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Digitally signed by Francine R. Francine R. Villareal Villareal ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE OO YYYY) �i zn/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bowermaster 8 Associates 10805 Holder St Ste 350 Cypress CA 90630 CONTACT NAME: Denise Lopez PHONE . 714-733-6219 Fuc No : 714-252-8253 A PRESS: dlo ez bowermaster.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Continental Casualty Co. 20443 INSURED CHARK1401 Charles King Company 2841 Gardena Avenue INSURER B: Continental Insurance Company 35289 INSURER C : Starstone National Insurance Company 25496 INsuRBRo: AIG Specialty Insurance Co. 26883 Signal Hill CA 90755 INSURER E: Columbia Casualty Ins. Co. 31127 INSURER F : COVERAGES CERTIFICATE NUMBER: 1401312401 REVISION NUMBER - 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 AFFORDED 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/ODn'YYY POLICY UP MWDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR V Y 4034952911 3/30/2021 3/30/2022 EACH OCCURRENCE $1,000,000 AGE TO RENT 0 PREMISES Ea occurtence $100.000 X MED EXP (An one Persian $15,000 5,000 X I PrpDmglSubsiduce PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PO - POLICY [X] JET 71 LOC GENERALAGGREGATE $2.000,000 PRODUCTS -COMPIOP AGG $2,000,000 $ OTHER: A 5091114974 3/30/2021 3/30/2022 OMBB deDISINGLE LIMIT$1,000,000 ANY AUTO BODILY INJURY(Per person) $ POMOBIUEUABULITY OWNED SCHEDULED AUTOS ONLY AUTS BODILY INJURY Per ecGtlent ( )HIRED $ X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ B X UMBRELLALIAB X OCCUR 5091114988 3/30/2021 3/30/2022 EACH OCCURRENCE $10,000,000 AGGREGATE $10.000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEMEXECUTIVE OFFICERIMEMBEREXCLUDED9 NIA T10210030 6/2/2021 6/2/2022 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1.000,000 E.L. DISEASE -EA EMPLOYEE $1,000.000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS be. D E Pollution Liability Professional Liability CPL3850939 6024298386 a/30/2021 3/30/2021 3/30/2022 3/30/2022 Died .$10.000 SIR:$10.000 $10,000.000 $1.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana, its officers, agemts, employees and volunteers are Additional Insured as respects to General Liability per attached endorsement form. Waiver of Subrogation applies to General Liability per attached endorsement farm. 30-day notice of cancellation is provided per policy provisions. City of Santa Ana Risk Management 20 Civic Center Plaza, M-24 Santa Ana CA 92702 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD C The ACORD name and logo are registered marks of ACORD R DMvuAPPR EDMeian "� Risk Management Analys[