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ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMMO/YYYYI <br />05/30/2018 <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 endomement(s). <br />PRODUCER <br />NCONTACT AME: EMPLOYEE KBI <br />Kinter-Buchanan Insurance Agency <br />aCNN E:t. (310)79MID0 ac ee: (310)798E751 <br />License Number: OE40872 <br />I KBinsAgency@gmaii.com <br />ADDRESS: sAg Cy®gmail.com <br />1014 South PBCIfiC Coast HWV <br />INSURERIS) AFFORDING COVERAGE <br />NAIC N <br />Redondo Beach CA 90277 <br />INsuRERA: Technology Insurance Company <br />42376 <br />INSURED <br />INSURER a: <br />Kingdom Causes (a Corporation) <br />INSURER C <br />4508 Atlantic Ave #292 <br />INSURER D : <br /># 292 <br />INSURER E : <br />Long Beach CA 90807 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: cu851011902 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 />LTR <br />I TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICYNUMSER <br />P <br />MMID <br />MMID <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />PREMISES Ea acwuenm <br />$ <br />CLAIMSMADEOCCUR <br />MED EXP (Any me person) <br />S <br />PERSONAL S AM INJURY <br />s <br />GEN'L <br />AGGREGATE LIMIT APPLI ES PER <br />GENERALAGGREGATE <br />S <br />PRO <br />POLICY <br />JECT LOC <br />PRODUCTS - COMP,OP AGO <br />E <br />5 <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea acddent <br />S <br />BODILY INJURY(Per person) <br />S <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Psr auSdentl <br />E <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />AUTOS ONLY AUTOS ONLY <br />Per amdent <br />$ <br />E <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />§ <br />AGGREGATE <br />E <br />EXCESS LIAR <br />CLAIMS -MADE <br />DELI RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />PER TH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />E.LEACHACCIOENT <br />S 1,OOQ000 <br />A <br />ANY PROPRIETORIFARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDEDI Fy <br />NIA <br />TWC3853952 <br />03/01/2020 <br />031011202, <br />(Mandatory in NH) <br />If Yesdescdhe under <br />E.L. DISEASE - EA EMPLOYEE <br />S 1.000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS leelrnv <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addittonal Remarks schedule, may bs attached if more space If required) <br />Evidence of Coverage REVIEWED & APPROVED <br />By RISk MANACIEMENT DIVISION <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988.2015 ACORD CORPORATInhi AN rin6f .,.­., A <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />