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ACORLIF CERTIFICATE OF LIABILITY INSURANCE (I�,•-1 DATEIMMMDMYYY) 07/06/2016 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, 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 pollcy(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 lieu of such endorsement(s). PRODUCER StateFN11f1 RIC WEISSINGER, AGENT - LIC #OC69161ENOPRONE WEISSINGER INSURANCE AGENCY INC OW NA"E: cT CAROLE COOK . 714-377-1111 FpiR aa: 71A-377-1611 EMAIL AOOR 99: INSURERLS) AFFORDING COVERAGE NAIG # 5922 WARNER AVE INSURER A; State Farm General Insurance Company 25151 HUNTINGTON BEACH, CA 92649 INSURED INSURER B: Geico 1-800-841-3000 INSURER C: OC SAFETY INC INSURER D: 1940 N TUSTIN ST, STE 103 INSURER E: ORANGE, CA 92865-4642 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW I4AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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, ILTR NSRTYPE OF INSURANCE ADO IMSO eR MID POLICY NUMBER MOLIDY FIE MM/LIO�YAE(YYY LIMITS " e COMMERCIAL GENERAL LIABILITY 20 CIVIC CENTER PLAZA SANTAANA, CA 92701 J /J EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Ee occurrence $ 100,000 MEG EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,009,000 X A A 92 -EA -V145-9 07/01/2018 07101/2019 GEN% AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JEOT [Z LOC PRODUCTS. COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,000,000 Ea ecciaent _ BODILY INJURY (Per person) $ ANYAUTO OWNEDSCHEDULED AUTOS ONLY AUTOS B 4458126424 10/10/18 10/10/19 BODILY INJURY (Per acciaarn7 $ PROPERTY DAMAGE $ 4pm.crid.nt HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY UMBRELLA LIAO OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR '[DED CLAINISWADE I I RETNTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIASILITY YIN ANY PROPRIETORIPARTNERIEXEDUTIVE STATUTE I ER E.L. EACH ACCIDENT $ OFFICERIMEMSER EXCLUOED9 F NIA (Mandme,WNKl E.L. DISEASE• EA EMPLOYEE $ If yes, tlescdbe undaf DE3 RIPTION OF OPERATIONS mf= E.L. DISEASE -POLICY LIMIT $ u X BUSINESS PROPERTY 92 -EA -V145-9 07/01/2018 07/0112019 Q D DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1111, Additional Remarks Schedule, may be aHached if more space Is required) LOC #1 - 1940 N TUSTIN ST, STE 103, ORANGE, CA 92865 fD 7 CERTIFICATE HOLDER, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER ATTCHED FE6609 O 7 CERTIFICATE HOLDER CANCELLATION 41988-2015 ACORD CORPORATION, AI rights reserved. ACORD 2612016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: PURCHASING DEPARTMENT AUTHORIZED R RESENT IV " e 20 CIVIC CENTER PLAZA SANTAANA, CA 92701 J /J 41988-2015 ACORD CORPORATION, AI rights reserved. ACORD 2612016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016