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11643052 Michael Raneses Certificate Of Insurance 2/6/2020 4:12:59 PM <br />A O® CERTIFICATE OF LIABILITY INSURANCE <br />DATE/61202IYYVY) <br />2/s/2ozo <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 WANED, 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 endorsements . <br />PRODUCER <br />viinsureon <br />Insureon (BIN Insurance Holdings LLC.) <br />30 N. LaSalle, 25th Floor, Chicago, IL 60602 <br />CONTACT <br />NAME: <br />PHONE EA <br />ACNo (800)301-6256 AIC No, 877-826-9067 <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />INSURER A : ACE Fire Underwriters Insurance Company <br />20702 <br />INSURED <br />INSURER B <br />INSURER C <br />Michael Raneses <br />INSURER D <br />2409 Miramonle Ct, Tustin, CA, 92782 <br />INSURER E <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 />INSR <br />TRIN. <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />MM/OI OYftYYY EFF <br />Y EXP <br />MMIDDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE OCCUR <br />OAMA E RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP(Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMP/OP AGO <br />$ <br />POLICY JECT LOC <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />H <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER <br />OERH <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />E.L DISEASE -EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? ❑NIA <br />(Mandatory in NH) <br />EL.DISEASE- POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability(Eecrs and Omissions) <br />EONCAF155700032 <br />2/6/2020 <br />216I2021 <br />OccurrencelAggregate $1.000,000/$1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />The City of Santa Ana is named as Additional Insured as their interests may appear in regards to Errors and Omissions coverage. <br />REVIEWED & AP►'K ... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The Cityof Santa Ana y Risk ANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />B M ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Drive <br />Santa Ana, CA 92701 3 ORIZED REPRESENTATIVE <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />