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4co CERTIFICATE OF LIABILITY INSURANCE °08102120 9 <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 be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsementls). <br />PRODUCER Eddie Quillares Jr. <br />State Farm Agency <br />415 N. Broadway <br />Santa Ana, CA 92701 <br />INSURED DOWNTOWN INCORPORATED <br />204 E 4TH STE STE T <br />SANTA ANA, CA 92701-4668 <br />-.-. <br />NAME E _Ale G1u I prosPHONE _ <br />E nlNie E.O: 714.617.71.50.--_ _. --- tnlc,N I� 714,07.7158 <br />npoREss: addle lileddieginsurance.com_ <br />INSURERS) AFFORDING COVERAGE NAIC S <br />INSURER A: Stale Farm General Insurance Compaq <br />INSURER 8: Stale Farm Fire and Casualty Company - 1 35743 <br />INSURER C <br />INSURER D' <br />CnVFRAnFC CFRTIFICATF NIIMRER-75_nd90 REVISION NIIMRFR- <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 <br />THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />.. ....—.—.__. , <br />INSft TYPE OF INSURANCE 1.ADDL SUER POLICY NUMBER MM DDIYYYY POLICY <br />TR i IDO YYVY <br />LIMITS <br />GENERAWABILRY <br />A <br />Y <br />92-CE-0933.0 0810512019 <br />0610512020 <br />EACH O <br />$ <br />1,000,000 <br />_ <br />X GENER�AL LIABILITY <br />(Y <br />ENTCE <br />OA(v1AGE TO RENT <br />(iENTE3 <br />PREMISE§Eaprwamenoe <br />S <br />300,000 <br />ICOMMERCNL <br />CtA1MS-MADE I^.I OCCUR <br />MED EXP Any one person) <br />S <br />5.0D0 <br />PERSONAL 4 ADV INJURY <br />16 <br />11000,000 <br />GENERAL AGGREGATE <br />1$ <br />2.000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMPcP AGO <br />IFIS <br />2,000,000 <br />X POLICY r PRO- LOG <br />I <br />$ <br />A <br />AUTOMOBILE LIASILRY <br />6215237-F28.75 <br />0612912019 <br />12/2812019 <br />`OMOIN SINGLE LIMIT <br />$ <br />ANY AUTO <br />BODILY INJURY (For permn) <br />S <br />L000,000 <br />ALL OWNED X)SCHEDULED <br />BODILY INJURY IF .."deal) <br />LOOD,DOO <br />AUTOS I AUTOS <br />NON-OVMEO <br />PROPERTY DAMAGE <br />8 <br />1,ODgWO <br />HIRED AUTOS I AUTOS <br />IF., mclneml _ <br />Deductible <br />$ <br />250 <br />A <br />X UMBRELLA LIAR X OCCUR <br />Y <br />Y <br />92-CE-Q781.7 <br />06105/2019 <br />06105/2020 <br />II_ EACH OCCURRENCE <br />S <br />1.000,000 <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />$ <br />2,000.000 <br />_ <br />- DED I XJ RETENTIONS 10000 <br />S <br />B <br />NATION <br />WORKERS COMPENSATION <br />92-GA-H506.1 06/05/2019 06/05/2020 <br />WC STATU- OTH- <br />— TORYUMIT$ X E17 <br />1.000.000 <br />AORKEND RSCOMP <br />YIN <br />ANY PROPRIETORIPARI NEWEXECUTIVE <br />EXCLUDED' <br />NIA <br />Y <br />❑ <br />I EL EACH ACCIDENT <br />$ <br />1.000.000 <br />OFFICEIMEMBER <br />(Mandatory In NH) <br />EL DISEASE -EA EMPLOYE <br />$ <br />1,000,000 <br />If inns. desvihe unuet <br />nEsnEIPTION OF QPFRATTONS hat, <br />EL DISEASE -POLICY LIMIT <br />,$ <br />1.000.000 <br />q FIDELITY BOND <br />I <br />Y <br />Y 92-WV-6044.5 10/0312018 1010312019 <br />I <br />I <br />BOND -AMOUNT $ <br />s0o,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more apace Is required) <br />REVIEWED & APPROVED <br />Scheduled Auto: 2002 GEM 825 PICKUP VIN: 5ASAK27492FO28166 <br />By RISk MANAGEMENT DIVISION <br />City of Santa Ana its officers, agents, employees and volunteers are named as additionally Insured. <br />0 <br />Additional insured endorsement Issued for certificate holder with waiver of subrogation and non-contributory <br />UG 2 2019 <br />Cedific&D of Insurance shall provide thirty (30) day prior written notice of cancellation <br />errcvnrc unl nee r:ANCFI I ATION--- <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RISK MANAGEMENT DIVISION <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA 4TH FL <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA 92702 <br />L <br />U 1988-ZUJU AWHU UUKPUKAI RUN. AU Ogres reserves. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 <br />