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A`� CERTIFICATE OF LIABILITY INSURANCE °02/25/20 0 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 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 Sariah Devereaux-Barrientos, Agent 1417 S Broadway StateFarm Santa Ana, CA 92707 NAME: CT SARIAH DEVEREAUX-BARRIENTOS PHONE No Sam 714-541-7280 1 VC No), 714-384-3892 E-MAIL A°DREss: sariah.devemaux.tBlb statefarm.com INSURERISI AFFORDING COVERAGE NAIC# INSURERA: State Farm Fire and Casualty Company 25143 INSURED CAZALES, ANAHI DBA BRIGHT FUTURE LEARNING CENTER 2320 N GRAND AVE SANTAANACA 92705-8700 INSURER B: INSURER C: INSURER D: INSURER 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM/DUEFF POLICY EXP ,,IODIYYYYI LIMITS A GENERAL LIABILITY ❑ 92-GH-M977-9 02/01/2020 03104/2021 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR DAMA ETO RE PREMISES Ea occunence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 X1 POLICY JECOT LOC Business Property $ 5,100 AUTOMOBILE LIABILITY ❑ ❑ COMBINED SINGLE LIMIT Ea amid nt $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accitlent ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE IPer accident S UMBRELLA LIAB OCCUR ❑ ❑ EACHOCCURRENCE $ AGGREGATE Is EXCESS LIAB CLAIMS -MADE DELI I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABWTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICE/MEMBER EXCLUDED'! N / A ❑ TORY LIMI ER E.L. EACH ACCIDENT $ E.L DISEASE - FA EMPLOYE $ (Mandatory in NH) If under DES RIPTIdescrON E.L. DISEASE -POLICY LIMIT $ ❑ ❑ DEDUCTIBLE S500.00 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City if Santa Ana, officers, agents, employees, and volunteers are named as additional insureds on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation By Risk CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA /SQL SANTA ANA, CA 92702 �Y .41li L9ga1 �G�$PICI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �lLKLCSQ, © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013