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Alhw� DCERTIFICATE OF LIABILITY INSURANCE I DAozro22018rn <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT., If the certificate holder is an ADDITIONAL INSURED, the pall ey(les) must he endarsed, If SUBROGATION IS WAIVED, suh)oct to the <br />terms and conditions of the policy, certain policies may require an endarsernent, A statement on this cortlRcate does not confer rights to the <br />certificate holder In lieu of such endorsormards). <br />PRODUCER CONTACI <br />NAME: <br />COASTAL BROKERS INSURANCE f FOR QUESTIONS CONTACT: PHONE <br />TRITON OF CALIFORNIA INSURANCE SERVICES INC <br />2332AUBURN BLVD. INeURER(s)AFFORDINo COVERAOE� <br />SACRAMENTO CA 95821 <br />.,_..,„„•„,„,,,„,_v,,..,.�..„.,._.....,„„.„m...�„-„,.MESA UNDERWRITERS.kfNOIALTY INS C0 <br />€NOR TOM 6YSTRY 1� _ "C "I�F` It+su qar .. ___.�_...v_. .a -.-... __. ....,.- ._ <br />DBA: VIDEO ENGINEERING SERVICES LMQRIFR0'-----»—�� �----- -�M^ <br />18875DONWEST <br />TUSTIN CA 92780 INURERE; <br />o CVlornhl LNIu11CD. <br />THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 ANQ OONOITIONS OF SUCH POLICIES, LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />IFFSR1— <br />tYPE 4P INSURRNC6 <br />lil POLICY NUMBER <br />MMEO�EOPLY�b <br />LIMITS <br />GENERAL LIABILITY <br />EN H OCCURPEJrE 1 1.000 000 <br />'CACr1�'c -1 <br />cOIatAERcwaaiHiveRSLLLd91LiTX <br />� <br />"C"r7C'li".-..- <br />;RT hI .�Ea�. urar a. Ib 1000 <br />rLAIhI>,!,V k^OCCUR <br />=MEC EK IAn4orle 4nraonl 165000 <br />A <br />MPo004009004649 <br />Qz•01.18 <br />02 Q119 pLNSDtaALa NiyIN IJa Is 10(10000 <br />. 1F 0'{ AGBRF..+ATr 12,000,00 <br />_ <br />6EJt hGOftE hTELNtIt APGi IES PPf;; <br />I FROrji'T'-CIJPtaP'Sr 12000000 <br />¢FO- <br />x <br />AUTOMOBILE USAMWIW.�u <br />1 <br />8 1 <br />n:,141 <br />CIL .- �1) <br />1 <br />ALI- <br />I <br />) 0000 HXR'Y )Par P9raxX'1t 1 <br />vajE tAULEO - <br />nu.n.•mIEL, ALTOS <br />. Af1T05 I I �T 18 <br />! <br />) <br />I <br />' HOCILv wd ar YIUKY 3 �� <br />IP 11 <br />Hipeo TDB AUTos 1 <br />C eyak II It <br />� UMBREIt.R LWe <br />� Yr �4�' 1 <br />9 � <br />i �Gti�icvCCVRREbCB � S . <br />e%CES4 LIAB <br />rl JA' ACM1C*`_- <br />( <br />�.a YIE+,ATC. } <br />C <br />RVrORKERS-COMPENSATIO $r B <br />I t <br />i lain- <br />uft <br />ANDWFLOVER'LIATWN <br />ANYEMP6OYERS`41AaN.iT1' yI I <br />ORYtIva <br />IrORY 41MRd <br />ANY F1`. G`nTNi IrNRTvER.,�;):-".,IJ�y>a <br />CGbICC1ME.41EERE CI,I,L£Ci �;NFA <br />� <br />(Mandiea ANW <br />'T...<nm.. .. <br />n tA9 455Li$3 ; ' Q�A1rztl <br />( ..i....n.. <br />E LQI3..£ POLE Y LIMIT 13 <br />I <br />I <br />I <br />i I <br />CGSCFOMRDFOPhRATIONSILOCA11ONSIWHICLES (AI%dh ACORF 101, Addieoebf ROM A$ Sarodu10,1more put is raggkad) ' <br />%AL <br />THE CITY OF SANTA APIA, ITS 6FFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE NAMED ASADDI NINSURED FORM CG <br />2010ATTACHED TO THIS POLICY, THIS INSURANCE IS PRIMARY AND NON CONTRIBUTORY PER FORM Ct,; AT"f.�jCHEDT mS POLICY. <br />CITY OF SANTA APIA <br />FINANCE & MANAGEMENT SERVICESAGENCY <br />P.O. BOX 1988 M-1 B <br />SANTAANA CA 92702 <br />SHOULD ANY OF THE <br />THE EXPIRATION C <br />ACCORDANCE WITH i <br />I I 1 <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />CANCELLED BEFORE <br />Be DELIVERED IN <br />