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Francine R \/ill�vo�l Digitally signed by Francine R. Villareal �2ale: 03 17 15:17:52-07'00' Commercial Certificate of InSii.ranCe-------�-----------�u_..__,.-..�....�.�._ FARM E 1Z S' Agency GABIEL A. DIAZ Name 2706 HARBOR BLVD, STE & • COSTA MESA, CA 92626 Issue Date (MM/DD/YY) [03:108/21 Address 714-434-7600 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the St 97 Dist. 61 Agent 32M __.. . coverage afforded by the policies shown below. Companies Providing Coverage: Insured Company A Truck Ineur'ance Exchange . RELAMPAGO DEL CIELO, INC. Letter Nance • DBA: BALLET FOLKLORICO company $ I?armers Insurance Exchange & 600. SANTA ANA BLVD Company C 1VIid-Century Insurance Company Address • SANTA ANA, CA 92704 Lotter company Letter This is to certify that the policies of insurance listed below have been issued to the insured, named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance atforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. Ca. Ltr. Type of Insurance Policy Number Policy Infective Date Wm/DD/M _ Policy Expiration Date (NtwDDi rY) Policy IAmits X General Liability 60433-45-09 03/07/21 03/07/22 Aggregate Conerats-Com $4,000,000 X Commercial General plOPS Producs-Co Aggregate $2,000,000 Liability Personal & B X - Occurrence Version Advertising Injury $2,000,000 Contractual - Incidental Each Occurrence $2,000,000 only Fire Damage sty one fire) S 100,000 Owners & Contractors Prat. Medical Expense (Any one person) $ 5,000 Automobile Llabllity Combined Single All Owned Commercial Limit S Autos Bodily Wow Scheduled Autos (Perpelson S S X Hired Autos 60433-45-09 03/07/21 03/07/22 Bodily Injury (per accident) $ 2,000,000 X Non-Owrued Autos 60433.45-09 03/07/21 03/07/22 Garage Liability I Property Damage $ incl. Garage Aggregate S Umbrella Liability Limit $ Workers' Compensation -Statutory 3iltl Each Accident S Em to ers` Liability p y y Disease-.FachEmployee Disease - Policy Limit S S Desaiption of Operations/Veliicles/Restr•ictions/Special Items: CERTIFICATE HOLDER BELOW (ALSO) LISTED AS ADDITIONAL INSURED ON POLICY) City of Santa Ana, of -Beers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement or trlemoraodurn of understanding. This insurance coverage shall be primary, and any insurance carried by the City shall be excess and noncontributory, Certificate Holder Cancellation . City of Santa Aua Should any of the above descu2bed policies he cancelled before the expiration date Name . Risk Management Division thereof, the issuing company will endeavor to mail 30 days written notice to the & • 20 Civic Center Plaza, 4th Floor certificate holder named to the left, but failure to mail such notice shall impose no Address • Santa Ana, CA 92102 obligation or liability of any kind upon the company, its agents or representatives. Diaz Agt;ncy; 97-61-32M �Gabrnie�IA_ Autoo '�jprcsentadve 56-21492 4-04 Copy Distribution: Service Center Copy and Agent's Copy Risk MP aganaraDMslan s' REVIEWED & APPROVED BY.' a Risk Management Analyst