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ATE <br />CERTIFICATE OF LIABILITY INSURANCE 1 °0111712020 <br />ovmzozo <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 endomement(s). <br />PRODUCER Eddie Quillares Jr. <br />State Farm Agency <br />415 N. Broadway <br />ASanta Ana, CA 92701 <br />INSURED DOWNTOWN INC <br />204 E 4TH ST STE T <br />SANTA ANA, CA 92701-4668 <br />INSURER(SJ _FFOR°ING COVERAGE <br />IER A. State Fans General Insurance Company - _ - I 25151 <br />INSURER C o <br />COVERAGES CFRTIFICATF NI IMRFR- TR_nd Rn Dearlclnu unu DDD. <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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDL <br />LTR TYPE OF INSURANCE SUER I POLICY EFF POLICY E%P <br />POLICY NUMBER I MMIDD/YYYY) (MMIDDIYVW) <br />LIMmS <br />GENERAL LIABILITY ❑ <br />A Y �Y 92-CE12933-0 06/05I2019 06105/2020 <br />EACH OCCUR E � b <br />X COMMERCIAL GENERAL LIABILITY <br />_. <br />PnM�€ED �— <br />In.PTe oavnenwl I $ <br />PREMISES -]Ea <br />,1.000.000 <br />300.000 <br />C1-AIM6AIADE X I OCCUR <br />MED E%P lAny me pinion) s <br />5,000 <br />PERSONAL b ADV INJURY S <br />1.000.000 <br />GENERAL AGGREGATE (S <br />z000,000 <br />GE_N'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS -COMWOPAGG+S <br />2.000.000 <br />POLICY JEC- LOC <br />I S <br />A AUTOMOBILE W1aILITY � � 621 5237-F28-75 12128/2019 06/28/2020 <br />(Ea amderrn) INGLE LIMI <br />s <br />ANY AUTO _� <br />--- <br />BODILY INJURY IPe person) <br />1,ODO.WO <br />OWNEDALL X <br />- <br />s <br />1.aGo.DDa <br />AUTOS SCHEDULED BODILY INJURY IPerewdenq� <br />NON -OWNED <br />� HIRED AUTOS AUTOS <br />DAMAGE - <br />(Per. <br />- <br />is— <br />1.000.000 - <br />(Per..' pmdem _ <br />' <br />I <br />S <br />25 <br />250 <br />Comp/Coll Ded <br />A X UMBRELLAUAe X I OCCUR V Y <br />-- 92-CE-Q781-7 06/05/2019 O6/OS/2020 <br />EACH OCCURRENCE S <br />-- <br />1,000.0 <br />_ <br />EXCESS LU18 CLAIM&MADE <br />----- <br />_._- <br />(b <br />2.0.00.000 <br />DED X RETENTION 5 10,000 <br />_AGGREGATE _ <br />S <br />B WORKERS COMPENSATION <br />WCSTATU- 07w <br />X <br />1,000.000 <br />AND EMPLOYERS' UALSILRY YIN 92-GA-H506-1 0610512019 06/05/2020 ._._JSORY.LIMIM_ <br />ER; <br />ANY PROPRIETOR/PARTNERIE%ECI WE <br />OFFICEIMEMBER EXCLUDED'( Y❑ NIA ❑y <br />E.L. EACH ACCIDENT s <br />1.000.000 <br />_ _ <br />(Mandatary In NH) <br />E.L. DISEASE - EA EMPLOYER S <br />1.000.000 <br />If yes. d.."" <br />DE SCRIPTION OF OPS�TIONS below <br />E.L. DISEASE -POLICY LIMITS <br />1.000A00 <br />A FIDELTYBOND ❑I 92-WV-6044-5 10/03/2019 10/03/2020 <br />BOND-AMOLNT s <br />mom <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ANach ACORDIB1.Addkonal RemaMsSchWuta.Irmorespacalersqulred) <br />City of Santa Ana its officers, agents, employees and volunteers are named as additional insured <br />- <br />Additional Insured endorsement issued for certificate holder. <br />- <br />CFRTIFICATF mn1 nFR rANrFI I ATInM <br />REVIEWED & APPROVLD <br />City of Santa Ana RIS MANAGEMENT DIVISION <br />Y <br />Risk Management Division <br />20 Civic Center Plaza, 4th fl 22 2020 <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 />Santa Ana, CA 92702 <br />SAMA HAM. LAMBERT <br />01988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 <br />