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LAURA -1 OP ID: N
<br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
<br />10/1012014
<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, kha policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the
<br />Ins Svcs
<br />a 100
<br />Drlva, Suite 225
<br />CA 92694
<br />THIS IS TO CERTIFY THAT THE POLICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE OR 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
<br />THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED RY PAID CLAIMS.
<br />IN4Rr- -, -_� TYPE OF INSURANCE ADD #S'palt'""
<br />.LT.9.S -,,.,. ...®._ �_..� fW$R_!'YYa..,;� �P L.i. I..NUa ,�I�N.Pw,I.eJG^rM'- 60/YY'IYI« LIMIr9.
<br />IX
<br />A COMMERCIAL GENERAL LIABILITY I I t
<br />EACHOCCURRENCE3
<br />1,000,000
<br />---ry1ll 3 CLAIMS MADe 7t^' accuR t X 1 IPHPK1244684
<br />-.--I I }
<br />'X•Prgfeaeignal
<br />i0i11f2g1 4 1 1 0111/201 6 " �QPENTFO t
<br />1 Iha5 Iri.F_GcOrepn q} IS
<br />100,000
<br />A _ Lleb I 13a,00p,e00Ailj000A00U
<br />I
<br />a10N 9I 2014 )10 /11/20151 Mhn EH'.AOy onnRemonl I
<br />_ 5
<br />19,0_0
<br />A X! SaxuallPhys Abuser ' Y1,000,000/$1,000,000
<br />110/1112094 10111 /2016 pCR80NAt &AUV INJURY IS
<br />100060
<br />GL EHL AGGREGATE LIMIT APPLIES PER. }
<br />i GENERAL AGGREGATE 1
<br />5000,009
<br />POLICY I �(� LOC ; j
<br />4
<br />i PRO9UCT5 OM IOP AGG b
<br />3,000,000
<br />PHU?yC
<br />LIED
<br />AUTOMOBILE LIABILITY }
<br />41W— $
<br />t zwaie9
<br />. 06
<br />A I %t ANY AUTO j i 'IPHPK1244604
<br />' 101I2014i 10111/2015
<br />BODILY INJURY (Per peisbn) �5
<br />`}ALLOwNro I "1sGlarouLED
<br />d AUTOS AUTO ,
<br />�
<br />9 00i1LL Y u nFvT(A P art ascdm ) s a
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<br />6 HIREO AUTOS AUTGs
<br />{
<br />3
<br />I7 FmfY01
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<br />A I EXCESS LIAR - ICIAIMSMAD - fpHlJ0477349
<br />1DIIII2014110111/2015
<br />GfH OGCURREHCE (3 1'000'000
<br />AGGREGATE
<br />4..:.-. _ .. 1 _:
<br />! `uio X1REIEN UOng
<br />E
<br />iWORKERUCOMPENUATIUN
<br />AND EMPLOYERS' UAaIUTY YIN
<br />ANY PROPR'ETORJPARTNEWEXECUnvE I
<br />, OFFICERIMEMBER EXCLUDED? 7NIA�
<br />CL FACM ACCIDENT S
<br />- $TM
<br />,......,,
<br />I(Mandatory in Ntl) i s
<br />Iif as, dasodbe, under
<br />EL UISkASE•EJ, EMPLOYEE
<br />I k'I SCRIPTIONDFOPERANONSbnlew 1 1
<br />i
<br />E A9E PDI ICY LIMIT _S
<br />A (Crime ! PHPK1244684
<br />i 101111201411011112045
<br />€Emp Theft
<br />200,000
<br />DIED 2500
<br />iForgery
<br />200,000
<br />i
<br />1
<br />t
<br />DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES ( ACOR0101, Atltlltlonal aemaAS Schedule,
<br />maybe attached if mare apace Is required)
<br />The City of Santa Ana, its of£icers,employeas, volunteers, agents and
<br />representatives are included as Additional Insured per
<br />wording incorporated
<br />into the policy forms. This insurance is primary,
<br />1...r.,x, rrn..nar:.nve.vc,v a.rarv�.e�unllUry ...
<br />CITYS-6
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE
<br />City f Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ty - ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, 6th FI
<br />Santa Ana, CA 92701 ' "'"""' - --^'-^ -
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />un
<br />
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