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AC,i0RL> —�— — <br />ip r CERTIFICATE OF LIABILITY INSURANCE �21I(3O" ✓201 <br />THIS CERTIFICATE KATE' 15 CSSUED AS A MATTER OF gNFdRMAT1dN QN'LY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />BELOW. DOES NOT AFFCRMATIVELY OR NEr,ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BEPRE THUS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEWi EEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE dR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT;. If thB Certificate holder Is ali ADDiTiONAL INSURED, the policy {ies) malst be endorsed. if SUBROGATION IS'VgfAtVED, subject to <br />the terms and conditions of the policy, certain policies may roquiro an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s), <br />PRODUCER ONTAC KENNY" fIQT <br />NAME. <br />INSURANCE LAND INSURANCE SERVICES PHONE � � .. <br />4032 WILSHIRE BLVD 213- 388^ S'a5__._ . . .. �.i &P,A. 213 -3e8-7148 <br />1ruCq,.Bal}� .... <br />STE 309 y <br />AD�oss, INSi9F .ANt3ELANTJC�?SBCGLOBAL.NET <br />r) FFORDING COVE <br />LOS ANGELES CA. <br />90010 - INSURI<R_{ §�G _ 9 NAIL <br />.. ...._. <br />-- — INSURERA COLONY INSURANCE COMPANY <br />INSURED <br />INSl1 EMT'LOYERS PREFERRED SNSURANCd <br />XANADU SERVICE SYSTEM, INC. RER8 <br />INSURER. C INTEGON PREFERRED INSURANCE . <br />10002 PIONEER BLVD., STE 101 tusu(z(zo: <br />SANTA FE SPRINGS INSUREat,c; <br />CERTIO KATE NUMBER 70 <br />IN 5URER r : �T <br />COVERAGES REVISION NUMBER: <br />THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />GENERAL LIABILITY <br />?,� 1 COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />J_..�. -. ......_ - .. ..........._.......,.. <br />GEN L AGGREGATE (LIMIT APPLIES PER <br />ICY r PRA I I; LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OVMIED SCHEDULED <br />A6TO5 . AUTOS <br />NON -OWNED <br />biIREDAU7O5 _ <br />AUTOS.. <br />UMBRELLA LIAR OCCUR <br />EXCESS LIA17.. 11 ,., — <br />WORKERS COMPENSATION <br />I AND EMPLOYERS' LIABILITY Y i N <br />i. ANY PROPRIETORIPARTNERPEXECUTIVL <br />$ OFFICERIMEMBER EXCLUDED? Y N I A <br />i <br />(Mandatory In NH) <br />11 ties. derscNba undor <br />MMTIGIG'(NYYY9.�, LIMIT° <br />URE' ;ENCr: <br />+47,1421 69f 15 ✓2415 09/15/2616 -EACI OCCURRENCE <br />taAMA0LL-TCCR!1mr () <br />I <br />- <br />1001,000 <br />I <br />i M.D E P (Airy on.. e nel son) <br />_. 5,000 .. <br />PERSCNAL & ACV INJUR <br />V 0 , V Q 0 <br />---11-0 .. <br />GE AGGREGATE <br />M ._.. -., ...... <br />, $ <br />... <br />2,000,0 00 <br />....._ <br />(PRODUCT$ COMP,,O'P,GG <br />3 <br />1 (}C10x000 <br />..— ...... <br />'. C.C3r &D Nt [; SINGLE L IVIT <br />2003172x88 106/04/ 261566 /04/'2016, 4F88cc" nh <br />; <br />Ann <br />EIG 16634,47 02 104/02/2015864/02 /2016 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS P VEHICLES (Attach ACORD 101, Addlllonal Remark Schedule, It Mora space is required:.) q <br />BODILY INtURY (Per Pelson) 6 <br />BOCILY INJURY (PPr acdo nnp <br />PROPERTY OWWGF <br />ASi Llg rnr) <br />EACH OI C.UR t4ENC(: :> <br />s <br />F: L EACH ACCR)EN] <br />E L- OISF ASE EA EM <br />1,000,000 <br />1, 0 0: O. r f?_(i 0 <br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. � a ^ � <br />CERTIFICATE HOLDER CANCELLATION <br />CLERK OF THE COUNCIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA THE EXPIRATION AATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE W170 THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA (M -30) <br />SANTA ANA <br />CA 92701 <br />AUTHORIZED rJ&15RESEN'1"A1IVE <br />@88- 20'101 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered rks of ACORD <br />