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CERTIFICATE OF LIABILITY INSURANCE Rosa <br />3/5/2015 <br />3141S CERTIFICATEIS 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. <br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, if SURROGATIONiS WAIVED, subject to the <br />terms and conditions at the policy, certain policies may MQUIre an endorsement. A statement on this cadigcate door not confer rights to the <br />certificate holder In lieu of such andamement(s . <br />BOWERMASTER & ASSC INS AGENCY/PHS <br />181918 P:(866) 467-8730 F:(888) 443-6112 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />YO1t1YNtafdEA <br />PHQNEx ($GG) 967—$736 FAX <br />(BSS) 443-6112 <br />A=55: <br />AM <br />WeURMA: Twin City Fire Insurance Co. 29459 <br />Insunao <br />SAM HOOPER & ASSOCIATES, INC <br />17316 EDWARDS RD STE B100 <br />CERRITOS CA 90703 <br />INSURERS: <br />-- <br />INsuRERc: <br />INSUnERD: <br />NammE: <br />N8Le F: <br />mwrwluaauv ucn, Sr{YM I e{YNmacm; KEVRHUN NIMIREK. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1'HE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />T'ERM$,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />u.,. <br />{NSA <br />IVAROPM OUNCE <br />AROl <br />$USA <br />YO1t1YNtafdEA <br />Ml.ICYFPT" <br />POlACY6.VP <br />L!A/I]S <br />SANTA ANA, CA 92701 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIM -MADE I IO=IJR <br />1_.1 <br />EAd{ OCCURRENCE <br />DAMAGSTO REN TED <br />PRERbSE9 Ea urT4msncs <br />` — <br />MEOE{N(Anyans Pnrsaq <br />, <br />4 <br />PERSONAL&ADVINJURY <br />a — <br />GENI <br />GENERALAGGREGATE <br />y <br />AGGREGATE LIMIT P &PER: <br />POLICY d'. LOC <br />PROD4CTS�COMPMPAGG <br />S <br />OTHER: <br />5 <br />ARTOMOSILE <br />LIABILITY <br />ANY AUTO <br />- .m <br />VIA) g® <br />� <br />� <br />OMBINED VNQLE 41MIT <br />EeealAaM} <br />$ <br />e00iy INJURY (Pa person) <br />S <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON-0WNEO <br />AUf05 <br />— <br />ON <br />(�f <br />r <br />✓ l <br />BODILY INJURY (PEr accitlenU <br />PROPERTY DAMAGE <br />(Per sudo,w) <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAO <br />CLAIMS4,1ADE�,$ST'g�� <br />k� <br />AGGREGATE <br />Oea <br />le.KWOR$ <br />A <br />1110REAS COMPEh'&ITION <br />AND AAMLDYERI'AURl1IIT <br />ANY PROPRIETOIUPARTNERIEXECUTSTE YM <br />OFFICFAMEMOE14 EXCLUDED? <br />{Mandat"Yln NtS <br />WA <br />72 NEC .IX22i11 <br />01/26/2015 <br />01/26/2016 <br />pER N, <br />'Y` STATUTE ER <br />E1. EACH ACCIDENT <br />11 ,006-,000 <br />-, <br />SL.DIsEAEs-rAEMPLOYEe <br />51,000,000 <br />11 Co. IPTI <br />RIMbN OF <br />OLSCdP OPERATIONS belowr <br />EJ., DISPASS-POLICY LIMIT <br />11,000,000 <br />-,GOO <br />DESCRIPTION OF OPERA TMHS/LOCATION$/VEHICLES InCDxG let, AddW,,ulO"whs$abduM,"be A,,eed#,,ew anaraft a" M) .� <br />Those usual to the Insured'$ Operations. Coverage is primary & <br />non-contributory per the Business Liability Coverage Form SS0008.Notice of <br />cancellation will be provided in accordance with Form SS1223 attached to this <br />policy. <br />CERTIFICATE HOLDER CANCELLATION <br />0195$•2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and loge are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />City of Santa Ana <br />SLIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS <br />AGTHORI2EOREPRESENTAnVE <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />0195$•2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and loge are registered marks of ACORD <br />