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ACQ CERTIFICATE OF LIABILITY INSURANCE DATE IMM OO riYYI <br />�_ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY <br />THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the PORcy(lea) must have ADDITIONAL INSURED provisions or be endorsed. <br />It 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(s). <br />PRODUCER <br />CON AC NAME: EMPLOYEE KBI <br />Klnter-Buchanan Insurance Agency <br />° <br />PcANn (3106 <br />Number GE40872 <br />A(310) 5License <br />E- <br />KBInsAgency®gmail.com <br />1014 South PdC111C Coast HVYY <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAM r <br />Redondo Beach CA 90277 <br />INSURER A: Technology lnBDmDCe Company <br />42376 <br />INSURED <br />INSURER B: <br />Kingdom Causes (a Corporation) <br />INSURERC: <br />4508 Atlantic Ave #292 <br />INSURER D : <br /># 292 <br />INSURER E: <br />Long Beach CA'90607 <br />�NSUftER F: <br />CIIVFRAFSFR reormrr Arc un..ern. n a .. _,., <br />-- KCVIOIVN IVUMtSCK: <br />_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SUED 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE bOLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />In <br />TYPE OF INSURANCE <br />INSO <br />WYD <br />PODCY NUMBER <br />MMID <br />MWD P <br />UNITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />5 <br />CLAIMS MADE FIOGCUR <br />a RERrE <br />PREMISES Ea wwnerCe <br />5 <br />'.. <br />MED MP (AWN afe persanl <br />3 <br />PERSONAL 3 AM INJURY <br />5 <br />GEN'L <br />- <br />AGGREGATE (LIMIT APPLIES PER. <br />POLICY❑ JJEEC El LOC <br />GENERALAGGREGATE <br />5 <br />PRODUCTS - COMPIOP AGO <br />5 <br />OTHER <br />3 <br />AUTOMOBILE <br />LIABILITY <br />OWNED <br />AMED SCHEDULED <br />- <br />EM .0 INGLE LIMB <br />S <br />BODILY INJURY (P.M.) <br />s <br />BODILY INJURY (Per emdMD <br />5 _ <br />AUTOS ONLY AUTOS <br />HIRED NON S NLY <br />AUTOS ONLY AUTOS ONLY <br />PROPER YDAMAGE <br />Per ecdd <br />$ <br />3 <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS MADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />g <br />DEO RETENTION S <br />-- <br />A <br />ANDEMPWORKERSCOSIP AmON <br />ANDEMPLOYERS'LILIABIUTY YIN <br />AID PROPRIETORMARTNERIEXECUTWE <br />OFFICERIMEMeER EXCLUDED' <br />(Wndatnry In INNS <br />IITel desmbe under <br />DESCRIPTION OF OPERATIONS6elvn <br />NIA <br />TWC3853952 <br />03/01/2020 <br />03/01/2021 <br />PER OTH- <br />STATUTE ER <br />---'--- <br />E L. EACH ACCIDENT <br />g 1,000,000 <br />EL DISEASE - EA EMPLOYEE <br />3 1,000,000 <br />E.L DISEASE -POLICY LIMIT <br />S 1-000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORDIDI,Ad iWnal Remmka SFhedule,maybeaMehedilmureapacelsrequiml) <br />Evidence of Coverage REVIEWED & APPROVED <br />By Risk MANACIEMENT DIVISION <br />CFRTIFICATF warn ncR <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92701 <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 <br />0 <br />All eI hii- <br />... nio AD ISM IgIUJI The ACORD name and logo are registered marks of ACORD <br />