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•-N4 "�N DATE(MWOONYY <br />_.-- TIFI A°T CSF LIABILITY INSURANCE 12/6/2016 <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 ISSUINO WSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE 11 ii:CERTIFICATE HOLDER. <br />IMPORTANT: II the cert(tlCefe holder is an ADDITIONAL INSURED, the 1: 1! cy(fos, muehbe endorsed. If SUBROGATION IS WA1 11: sub)eut to <br />the terms and Conditions of the PoInY, certain Policies may require an entlo,sement. A statement on fhfs cartfficme does not co <br />Certificate holder W lion of Such endorsement($). nte, rlgHts to the <br />PELLETT INSURANCE SERVICES INC <br />2985 Theatre Drive, Ste 5 <br />Paso Robles, CA 93446 <br />OR2721820 <br />DBA; Revenue Experts <br />4600 Campus Dr., Ste, 200 <br />Newport Beach, CA 92660 <br />I r NSTANDING ANY REQUIREMENT, TERM OR CONDIRON I. OFF <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED E <br />ONOITIONS OF SUCH POLICIES_. LIMITS SHOWN MAY HAVE SEEN <br />i'h TYPE OF INSURANCE <br />eC COMMEACIAL OENMAL UARMY <br />_..I CLAWS -MADE O OCCUR <br />A <br />C�EN'L AGGREGATE DMR APPLIES PER; <br />POLICY 0 JREBT � LOC <br />OTHER: <br />AUTIX40BILE UASILDY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />A AUTOS AUTOS <br />X{ HIRED gUT05 �( NONAWNF,D <br />AUTOS <br />X UMBRELLA I_IAB OCCUR <br />A EXCESS LOB <br />X1 Y JACPBP03027427618 <br />ACPCAA3027427618 <br />6 <br />7 <br />TO WHICH THIS <br />ALL THE TERMS, <br />IT IS AGREED THAT THE CERTIFICATE HOLDER LISTEDs�BELOW YBy0eI IS IINCLUDEDgNAS)ADDITIONAL INSURED <br />INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR <br />INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS <br />INSURANCE IS PRIMARY & NON—CONTRIBUTORY. <br />If//�Rope/) Pie A6hFth�vr 's <br />City of Santa Ana, its officers, SHOULD .ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />employees, 8[xt+nt5, V011lnt43Grd, 8k1i3 THE EXPIRATION DATE THEREOF, NOTICE WILL SE pELIVERED IN <br />repres antatives, Police Department ACCORDANCE WRH THE POLICY PROVISIONS. <br />60 Civic Center Plaza Huth IZED REP"'P"ATrv,4,,, <br />P.O. Box 1981 <br />Santa Ana, CA 92702 i 1 t } 4 <br />ACORD25(2014101) The ACORD name sad logo are registered maria Of ACOHD <br />25G-6 <br />