVE FOR '!PIE POLICY PERIOD <br />INDICATED, NO'- WrfHSTANDING ANY REQUIREMENT, TE14M OR CONDITION OF ANY CON) FACE OR OTHER DOCUMENT WITH RESPECT 'r0 WHICH 'THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, ThE INSURANCE AFFORDED BY THE POLICIES OESCRISF.D HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CQNOiTIONB OF SUCH POLICIES, UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />A %NC�BNR— -µ <br />OLICY EFF� TOL�"Y CRP <br />ILPSI?� <br />TYPE OFINSURANCE POLICYNUMOER ppj LIMITS <br />Santa Ana CA 92703 <br />GENERAL LIABILITY <br />1 <br />EACI -I OCCURRENCE <br />S - <br />O 'wxtfETiTP1}�i'ED,,,.�,w�__,__� <br />00MMERCIALGENERALLIAWLIiY <br />et �d spa t�R.a vaansaz .. <br />_4_ _ <br />CLAIMS-MAO„ 1-1 OCCUR <br />MEO E %P (A „iX w,u jle,wn <br />8 <br />GEN'L AGGR%GATB LIMIT APPUES PER. <br />-12L.11-1-11 <br />P UC rG.COWPI0PAu0 <br />b <br />P"JOY <br />9 <br />A <br />AUTOMOBILE <br />LIABILITY <br />818CA00031441 <br />11312041 <br />0312015 <br />COMUINED SINGLE LIVE I <br />Do- <br />_ <br />ANY AUTO <br />ALIT OWNED CHEOw <br />UINEe;D <br />3001LV IN'VRY IPa Uarao,) <br />I�NIOnRnY <br />30Fa0'F1L'EY <br />9__ <br />AUTDS Auras <br />a <br />o <br />101 <br />- R h" t°AAPqt E ` <br />REO n4aAUTO HI <br />3 <br />B <br />UMBRELLA LIAR X OCCUR <br />EXCA3017995 <br />PI:f120i9 <br />11'13ila1S <br />eACH OCCURRENCE <br />K000,00 <br />X <br />EXCESS LIAR CLAIAIS,MAOF. <br />AGGREGATE. <br />gA,UW,OG9 <br />Dcp RE1'Ct4TICFIS <br />n <br />WORKERS COMPENSATION <br />CS AfU- I- <br />AND EMPLOYERS'LIABILITY YIN <br />AMY PROPRIE'rOWPARTNEINF.XECUIYVE <br />--- CL10.YJ,1MI1S. ..._ ER. <br />E,4..EACf1 ACCIDENT <br />..,_...___....,, „„ <br />B <br />OFF12Pmr.:Maro r XCLUnr;O? <br />NIA <br />_ <br />_..._,_..,.._.... <br />IMw,dutory M NH) <br />F L, O4SEASE - EA EMPLOYEE. <br />B <br />n YPU, rue sae <n' Or <br />-- • " °--' <br />ms` <br />- ----- ---- -- <br />I?GSCHIPTlpP10FDPERATI NS'oaiow <br />f•.,L, {)ISf.-AGE- Pn1.IC:Y tAMIT <br />_ <br />��_ <br />fY <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE$(ABUCh ACORD 101, Additl.rol Ramnrke 90o4ule, It mare I,... is 1,W.In <br />S'lQ�GK <br />1,IS �• <br />C'M At <Gr y <br />Assistant <br />CFk TIFICBTF klnl TIPP I^AMCOI I ATlnhi I <br />ICJ 1BBB•LU1U AUURU CORPORATION. All rights reserved, <br />ACORD 25 (2U10I05) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />12 CIVIC Center Plaza <br />Santa Ana CA 92703 <br />AUTHORIZE) REPRESENTATIVE <br />1 <br />ICJ 1BBB•LU1U AUURU CORPORATION. All rights reserved, <br />ACORD 25 (2U10I05) The ACORD name and logo are registered marks of ACORD <br />