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Oct 12 2815 13:12:39 FAIT FROM: F21119EB449353BB HSGIS 112543468Z-EEf>i-1 PRGE 803 OF 883 <br />14► s� CERTIFICATE OF LIABILITY INSURANCE �u <br />10/12/2016IS <br />THIS CERMFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS No FSGHTIS UPON THE CERTIFICATE BOLDER 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 ACONTRACT BETWEEN THE ISSUING INSURER(81 AUTHORIZED <br />REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER <br />IMPORTANT: If the cortlflcata holder Is an ADDITIONAL INSURED, the pollay(les) mei have ADDITIONAL INSURED Provisions or be endorsed. <br />If SUBROGATION 10 WAIVED, subject to the terms and condMlons of the policy, certain pollcles may require an endorsement A statement on this <br />certrftcata dam not confer riqlAs to the cartlrieate holder In Ilau of such endorament(s). <br />BOWERMASTER & ASSC. INS AGENCY/PHS <br />181918 P: (1966) 467-8730 F: (888) 443--15112 <br />PO BOJ{ 33015 <br />SAN AN`T'ONIO TX 78265 <br />NAM _ <br />(JUC,NyE#� (86£) 467-8730 PA Nq (888) 443-6112 <br />AOGR'MM <br />INeumpgq A.FFORGING cagmu= NA}3F <br />IMJRElA: Sentinel Ina Co LTD <br />mauRffn <br />SAM HOOPER & ASSOCIATES, INC <br />17316 EDTATARDS RD STE B100 <br />CERRITOS CA 90703 <br />INSURER p: <br />INMRER J: <br />INSURER 0: <br />JuViAme: <br />INSURERF; <br />11-013 TO CERTIFY THAT THE POLiclEB OF INSURANCE LISTED BELOW MAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTYISMSTANDiNG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER L30CUMENT VATH RESPECT TO VYHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ]a SUBJECT To ALL THE <br />TERMS,EXCLIJSICNS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOIMV MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />sus Aaraere <br />atau <br />raLirrarrava� <br />'^°� <br />racursar <br />J.BUZM <br />A <br />COMMERCIAL 41NE RAL LIAML17Y <br />cL4[tasaagae �occLlR <br />x %General Liab <br />GENt AGGREGATE LIMIT APPLIES PER- <br />POLICY <br />J=OT � LOC <br />A'iMSR: <br />AU7WJ?6 OREPREf8NTATWIF <br />20 LIVIC CENTER PLZ <br />7= SBH AJP140 <br />(31.126/20).0 <br />Ol/26/2017 <br />FACH 0=URRE NC6 :2,000, 000 <br />PR[]N�;Eaas®Tansa] 1,000, 000 <br />X <br />N:EDE;xP;Ahpamparaonl 10, 000 <br />PErmaNALa.ADVINARY -2,000,000 <br />92MALAMMIMIMATS ;4,000,000 <br />FFVWCre-ODNFlOPA=1M 4 , 000, 000 <br />r, <br />A0ToMCF1 LIABILITY <br />ANY AUTOOVM <br />©SCNLY AUTOSULED <br />X HIRED X NON.]tWo <br />AUTOS ONLY AUTOS ONLY <br />72 sBx 1,79140 <br />0112E/2016 <br />D7/26/2017 <br />�achl�htl HG a2,000,000 <br />9GOILY [[�IURY {Paper^-aij <br />5=LYWJRYiFWeCadaM0 g <br />6 <br />IPer x4"14 <br />A <br />X UIYBRSLLALIAR <br />6=666 LIAR <br />X <br />OCCUR. <br />CLAWS -MADE <br />72 SBX AJ9140 <br />01/26/2016 <br />01/26/2017 <br />EACH OCCUPRENCE $1, 0001 000 <br />ANMAEG rE :1,000,000 <br />GEh x korw]aNt l0 000 <br />A <br />[YUJW=CW1tpJ04@ nW <br />.u�mm 1UNxL1rr <br />ANY PR0PRII3TQRPAR1W8tWMMMW YON <br />BFMC RNEIaM ETCLUDEW <br />(A*HdaryinNH) ra <br />If��eecs d�scn'6a=der <br />OE5CRIP3TON OF OPERATIONS IDA= <br />wa <br />72 WEC ,J72201 <br />01/26/201E <br />01/26,'=017 <br />PEROrn. <br />715 STATUTs Sg <br />ELEACH Acaagrrr 51,000,000 <br />MLD1SEAS&r.A9-QA M °110001000 <br />EL DI-RDIJ^.YL[MT 61 A coo, 0d D <br />aPiCRfP71GItGFdPEAA7�0AfiI60CgT[QI7$AYFF[[Ci�tACORD7901,AddltivhdRshrarksIkhsdlda,h» jr6aaashadf!lnah%Wmalsr Whll <br />Those usual to the Insured's Operations.City of Santa Ana, its officers, <br />employees, agents, volunteers & tepresentatives are Additional Insured per the <br />Business Liability Coverage Farr[ SS000s. Coverage is priaLary & <br />nun -contributory per the Buwiness Liability coverage Form SSOOOS.Notice of <br />cancellation will be provided in accordance with Form SS1223 attached to this <br />99 lbdfi-790-10 FiLOK0 CORP>DRKDON. All Tights rasermad., <br />ACORD 25 (291=3) The ACORD name and logo am registered marks of ACORDr F��;J�j( <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE V4LL BE <br />DELIVERED IN ACCORDANCE VWTH THE POLICY PRQ\49IGN& <br />City of Santa Aha <br />AU7WJ?6 OREPREf8NTATWIF <br />20 LIVIC CENTER PLZ <br />_ <br />SANTA ANA, CA 92701 <br />99 lbdfi-790-10 FiLOK0 CORP>DRKDON. All Tights rasermad., <br />ACORD 25 (291=3) The ACORD name and logo am registered marks of ACORDr F��;J�j( <br />