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- 21CA21 - Ma. <br />HADRO -1 OP ID: ED <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDNYYY) <br />0210312016 <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 Rolicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the term's and conditions of the policy, certain 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 <br />Brouwer Insurance Agency <br />License # 0454226 <br />725 E. Valley Parkway <br />Escondido, CA 52025 <br />Jack Brouwer, CIC <br />Jack Brouwer, CIC <br />...760 -745 - 5151 . <br />INWUFERtSI AFFORDING COVERAGE <br />United Financial Ca'sualtV Gore <br />760 -741 -9306 <br />1.1770 <br />d <br />INSURED Hadronex, Inc. INSURER 6: ._._..._.._ _..........___.' w_ ___..,_.,,._ <br />2067 Wineridge Place #E - - <br />Escondido, CA 920.29 IkSURERC <br />INSURER D.* <br />1'NSURER E <br />INSURER F <br />r+r�.wee- M^.xncr f'r-DTFeI.r'A.T[= MI.IKRPI=P• PF:Vlglnm NI IIIHIRPRr <br />THIS I$ TO CERTIFY THAT THE POLIOES OF INSURANCE LISTED BELOW NAME BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF <br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />__ ..... _ .....w .. __. <br />INSR TYPE OF INSURANCE e4 5OT $SiIRI?I _,.,_._ <br />LTR I...,....,...». I <br />€ POLICY NUMUER <br />Pi?LICY EFP POLSCY 6XP <br />i IJIMPDDiYYYY MMlDD{YYYY LIA7175 <br />COMMERCIAL GENERAL LIABILITY '�. <br />5 <br />EACH OCCURRENCE <br />g <br />_. ,. _..... ...,.. <br />5 <br />OCCUR CLAIMS•wADE v <br />.. .._... <br />` r I <br />MED (Any <br />( Y ono nn pas ant 5 <br />` " <br />I P[ RSPNAL & ADV INJURY S <br />GEN L AGGHi GATE LIMIT APPLIES PER: I <br />GENERAL AGGREGATE 5 <br />JECT LOC I <br />PRODUCTS COM MOP AGO 5 <br />s OTHER, <br />AUTOMOBILE LIABILITY I <br />; COMBINED SINGLE LIMIT S 1,000,000 <br />Q ANY AUTO_! <br />06264245 <br />0210112016 ' 0210112017 ] BODILY INJURY IPer persanl 5 <br />- ........... <br />ALLOWM1EO SGkaCOULED } <br />!A <br />BODILY INJURY IPcr=idanll S <br />OS AUTOS <br />'. _ ..._m_...._,. <br />......... <br />NON-OWNE} <br />X. x <br />PROPERTY DAMAGE <br />X"IIi2G.0 AUTOS AUTOS <br />I' UMBRELLA LIA13 OCCUR -..I <br />; I CA011 DCCi1RREM1Pf.E 5 _y. <br />LU6 <br />.._.. .. .., .._.. <br />I . DED ( RETENTIONS <br />W(7RICERSCOMPENSATIOPd r <br />.�EXCESS <br />AC GRfGA rE ..._ _.,_.._..... <br />@@ FFR C1 ki 5 <br />y yTAniTE, y Erb{ <br />AND EMPLOYERS' LIABILITY' <br />- ,I <br />fl , .. °. ..` <br />' <br />ACLUDE £xECL171bc e N / A <br />"cTS'i �i <br />° E L, EACH ACCIDENT S <br />,. . ,., „. _ ... _... ...... . - -_, __,..... <br />Mandy iM Irl NHR�i <br />imandglor to NH) EJCCtU'ti <br />� l I i <br />1 EL biSCASE_ Et11_MPLOYEEI S <br />If yyus, doscrabe urided OF <br /><DE.SORIPTION OPERATIONS bs1. <br />E <br />R <br />I E.L.. DISEASE -POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES [ACORD 101, Additional Remarks Schedule, may be attached If more space Is requlredl <br />CITYQ'F4 <br />City of Santa Ana <br />Purchasing Debt <br />20 Civic Center Plaza <br />Santa Ana, CA 92701.4010 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE"- VWILL, BE DELIVERED IN <br />rtr..i.vRlryr+IVs..a =rrlrH iretr^vLEi.'i rR.vv0uONS: <br />AUTHORIZED REPRESENTATIVE <br />ID 1988 -201+4 ACORD CORPORATION, Alt rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />v <br />