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ACORO" TRIPSMI-01 CERTIFICATE OF LIABILITY INSURANCE NWHA LEY DATE (MMMDIYWY) 1011612019 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 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Licenae # OG19762 CONTACT Ash Williams Momentous Insurance Brokerage Inc 5990 Sepulveda Blvd., #550 Van Nuys, CA 91411 N-2019-234 PHONE FAX INC, No, Ext): (818) 933-9879 1 (A/C, Nol:(818) 933-2285 EWAIL .ash.williams mmibi.com INSURER(SI AFFORDING COVERAGE NAICN INSURER A: Lloyd's of London Underwriters INSURED INSURER B : INSURER C : Tripepi Smith & Associates W SURER D P.O. Box 52152 Irvine, CA 92619 WSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 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 TYPE OF INSURANCE DIED IUBR POLICYNUMBER MNVJCY EFF POLICY EXP LIMITS COMMERCUILGENERALL mum CLAIMS�ADE OOCCUR EACH OCCURRENCE $ DAMAGE TO RENTED EMISES Eaccou n S MED EXP one S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT- APPLIES PER: POLICY %pT LOC GENERALAGGREGATE S PRODUCTS - COMP/OP AGG S $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)S BODILY INJURY Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accJdent It AbWNON-0WNED AUTOS ONLY AUTOS ONLY ROPER/ MAGE Peraaadem $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE E EXCESS UAB CLAIMS -MADE DIED RETENTION$ $ WORXERSCOMPENSATNON PER OTH- AND EMPLOYERS' UA&LITY YIN AFFOR UECUn��NIAOICERR/MiMN)EXCLDED? (Man story n If yes, describe under EL EACH ACCIDENT $ EL.DISEASE - EA EMPLOYEE S DESCRIPTION OFOPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Errors&Omissions W22SEE19020i 41112019".4/112020 Aggregate 2,000,000 TI Each Loss 1,000,000 I Retention 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Scheclule, maybe attached! N more space is required) This is a claims -made and reported policy. Defense costs and claims expenses are paid from the policy limit and subject to the retention amount Evidence of Insurance Only RLVIMI-1) A, APPROVED CERTIFICATE HOLDER Rv Rich kIaNAr1PMPNT DillkinN CANCFI I ATION 2019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE cityof Santa Ana 20 Civic Center Plaza 4HA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 S. A. LAMBERT AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988.2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD