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SIERR-1 OP ID: LC <br />A.sy,,....-"- �„ CERTIFICATE OF LIABILITY INSURANCE DATEo2/2112vao17 <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 pollcy(les) 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 endorsament s , <br />PRODUCER <br />Wright, Finnegan & Carter <br />Insurance Associates <br />OONTACT NAME: Certificates <br />_ <br />PHONE <br />c NQ Exe; 714.283.1999 Alc No :714.263.1997 <br />23001 La Palma Ave 0100 <br />Yorba Linda, CA 92887 <br />A ODREss: certlflcates@VYfslns.com <br />--- <br />GENERAL LIABILITY <br />John Carter CIC <br />AFFORDING COVERAGE NAIC R <br />_INSURERB) <br />INSURERA: National Fire Insurance Cc of <br />INSURED Sierra Cybernetics Inc. <br />INSURERS: Hartford AXV <br />Suite 201 <br />8140 E. La Palma Ave. <br />_ <br />NsuRERD: <br />INSURER D: <br />Anaheim Hills, CA 92807.2069 <br />_ <br />NSURERS: <br />1034949260 <br />INSURER F: <br />04!20/2017 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <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 />LTRINSUR <br />. . <br />TYPE CPINBURANCE <br />FINANCE & MGMT SERVICES AGENCY <br />POLICYNUMBER <br />FQ1UQfF <br />FULICYEXP <br />IMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,00 <br />PREMISES(Ea ence` $ 300,00 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CA M$,MADE 1] OCCUR <br />X <br />1034949260 <br />04120/2016 <br />04!20/2017 <br />_oc <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,00 <br />X <br />$0 -Retention <br />GENERAL AGGREGATE $ 2,000,00 <br />GEN% AGGREGATE LIMIT APPLI EG PER: <br />PRODUCTS - COMP/OP AGO $ 2,000,00 <br />X POLICY PR - LOC <br />$ <br />AUTOMOBILE LIABILITY <br />Eaaocldent IMT $ 1,000,00 <br />BODILY INJURY (Per person) s <br />AANY <br />AUTO <br />1034949260 <br />04/20/2016 <br />04/20/2017 <br />AUTOWNED AUTO®JLED <br />BODILY INJURY (Per oocldent) $ <br />NO-OWNED <br />X HIRED AUTOSX <br />RTY DAMAGE <br />PERACCIDENT) <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE. $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I <br />I RETENTION M$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRICTORIPARTNERIEXECUTIVE <br />OFFICERINIEMEER EXCLUDED? <br />N/A <br />EIA'fU. OTH� <br />Y ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE- EA EMPLOYEE $ <br />(Mandatory In NH) <br />DMan under <br />RIPTION OF OPERATIONS below <br />E LL DISEASE- POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (Attach ACORO 101, Additlomi Remarks Schedule, If more space Is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES ,AGENTS & REPRESENTATIVES ARE <br />NAMED AS ADDITIONAL INSURED & PRIMARY WORDING APPLIES PER THE BLANKET <br />DTTIONAL INSURED ENDORSEMENT ATTACHED TO THE POLICY — AS REQUIRED BY <br />TTTEN CONTRACT. 30 DAY WRITTEN NOTICE OF CANCELLATIONWILLBE PROVIDED TO <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701. <br />CERTIFICATE HOLDER CANCELLATION <br />01888-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />THE CITY OF SANTA ANA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />FINANCE & MGMT SERVICES AGENCY <br />AUTHORIZED REPRESENTATIVE <br />LH <br />20 CIVIC CENTER DRIVE <br />M-16 - PO BOX 1 see <br />2702 <br />01888-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD <br />