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Policy Number: 9104314 -16 <br />Date Entered: 08/24/2016 <br />A`" br CERTIFICATE OF LIABILITY INSURANCE <br />8/24/2016) <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, the 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 />certificate holder In lieu of such Endorsement(s). <br />PRODUCER <br />Professional Insurance Associates <br />2729 Saturn Street Ste B <br />CONTACT <br />NAME: Jennifer Hawley <br />AIC NNO Eli, (719) 528 -9600 FAX No: (714) 528 -6900 <br />E -MAIL csr@hawlinsur anceservices.com <br />ADDRESS <br />Brea, CA 92821 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC N <br />INSURER A: State Fund Compensation <br />INSURED FMG, INC. <br />INSURER B: <br />$ <br />INSURER C: <br />dba HADLEY TOW <br />INSURER D: <br />11819 Hadley Street <br />ISE E: <br />N <br />Whittier, CA 90601 <br />INSURURER R F <br />rn% /FRAGRS fLFRTIFIr]ATF NI IMRPR- RFVIICInKI NIIMFl <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />TR <br />TYPE OF INSURANCE <br />ADDL <br />SUB <br />Wi <br />POLICY NUMBER <br />POLICY IrYYYP <br />POLICY YYYP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RE <br />CLAIMS -MADE OCCUR <br />PREMISES Ea oNTED <br />ccur hands) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER', <br />GENERAL AGGREGATE <br />$ <br />POLICY PRO- ❑ LOG <br />PRODUCTS= COMPIOP AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY(Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS - <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />NON OWNED <br />HIREDAUTOS AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER /EXECUTIVE Y�NIA <br />OFFICERNEMBER EXCLUDED? <br />(Mandatory In NH) <br />9104314 -16 <br />06/28/2016 <br />06/28/2017 <br />STATUTE OERHF <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E. L. DISEASE EMPLOYEE <br />31,000,000 <br />If <br />t yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />51,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) el- f -,p <br />Uwe /4�ar /�7r¢/ld� /i�� <br />A 10 -day notice of cancellation is provided for non - payment of premium Celli- <br />City of Santa Ana, Its officers, employees, <br />and representatives <br />Attn: Purchasing Dept. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 -4010 <br />ACORD 25 (2014101) <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 REPRESENTATIVE <br />Jennifer Hawley <br />© 1988 -2014 ACORD CORPORA <br />The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Boss Plus software , www.FormsBoss.com; Impressive Publishing OW-208-1977 <br />