|
Francine R. Digitally signed by Francine R.
<br />Villareal
<br />Villareal Date: 2022.02.02 14 30 12 -08'00'
<br />BILITY INSURANCE
<br />oil
<br />#1111 six"
<br />!jj!"ertfficate doest not confew y1uhts to
<br />PROOKER
<br />CONTAul
<br />NAME
<br />Po Rd Ronnvo
<br />RON41',90 INSURANCE AGENCY
<br />4pi" �NOFXI
<br />197L [A)SANG11,11,ES AVE,, UNII C, I W
<br />AZDRES&
<br />FDMKTOUIS�20.,,no� umn
<br />SIMI VAI I EY
<br />CA 93065
<br />WSUREP A
<br />SCOjrpY DALE DNURANCT Co
<br />NSUPED
<br />tNsApi n
<br />CALIFORNIA AUTONIOWLE 1NS, (1)
<br />MAJOR LFAGuE INI LFLDS INC!
<br />WSVRFFAC�
<br />�("W(A�OUP
<br />508V (I'LINJIMANAVE
<br />L11S
<br />11,11YRTON
<br />CA 92832-2M5
<br />INSURFIR F,
<br />THK> 15 TO CERTIFY THAT THE POLCIES Or INSURANCE UST BELOW HAVE BEEN fSSUED TO THE INSRJIIED NAMED ASOVE.FOP THE POLbGY PEMOU
<br />0400CATED NOTWM4STA1`dDING ANY REQUIREMENT, TEEM OR CONDTION OF, ANY GOCFTRACI'Orl GTHER DOCUMENT W11F-f RESPEC11"01 VOIllraB Ti HU�
<br />CEPTWCATE MAY BE ISSUED OR MAY Pr-RTAlN,n-iE INSURANCE AFFORDED BY THE POLlCIIES DESCRIBED HERE IS SURMECTTO A1,L THETERMS,
<br />EXGLUSIONS AN'D GONDMONF, OF SUCH POLICAES. LMO'S SHOWN MAY -JAVE BEEN SEDUCED BY RAM C'LAIIMS
<br />--mar -M� M woomy'n-1 (M4�56�iY y
<br />TYPE OF INSURANCE POAXY NUMBF11 -7-00, -7 7 LIMITS
<br />CLAIMS MADE 191 (X1CjJH
<br />A
<br />V
<br />Y
<br />CPS7392715
<br />GENL AGGRECIATE LPW1 APPIJES FICK
<br />-�— Poucy EITECOT. El Loc
<br />E
<br />OrHER
<br />AUTOMOWLE XUAMILYry
<br />ANY AUTO
<br />CWNE'l.) SCHEDULED
<br />AU Va3 ONLY AU I 1W
<br />BAIM0000025174
<br />ry HW,� D NOMOWNED
<br />AUTOS ONLY AUTOS ONLY
<br />U
<br />UM UAS ix"'CUP
<br />4 X
<br />5XCESS LJAB GlAlIMSIAADE
<br />E
<br />DED RETEN "cW
<br />OPKE.� compedurtoN
<br />fEMPLOYER&IJABILI'llY
<br />IND y/N1
<br />We PntPMF.TGS.q1AJTl NIEMEXEC
<br />NIA
<br />y
<br />WSSA5045702to
<br />Mandatory In NH)
<br />Maied.�.
<br />lm,PP79004 OF GPERAT*NS km1law
<br />FACM CrMA'St NCE Y5
<br />mmM r a ,
<br />"Mt
<br />Ll L!tlllnuam mnl
<br />0 '1) 1 /2 11
<br />01" lO 1 /22
<br />FISONAA &,AOV NJURY S
<br />2L�C.,LIAI AIIIIFIE�jt
<br />PRODUCTIS COMPwad A13(3 3
<br />$
<br />'wl le,�",Rn") S
<br />1212.2.102. 1
<br />11/22'2022
<br />�'b�')��yIl,,�11)NrV[,YY(V''O
<br />FACH �XXUXV<E
<br />AGGRE(IA M
<br />E.L.EA C H A C C 10 F
<br />0 1 /0 1 /22! 0 1 f'O 1 /2,3
<br />E , W9EASE EA
<br />jEt-inISEASE P0iJCYUMtr !S'
<br />)OPM
<br />1,000,000
<br />LN)0,1000
<br />Msc:ptp-n,aNOFOPERAnONS/LOCATlONSIVEH$CLES (ACORD 101, Add]tWnW Ronarks Scheduti, maybe War had "more apaco Is roquOod)
<br />C'ER TIF I GA TF. I 101, IN R IS NAM 11 D A S A ED f'I 10 NAL IN S I J R I W A S Rb,SP 11' (Ts, ro -n I f,,L,, 0 PER ATION S OF 111 F' N ANIF D IN S t ) R LD W 11111 It E S P E C'I" I' ( Ji C (.AINTS
<br />A R I S IN G DU T (JIB 71111" 0 PE RA'11 ON S P 1"", RF0 R M ED BY 0 R 0 N B E14A L F OF 14 IE NAMJD UPXM�r INS, SLI( If INSITANCE AS IS AFFORDLI) 13Y 1111S P01-1c, y , IS
<br />PRIMARY AND NOTADDITIONAL TO OR CON: FRIBfJTfNG "A'(111 ANY OTHER Ir NStJRAN(`8'CARR1L'D BY OR FOR'r1r1h BE'NEFIT OF111EA DDII IONAL
<br />INSI)RED 110 DAYN0710E FOR NON PAYNIEN`fOFPPLM)UM
<br />(TY)" Of, SANTA ANA RISK MANA6LMFN'I DI%qSI0N
<br />2'.0 CIVICCENTER PLA/ A, 4111 FLOOR
<br />S "ANI A ANA, CA 92702
<br />ZEMEEMM
<br />wlw ii
<br />WIN[5fipUNwNG0, �i 211111,11141%w11
<br />AUTHP
<br />RAMwagmedDMsiun
<br />Jy? N,REVIEWED & APPROVED BY.-
<br />,,;
<br />�4
<br />vk"
<br />Risk PjanagementAnalyst
<br />
|