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<br /> �R B/3/2017
<br /> �'p/ZL 1� CERTIFICATE OF LIABILITY INSURANCE
<br /> Man,CEPPF1CAnn,ISSUED AS A YAMR OF INFp MUMOIRYAND OFERSnF�CWENGE n FIGHTSWEN MECFMRCABY dEI` IM"ES
<br /> CEREFICATEDOES NOT AFFIPYATYELYOP NEOARVfLYANENO, FSFE
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<br /> PEFWm ENEATVE E PRODUCER.ANB THE CERTFICATiROlDE1L
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<br /> NPORT
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<br /> A` (916)939-3085
<br /> "Iw'NEe En 916 939-1OBO
<br /> ISU INS SERV — BC ENV BROKERAGE F.wL
<br /> 1037 Suncast Ln Ste 103 xAWP
<br /> El Dorado Hills, CA 95762 xRAL ANSUR coYCE
<br /> 24056
<br /> pnAvenA. ADMIRAL INSURANCE COMPANY 35076
<br /> nswEu ENVIRONMENTAL CONTROL ASSOCIATE3, INC. wvmER e: STATE COMP. INS. FUND
<br /> 3011 TWIN PALMS DRIVE slnFac:
<br /> CA 95003 oaPaFRD.
<br /> APTOS, m.,R.
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<br /> REVISION NUMBER:
<br /> COVERAGES CERTIFICATE NUMBER' FCP nE FtlIILY PEFYCO
<br /> TES 6 TO CHt11FT 1HATT£FG%JF-5 CF p6.ANCElS1EO�11YNIWVEBEFR1mE010 TE pFAAIFD WsxEO N10.£
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<br /> ,,LuEORIMY PEA1N .
<br /> IXCAIISCRSPFACIXMK.VI465UG1R'IICIE511.11590/RIIMY WIYEBEFNIED.KEOBYPNOdNAS. tt yOR' w.WV E%v im15
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<br /> • COWIE.naRO .SMY PPEN 3
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<br /> cvawA,f M«Luv u6DFY➢IM,uuW.ml 5 000
<br /> X CONT.POLLUTION FEI—ECC-22900-01 8/01/17 8/01/18 aEawxAL.wvwAlP, 3 11000,000
<br /> A s�Pn AOSaEG1. 1 2,000,000
<br /> u,rLrc ,.Ewn.mSPsaa n,... 1 2 000 000
<br /> X raaWr 0 1
<br /> LYY, t,EOEnI C.Un
<br /> Olea 4 aoik
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<br /> Exesss aLa w,a,sAvoe s
<br /> rc0 FI,1C n X P;i nC EOnRa
<br /> ,waanas co•Aa .Ran , 1,000,000
<br /> wvoFUPLo,FASIn.SiuTr x 1972096-17 5/01/17 5/01/18 FL.. 1,000,000
<br /> g e,,•'•• O xIA CL CalA a-EA Oa`M E s
<br /> IumK RHI � EL wsrmsF-Iq yEa' 1 000,000
<br /> oescwanml moPFPAmNS Ln. 8/01/17 8/01/18 $1,000,000 OCCURRENCE
<br /> A E60 LIAR. FEI—ECC-22900-01
<br /> RETRO: 06/11/93 $2,000,000 AGGREGATE
<br /> CLAIMS MADE
<br /> rcsuanrwa oFceFPAliays NauTWnsr.E�xaes VwaDIOLAhak•.O a..�..se<As.nar e..�r+aa�.wm^•wpm
<br /> RE: ENCROACHMENT PERMIT
<br /> THE CITY OF SANTA CLARA, ITS CITY COUNCIL, COMMISSIONS, OFFICERS, EMPLOYEES,
<br /> VOLUNTEERS AND AGENTS HAVE BEEN NAMED AS ADDITIONAL INSURED WITH RESPECT TO THE
<br /> GENERAL LIABILITY. PRIMARY AND NON CONTRIBUTORY COVERAGE APPLIES ABOVE ANY OTHER
<br /> INSURANCE.
<br /> (BLANKET ENDORSEMENTS ATTACHED)
<br /> CANCELIATION
<br /> CERTIFICATE HOLDER
<br /> 9MAAll Nf!CF TE AEO,E[f MMKh i ff ENICEnEO ffK1E
<br /> CITY OF SANTA CLARA ME FyCE,,IEN MT¢ TECCOF. NDTCE N Or IEIATRED IN
<br /> ENGINEERING DEPARTMENTKE1'"DITE
<br /> C/O EBIX BPO — INSURANCE COMPLIANCE
<br /> Nn Om EO nlmaINTAIM
<br /> P.O. BOX A 9254610—S2 _ _ {Y c _ 1 n (h y
<br /> HEMET, CA 92546-BO10 (`�e`'�`Q.{1,'CNy,1�1�1 \�/1`\J
<br /> 81980�2014ACORDCORPORATION. Alln,hiefenlYeO.
<br /> ACORD25(201410H The ACORO name and In.are ISPIRRd En N SOF AOORD
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