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ACCOR& CERTIFICATE OF LIABILITY INSURANCE <br />DATE(WWDDmYY) <br />0 121/1 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />NAMN AC <br />RITA PRICE INSURANCE AGENCY INC. <br />PO Box 189 <br />PHONE 909 337-2518 N 909 338.6989 <br />10 <br />o AILSs: sherrv.rprice0farmersacenc .com <br />INSURER 8 AFFORDING COVERAGE <br />MAID e <br />Lake Arrowhead, CA 92352 <br />INSURERA: HUDSON SPECIALTY INSURANCE COMPANY <br />OS44472 <br />INSURED <br />RACE CENTRAL LLC <br />INSURER D <br />Judylkenbury N-MSA73 <br />INSURERC: <br />INSu D: <br />229 S. OLIVE AVE. <br />INSURERS: _ <br />RIALTO CA 92376 <br />INSUR RF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR HSR <br />INSURANCE <br />L <br />ADDTYPEOF <br />B <br />POLICY NUMBER <br />PINUDOMFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />X <br />X <br />HBD10015218 <br />01127118 <br />01127119 <br />EACH OCCURRENCE <br />$ 110001000. <br />PREMIaESI o <br />$ 100,000 <br />MED EA -An .n Perron) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1000000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY[:]JEGOT MLOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 1000 00 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHE <br />AUTOS ONLY AUTOS �D <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />C BI ED SINGLE LIMIT <br />$ <br />BODILY INJURY (Per PereWr) <br />$ <br />BODILY INJURY (Per a Warm) <br />$ <br />PROPERTY DAMAGE <br />(Per <br />$ <br />UMBRELLA LIAR <br />EXCESS UAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOPoPARTNERl ECUTIVE <br />OFFICERMIEMSER EXCLUDED? <br />(Manderory in NH) <br />DI EftIONOMaPE TI NS below <br />NIA <br />PER O H- <br />T TUTEEN <br />E.L. EACH ACCIDENT <br />$ <br />Et. DISEASE -EA EMPLOYE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS! LOCATIONS VEHICLES (AGGRO 101, Addkknel Remerb SCMdule, nrey lw etlaehed emoro eysceMrogelred) 6V' <br />CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED �'14e Y <br />The City of Santa Ana, it;s officers, employees, agents, and representatives as additional ins* N 1� <br />\�G\YPd,��,, <br />City of Santa Ana <br />20 Civic Plaza <br />Santa Ana, Ca 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />