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A`ORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM; <br />AE(MM; Dts�) <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(S), 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 endorsement s). <br />PRODUCER <br />Champion Risk & Insurance Services, L.P. <br />12250 El Camino Real, Ste 375 <br />San Diego CA 92130 <br />MCONT CT <br />PHONE 1FX,;774573-i770 <br />p: 714505-7000 <br />AppgESS mrtsonly@championrisk.net <br />INSURERS AFFORDING COVERAGE <br />NAIC4 <br />INSURER A: Hanover American Insurance Co <br />INSURED BORDE-1 <br />Border X Brewing <br />INSURER B : Allmedca Financial <br />Martin Favela <br />INSURERC: <br />INSURER e <br />2181 Logan Ave <br />San Diego CA 92113 <br />INSURER E: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 924521095 REVISION NUMBER: <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 />MSSR <br />ttPE OF PiSURl1NCE <br />A <br />INSO <br />UBR <br />MO <br />POLICY NUMBER <br />POLICY EPF <br />(MMMDNYYIO <br />POLICY EXP <br />iMMOVYIr")LIMITS <br />A <br />X <br />I COMMERCIALGENERALLIABILITY <br />Y <br />ZZ3D55951101 <br />4/17IM19 <br />4/17/2020 <br />EACHOCCURRENCE <br />$1.000.000_ <br />DAMAGE TO aocNw m„e <br />$100.000 <br />CLAIMSI,IADE X OCCUR <br />MED EXP (Any one emn) <br />510,000 <br />PERSONAL &AOV INJURY <br />S1.000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECOT LOC <br />GENERALAGGREGATE <br />S2.000.000 <br />GENT <br />X <br />PRODUCTS -COMPIOP AGG <br />$2.000,000 <br />Uwx L.blilty <br />S1,000,000 <br />OTHER: <br />B <br />AUTOMOSILELIABILT' <br />AW3D55951001 <br />4/174019 <br />4/17/2020 <br />MINED SINGL LIMIT Gdenl <br />511000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Par parson) <br />S <br />I <br />OYMED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident) <br />S <br />X <br />HIRED X NON-OMED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />'Cenl <br />S <br />S <br />UNIBRELLALU,B <br />OCCUR <br />EACHOCCURRENCE <br />s <br />AGGREGATE <br />S <br />EXCESS LIAR <br />CLAIMS -MADE <br />DIED <br />I I RETENTION S <br />5 <br />INORKERSCOMPENSATION <br />ANDEMPLOVERS'LUIBILITY YIN <br />ANYPROPRIETOAIPARTNERIEXECUTIVE <br />OFRCERRAEMSEREXCLUDED7 � <br />NIA <br />I P ORH- <br />ETA TE EE <br />E.L ACC <br />EACH [DENT <br />S <br />E.L. DISEASE -SA EMPLOYEE <br />S <br />(Mandatory in NH) <br />Byyees, desvlbe and <br />E.L. DISEASE - POLICY LIMIT <br />S <br />DESCRIPTION CF OPERATIONS below <br />A <br />CyW Uadffiy <br />ZZ31355951101 <br />4117/2019 <br />4/17/2020 <br />Per A99ragate <br />50,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, A4diUena/Remade SCh".1R. may W atdchad If mon space is MWRNII <br />Certificate holder Is listed as an additional insured per the General Liability Provisions. Coverage is primary and noncontdbutory. <br />City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers as additional inured. <br />REVIEWED & APPROVED <br />By RISK MANAGEMENT DIVISION <br />30 days <br />CERTIFICATE HOLDER '- IJ ANCELLATION <br />City of Santa Ana FR'ANCINER.VILLAREAI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza, 4th floor <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />01966-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />