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CfJR[JA CERTIFICATE OF LIABILITY INSURANCE DATEIMMlDOYYYY) <br />16/1212020 <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, EXTENT) 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 />MPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polley(les) must have ADDITIONAL INSURED provisions or a en ors¢ . <br />If SUBROGATION IS WAIVED, 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 endorsement.M. <br />PRODUCER Seacliff Insurance & Financial Services <br />Connie Taylor Farmers Insurance <br />3416 Via Lido Ste F <br />A E• Connie Taylor <br />PxrxE III.858.480-2810 a,C,Noh 888.817-9059 <br />A TES, ctaylor@seaclifflns.com <br />Newport Beach CA 92663 <br />NSURER S AFFORDINGCOVERAGE _�_ y� NAI� <br />INSURER A: CA State Compensation Insurance Fund <br />INSURED PMW PRODUCTIONS, INC. �..W__.W..._.�m_...W.w <br />INSURERS: e <br />INSURER C: <br />527 PROMONTORY DR W <br />NEWPORT BEACH CA 92660 <br />INSURER E; ...__ <br />INSURER F I <br />COVERAGES LER II"CA I E NUMBER! REVISION NUMBER! <br />THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE 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 />NSN _ WPE OF INSURANCE AIYYiCiiUNNRim POLICY NUMBER .� TCV'Ei:F6iiLTEYETtP 7 Llmrrs <br />COMMERCIALGENERALUABIUTY <br />CLAIMS -MADE �' OCCUR <br />EACH OCCURRENCE <br />'OFMAGEineNTED <br />RE E ¢ urc <br />S _ <br />$_ <br />_ <br />EDEXP(An one <br />Mpemen)_ <br />�._... <br />S <br />_ _ _ _ _ __ _ <br />_PERSONAL&ADV INJURY_ <br />E <br />GEN'LAGGREGATELIMITAPPLIESPER <br />POLIGY❑ JEC7 ❑ LOC <br />GENERALAGGREGA7E^ <br />$�.u__.___-- <br />PRODUCTS-COMP(ORAGG <br />$ <br />$ <br />OTHER <br />AUTOMOBILELIABILITY <br />❑� <br />e s y <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOSONLY NT03 <br />HIRED ON -OWNED <br />AUTOSONLY AUTOS ONLY <br />BODILY INJURY(Pereccidenl).5.._..,.a.., <br />AGE' <br />(Par a ¢�l enp�,„„�f,� <br />...-.......Y._ - <br />LIAOB_ OCCUR <br />EACH OCCURRENCE �., <br />$ <br />EnESSUMBRELLA <br />EXCESS LIAR CLAIMS -MADE <br />Y..� <br />AGGREGATE _ <br />$ <br />DED TION$ <br />$ <br />A <br />WORRERSCOMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPAR7NERlEXECUTIVE <br />OFPICERIMEMBEREXCLUDED? <br />IMantlatay In Nil) <br />fgge5 describe under <br />DESGIRIPTIDNOFOPERATIONSbelow <br />NIA <br />9129772 <br />41812020 <br />I <br />4/812021 <br />✓ tK ST Ol <br />ER <br />EL -EACH ACCIDENT$ <br />1,000,00n�1 <br />E.LDISEASE-EA EMPLOYE <br />$ 1,000,000 <br />E.L DISEASE -POLICY LIMIT <br />$1,0� 000-1-000--_ -.._ <br />I <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORO tat, Additional Remarks Schedule, Maybe attached if more space Is required) <br />City of Same Ana <br />Insuranceis primary and non-contributory <br />Waiver of Subrogation applies to Workers' Compensation <br />Clry of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />Connie Taylor <br />License #OM63146 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />