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ACORO® CERTIFICATE OF LIABILITY INSURANCE �/ Dare (MM/oovrn) 11/06/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy les) must have ADDITIONAL INSURED provisions or be endorsed. 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 not confer rights to the certificate holder in (leu of such endorsements). PRODUCER NAME:C Tony Ramirez Exl: (714) 288-6060 ac No: (714) 288-8086 Premier One Insurance ServicesPHONE AooREss; tony.ramirez@pmmiamne.com 2709 N. Grand Ave INSURERS AFFORDING COVERAGE NAIC If EACH OCCURRENCE $ INSURERA: California Automobile Insurance Company 38342 Santa Ana CA 92705 INSURED INSURERS: INSURER C : CIVIC LLC INSURER D : $ 1198 Pacific Coast Hwy Unit 205 INSURER E; Seal Beach CA 90740 INSURER F: COVERAGES CERTIFICATE NUMBER: CLI811607438 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INR TYPE OPINSURIINCE p WV POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/ODrrYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR EACH OCCURRENCE $ PREMISES Ea o=rrence $ MED EXP (My oneperson) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT F-1 LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ Ax AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON -OWNED HIRED Ix AUTOS ONLY AUTOS ONLY Y BA040000049410 11/06/2018 11/06/2019 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ a accident $ UMBRELLA LIAR EESS UAB XC OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yea, describe under OE SCRIPTION OF OPERATIONS be. NIA PER OTH- STATUTE ER E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remark. Schedule, maybe aaached If more space Is required) ^ CERTIFICATE HOLDER CAIJrFI I ATInN �..Q798 10 ACORD-CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REP •SENTATIVE Santa Ana CA 92701 �..Q798 10 ACORD-CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD