HomeMy WebLinkAboutMinor Mod_ Cert of Liability Insu 1.10.19o
A�CO 0 CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E)CrEND OR ALTER THE COVERAGE AFFORDED, BY THE POLICIES
BELOW. THIS CERTIHCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tUSURER(S), AUTHORIZ-ED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the polivAies) must be endorsecl. If SUBROGATION IS WAIVED; " subject to
the terms and conditions of the policy. certain policies may require an endorsement. A statement on this Certificate does riot confer" rights to the
certificate holder in lieu of such endorsement s'
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Brown & Brown Insurance Brokers of Sacramento, Inc
P- 0. Box 619043 Lic #O,H38004
CONTACT
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Roseville CA 95661-9043
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11028 Howard St
Whittier CA 90606
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M-IIS IS TO CERTIFY THAT THE POUCEES OF INSURANCE LISTED BELUN HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PSRIOD
INDICATED. N0'TWM--r-57ANDING ANY REQUIREMENT, TERM OP CONDMI ON OF ANY CONTPACT OR OTHER DOCUMENT WTH RESPECT TO NCH THIS
TO ALL THE TEIaS,
CERTIFICATE NIAY BE ISSUED OR WAY PERTAIN, THE INSURANCE AFFORDED By THE POLIC3ES DESCRIBED HEREIN IS SUBJECT
EXCLUSIONS AND CONDITIONS OF SUCH POLIC3ES- LI►4rk-S SHOWN MAY HAVE BEEN REDUCED BY RALD CLAIMS-
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sescRipinON CF OPEERATimis below
aE%CFaFrnON of OPERATIONS I LOCATDM I VEIiICEES (ACOfM 1K, Ad0ftand RMS' 10 =G&AS, MY is at3dl9d If 1110M 11 ft N**9d)
Certificate holder is included as Additional Insured, under Commercial General Liabifty policy per endorsements CG 20 10 07 04 and CG 20
37 07 04
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Los Angeles City Fire Department
221 N Figueroa SbL4
Los Angeles, CA 9W12
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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