ALCALA VERDUZCO, NANCY; DBA: YELLOW TURTLE ART STUDIO

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r r R �...-� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/01/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THC 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 ACONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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. Astatementon this certifcate does not confer rights to the certificate holder in lieu ofsuch endorsereent(s). PRODUCER CONTACT NAME: Hector Gonzalez Insurance Agency, Inc. PHONE FAX 2670 N Main St Ste 350 (A/C, NO, EXT): 714-486-6163 (A/C,, NO): 866-230-1263 E-MAIL ADDRESS: Insurancebrokerll@yahoo.com Santa Ana CA 92705-6648 INSURER(S) AFFORDING COVERAGE NAICk INSURED INSURERA: United States Liability Insurance Company Nancy Alcala INSURERS: INSURER C: DBA: Yellow Turtle Art Studio INSURER D: 1247 S Hickory Street INSURERE: Santa Ana CA 92707 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICHTHIS CERI IHCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADOTL INSD SUBR W VD POLICY NUMBER POLICY EFF (MM/DD/WYY} POLICYEXP (MM/DD/VYYY) LIMITS COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea Occurrence} $ 100,00 MED EXP(Any one person) S 5,00 PERSONAL aAOV INJURY $ 1,000,000 A Y N CL 1859230 03/15/2019 031l 5/2020 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY ❑ PROJECT ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG $ Included OTHER: Professional Liability Ea $ Included AUTOMOBILE LIABILITY COMBINEDSINGLEL.IMIT (Eeaccident) $ ANYAUTO BODILY INJURY (Per person) $ OWNEDAUTOS SCHEDULED ONLY AUTOS BODILY INJURY (Peraccident)$ HIREDAUTOS NON-OWNF.D ONLY AUTOSONLY `t,1 Q v;,G+yv PROPERTY DAMAGE (Peraccimm) $ 1 �e UMBRELLALIAB OCCUR �� - EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CI -AIMS -MADE AIMS.MADE - t/ DEU RETENTION$ S OAA 11!! WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY ANY PROPRIETOR/PARTNER/ Y!N EXECUTIVE OFFICER/MEMBER N/A i' (+�Y11\ G 1�t �` svi�t1 A \N r "p� IVP,,, r vy STATUTE OTHER $ E.L. EACHACCIDENT $ E.L. DISEASE- EA EMPLOYEE SI EXCLUDED? (Mandatory in NH) C� If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder We officers, employees, agents, and representatives per attached CG2026 04/13 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION The City of Santa Ana DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center plaza AUTHORIZED REPRESENTATIVE1/�/_ ACORD25(2016/03) 31-1769 11-15 01988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and loan are reaistered marks of ACORD