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Commercial Certificate of Insurance <br />Agency <br />FARMERS' <br />, GABIEL A. DIAZ <br />Name . 2706 HARBOR BLVD, STE <br />& • COSTA MESA, CA 92626 <br />Issue Date (MM/DD/YY) 06/23/20 <br />Address • 714-434-7600 <br />This certificate Is Issued as a matter of Information only and confers no rights <br />upon the certificate holder. This certificate does not amend, extend or alter the <br />St. 97 Dist. 61 Agent 32M <br />coverage afforded by the policies shown below. <br />Companies Providing Coverage: <br />Insured <br />RELAMPAGO DEL CIELO, INC. <br />Company A Truck Insurance Exchange <br />Name . DBA: BALLET FOLKLORICO <br />Company B Farmers Insurance Exchange <br />& • 600 W. SANTA ANA BLVD <br />Address • SANTA ANA, CA 92704 <br />Company C Mid -Century Insurance Company <br />tr <br />company D <br />Coverages _"— <br />This Is to certify that the policies of insurance listed below have been Issued to the insured named above for the poaey period indicated. Notwithstanding <br />any requirement, term <br />or condition of any contractor other document with respect to which this certificate maybe Issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions <br />paid claims. <br />and conditions of such policies. Limits shown may have been reduced by <br />_ Ltr. <br />Type of Insurance <br />PoOcy Number <br />Policy EHearw <br />Date (MhtroDrM <br />Policy Expiration <br />Date a tbv=rm <br />Policy Limits <br />X <br />General Liability <br />60433-45-09 <br />03/07/20 <br />General Aggregate <br />$ 4,000,000 <br />x <br />Commercial General <br />Products-Comp/OPS <br />Liability <br />Aggregate <br />$2,000,000 <br />B <br />X <br />- Occurrence Version <br />Personal & - <br />Contractual - Incidental <br />Advertising Injury <br />Eadi Occurrence <br />$2,000,000 <br />Only <br />Fire Damage <br />$2,000,000 <br />Owners & Contractors Prot. <br />(Anyone fire) <br />$ 100,000 <br />Medical Expense <br />(Any one person) <br />$5,000 <br />Automobile Liability <br />_ <br />Combined Single <br />All Owned Commercial <br />Limit <br />S <br />Autos <br />Bern. In' <br />Scheduled Autos <br />I <br />(Per O'er penon) <br />S <br />B <br />X <br />X <br />Hired Autos <br />Non -Owned Autos <br />60433-45-09 <br />60433-45-09 <br />03/07/20 <br />03/07/21 <br />Bodflyhtjury <br />(Peraccfden0 <br />$ 2,000,000 <br />Garage Liability <br />03/07l20 <br />03/07/21 <br />Property Damage <br />$ incl. <br />Garage Aggregate <br />S <br />Umbrella Liability <br />By Risk <br />NAGEMENr Di <br />isiON <br />Limit <br />a <br />Workers' Compensation <br />Statutory <br />! and <br />6 Z O Each Accident S <br />Employers' Liability <br />Disease - F¢h E.aplayn S <br />Disease - Policy Lim t S <br />Description of OperationsNehicles/Restrictio r <br />CERTIFICATE HOLDER BELOW (ALSO LISTED AS ADDITIONAL INSURED ON POLICY) City of Santa Ana, officers, agents, <br />employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement or memorandum <br />of <br />understanding. This iusum cc coverage shall be primary, and any insurance carried by the City shall be excess and noaeoatributory. <br />Certificate Holder <br />Cancellation <br />. City of Santa Ana <br />Should any of the above described policies be cancelled before the expiration date <br />Name . Risk Management Division <br />thereof, the Lautng company will endeavor to mail30 days written notice to the <br />& • 20 Civic Center Plaza, 4th Floor <br />certificate holder named to the left, but failure to mall such notice shall impose no <br />Address • Santa Ana, CA 92702 <br />obligation or liability of any kind upon the company. Its agents or representatives. <br />—�Gabriel A. Diaz Agency 97-61-32M <br />Author, Representat ve <br />56.2492 4 91 <br />` -FJ �aauhnuuun. ocrvrce t,entet wpy and agents Copy M 01 <br />