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nil CERTIFICATE OF LIABILITY INSURANCE n�zizizo151
<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: it the certificate holder Is an ADDITIONAL INSURED, the policy(los) must be endorsed. If SUBROGATION IS WAIVED, Snbl to the
<br />terms and conditions of tiro policy, certain policies may require an endorsement. A statement on this certificate aloes not center rights to the
<br />PRODUCER
<br />WILLIS OF ILLINOIS, INC.
<br />233 S WACKER DR,SUITE 2000
<br />CHICAGO, IL 60606
<br />NSUR@P
<br />RUCKNAM INFRASTRUCTURE GROUP
<br />INC
<br />3548 SEAGATE WAY SUITE 230
<br />OCEANSIDE, CA 92056
<br />8)780-5381
<br />INSUREPu I AFFORDING COVERAGE NIDI k
<br />Citizens Ins Cc of AmerrTm-
<br />31534
<br />e Hanover American Ins Co � .36064
<br />iamlrISk,H
<br />THIS IS 10 CERTIFY THAITHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE 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 TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY tIAVE BEEN REDUCED BY PAID CLAIMS.
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<br />LIMITS
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<br />5 1 000,000
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<br />510000
<br />PEPSONAL%ADVINAJRY
<br />51000,600
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<br />SENERAIACGREGATE
<br />E2000,000
<br />s2000,000
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<br />I OBC A399956 01 09/16/2015 00!18/2016
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<br />IAGGRCGAir
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<br />159000,000
<br />DED RETENTION$
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<br />VIOATPON
<br />AND EMPLOYERS' LIABILITY
<br />AND ["MPI DYERS LIABILITY YIN
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<br />'ANY PROPRrrOFFPARTNERIGIECUTIVE
<br />B 1 OFNCENEM9ERE%C._.IOED+ L N+n��
<br />WZC A39994601 109/16/2015 00/16/2016
<br />EL. EAU I ACCIDENT 51000,000
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<br />AIM tlwry' DID
<br />EL DISEASE EA EMPLOYED; 51,000,000
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<br />EL DISEASE- POLICY LIMIT ,$ 1,000,000
<br />OELCRIPTION OF OPERAPONS ILOCAimNe t4EHICLEe tAltacM1 ACURU teY. Niaiti nal RmnarNs ecNotlula, Il,n ra espa<a'm rvµnpe47
<br />City of Santa Ana, its officers, employees, agents and representatives are an Additional Insured pursuant to the tens and conditions of form: BP0450 (Additional Insured -
<br />Owners, Lessees or Contractors) Additional Insured Is primary and noncontributory to the extent provided by form 301,133 1. Cancellation notice will be provided to the
<br />Certificate Holder pursuant to endorsement: 4011235 (Notice of Cancellation), Such notice is solely for the purpose of Informing die Certificate Holder of the effective date of
<br />cancellation and does net grant, alter, or extend any Ill or obligations under this policy. Separation of Insureds is pursuantto the terms and conditions Of fOr71:391-1003
<br />(Page 50 N4).
<br />REVIEWEL7 BY:� EUNICE PIEREDIA (PG � OI= 7 }
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS..
<br />AUTHORIZED REPRESEN'It, FIVE
<br />©1988.2010 ACORD CORPORATION.
<br />ACORD 25 (2010105) The ACORD twunc and logo are registered rnarks of ACORD
<br />
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