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ACORN CERTIFICATE OF LIABILITY INSURANCE <br />kk� <br />DAM(MMIDDNYYYI <br />1 10/20/2021 <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 <br />the 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 endorsement(s). <br />PRODUCER <br />NAMNT <br />E: Dori ,Tared-Ferranto <br />Assistance Insurance Agency <br />PHONE (714)245-2777 INC.Nn: ITaozas-area <br />123 E. 9th Street <br />E-MAIL ADDRESS: dazed@assistanceins.com <br />Suite 102 Unit E <br />INSURER B AFFORDING COVERAGE <br />NAIC N <br />INSURERA:State Compensation Insurance Fund <br />Upland CA 91786 <br />INSURED <br />INSURER B: <br />Manuel Huante, DBA: Stage Plus, Inc. <br />INSURERC: <br />INsuRERD: <br />2330 S. Susan St. <br />INSURERE: <br />INSURERF: <br />Santa Ana CA 92704 <br />COVERAGES CERTIFICATE NUMBER:21-22 REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 <br />LTR <br />TYPE OF <br />ADDL <br />SUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY) <br />POLICY EXP <br />(MMfiDDIYTYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGETORENTED <br />PREMISES Ea ecwrrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL BADV INJURY <br />$ <br />GEN-LAGGREGATE LIMIT APPLIES PER: <br />POLICY 0JECTT LOG <br />OTHER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALL OPMED SCHEDULED <br />AUTOS AUTOS <br />HIREDAUTOS AUTOB EO <br />COMBINED SINGLE LIMIT <br />Ea ecddert <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per acddenp <br />$ <br />PeraWd DAMAGE <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERV LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTNE ❑ <br />(Mandatory In NH) <br />OandatoryI BER NH) <br />If yes, desmbe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />1786318-21 <br />5/1/2021 <br />5/1/2022 <br />E PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />E.LDISEASE-POUCYLIMIT <br />$ 1,000,000 <br />DESCM"DNOFOPERATIONSILOCATONSIVEHICLES (ACORD101,AddiU.n.IRemarhe Schedule,meyb..Ma hedifmorespacaierequi.d) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana„ CA 92702 <br />ACORD 25 (2014101) <br />INS025 (2otaai) <br />CANCELLATION <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 �REPRESENTAINE <br />(/dF2.G erb �,�,,. Rid MaragerneraDMsbn <br />REAEWEO & APPROV®BY: <br />01 S-2014 ACORD C li04% F-ISLaYw-$.e Z V&Awl <br />The ACORD name and logo are registered marks of ACORD Risk Management Analyse <br />