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CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER77FICATE HOLDER. TILS <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 INSURERS} AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. If the cartiNcam holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be andorsed. <br />If SUBROGA71ON IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an <br />this contficata does net center rights to the certificate holder In Hou of sugh ondome t s . <br />INweoeea - c TA Mark G Witcher <br />NAME: _ _.._ <br />k`sT$Ef,Ti7it mark GWitcher IAr�C�iia. EMk 619 -ESI -4290 _._ FAX 61&656+311 <br />945 Clay Lakes Rd Ste K nottess: madt.witcher.ngkm&tatefarm cam <br />_Cr$UR£R{si AfFOABWCy CDVFRrte€ �__ NASA_ <br />Chute Vista CA 91g13 INSUION2A. Stale Farm General- Insurance Company 1 25151 <br />atsuREo <br />Sean Coolidge DSA Neue Style <br />952 E Santa Ana Blvd <br />^----- <br />- _ _ Santa Ana C,A. 92701-3943 a1SI1RFN F- --- <br />120VERAPF9 r'f=RTl9U--ATF tit INRCR- onA9.crnrA uI usacn. <br />THIS IS TO CER71FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD <br />INDICATED, NOT ANY REQUIREMENT, TERM OR CONDt"notl OF ANY CONTRACT' OR OTHER. DOCUMENT Vd CH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR. MAY PeM'AI4. THE INS1114ANCE 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 />: <br />AODLSUOR�__INSRTYPEORStASURAOE AueM LIMITS <br />A <br />1 <br />CO MIA E"OLGENERALVABILITY <br />I OCCUR <br />_!l <br />l <br />i99 CY.E3785 <br />{ <br />641121291E <br />U4d1PJ261735arrALCADV <br />EACN OCCUR&ENTRE <br />Is 1666,666 <br />PPA-AA3kES-(�TV Ra EN, EOCLAIAS.MAdE <br />a1M5} _ <br />MED EXPr arm FutAmy <br />INAuevs-- <br />IP—3e' 4 Q9Srr <br />5 5666 <br />- <br />— Y <br />�FFh. ACCRECATE LIMrf APPUPS PER <br />O- <br />I POLICY L PRcCT '� tG„( <br />C'cFlERFL A.GCRE.,AI E <br />$ Z0(10,000 <br />PRtlCUGTS •CCd1PlDR ADD <br />r 2.000.000 <br />IOnERr. <br />__.. <br />9_ — <br />AUTOMLreO.EtJAanITY <br />( <br />14PINE4 SINULt WAIT <br />r <br />ANY AUTO <br />AU ON OB.Y AUT08 <br />1HoJEn <br />A41T050N°LV ( _' ALdr68.014r <br />AUTOS <br />UTO <br />- <br />aCL'R.Y 1R.JulIY {P v Pr ,Nv) <br />CCGLY INAkiV(P ddem) <br />8 <br />$ <br />-PRrwE \IFGC <br />_LR r dart <br />4 <br />�.._. <br />UMBRELL4 Use <br />B%CESS UAa <br />I <br />I tL`4UR <br />eCLAIMSFttOF <br />l <br />i I <br />iAGGRFCiATE <br />EACH tlCCLRFf64r>fi <br />5 <br />DEDI FPETFNIONS <br />ANDQM[iu V MF'WHIUT l <br />YIN <br />ANY FlRLYRIET0%PARTNERieXCCUTW- YfN <br />AW <br />iC�EEIr_ERA1EfADERE%CLUDEW NIA <br />@Rend Aary In NRt �' j <br />i <br />I <br />I PG2 Nil - <br />-LS hTUTE I R <br />_ <br />I LCACN ACGtD NT <br />1 & --� <br />CL❑SEASE EA CMPLO4`CCS <br />1 <br />It yy. - dnvrrl N OF <br />DEiCH1PTIlAN OF CPERATl6hti lu:Irxr <br />� <br />L DISUSE • KY UCY LIN417 <br />& <br />DE5CRIFTION OF OPERA"ONS ( LOCATIONS I VEHM--LES (ACORD tet, Addltlonat R,en.& Schedule. ma'r be Eton hcl a Awry avm a it f 4wrud) <br />V vVI� <br />CERTIFICATE HOLDER t"ANrFi I ATiCNJ <br />8-2615 ACCiRP-CORPeRATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and toga are registered nearks !CORD <br />e3-t=fZUtc- <br />SHOULD ANY OF THE A34WE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE ER�OF, NORCE WILL 13E DELIVERED IN <br />City of Santa Ana. Ik; offlm c., Fsrtployees, agents, volunteer, <br />ACCORDANCE WITH THE LILY PT?OVt51ONS. <br />and repn?Sentatives <br />AUTnORRED RERRESENTA <br />20 CIAO Center Plaza <br />Santa Ana CA 92701.4056 <br />8-2615 ACCiRP-CORPeRATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and toga are registered nearks !CORD <br />e3-t=fZUtc- <br />