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ToriPierson oa9e`2D22n3.z;;,1 o,•uc• f 1110i L! CERTIFICATE OF LIABILITY INSURANCE `1 Da7a iMNIDWyyYy) 03/02/2022 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(les) must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION 13 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 e°rtifieate, holder in lieu of such endorsemen s . PROoueel Staff ibleil i ROY JEFFERSON, AGENT 115 S CHAPARRAL COURT, SUITE 250 ANAHEIM HILLS, CA 92808 __ NAME: Alexandra PHONE . 714-283-5336 Pax C we, 714-2635941 ALDRIESs. alexandra(droyjeifers9n.net INSURERS) AFFORDING COVERAGE INSURER INSURER A: State Farm Mutual Automobile Insurance Company HAICe 25178 INSURED AIMTD LLC 751 WEIR CANYON RD STE 157A58 ANAHEIM, CA 92808 State Farm General Insurance Company 25151 INSURER C: INSURER D: INSURER E : INSURER F: rnvveawnm ��•�� GCIXIIrIGAIt: NUMWICR• REVISIO N NUMBER. THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED. NOTWITHSTANDING THE POLICY PERIOD UI ANY REQUIREMENT, TERM OR CONDITION ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY ISSUED TO WHICH THIS ISSUED OR D PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT O SUCH TO EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. ALL THE TERMS, POLICY NUMBER ail TYPE OF INSURANCE IR OIX.BUBR P�CYEFF POUCV4 UMW COMMERCNLOENERAL LWBILITY EACH OCCURRENCE 8 2,000,000 CLAMS -MADE ® OCCUR OAtvAZiET6TE REMISE erxa E 2,000,000 MEDEXP(Anyarea ) B $ 5,000 Y Y 92-CX-M179-0 02/26/2022 02/26/2023 PERSONAL B ADV INJURY $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ®jE $ 4,000,000 POLICY T LOC PRODUCTS-COMP/OPAGG E 2,000.000 OTHER: $ AUTOMOBILE LIABILITY Y Y 11564411-008-75 091WI2121 09100/2022 EaMB Send ELIMR g 1,000,000 A ANY WNED OWNED SCHEDULED 640 3716-B28-75 02128QO22 02128/2023 BODILY INJURY (Per p«mn) s BODILY INJURY (Per ectltlen0 E AUTOS ONLY AUTOS AUTOS HIRED 1JE0 AUTOS ONLY AUTOS ONLY 5647151-A16-75 01/1612022 01/16/2023 PFtOPERTY DAMAGE Per ant E t UMBRELLA DAB OCCUR EACH OCCURRENCE E EXCESS Me CLAIMS -MADE AGGREGATE $ DELI I I RETENTIONS $ WORKERS COMPENSATION PER O - AND EMPLOYERS' LIABILITY YIN BTATUTE ER EL EACH ACCIDENT $ 1.000,000 B OFFICER/MEMBER EXCLUDED?EcurNE FNI NIA Y 92-36-P8535 0212812022 0212812023 MandatoryIn NH) ityea, descrie antler E.L. DISEASE -FA EMPLOYEEt 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS be)OW DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be aHachetl N mere space Is requmba) 30 DAY NOTICE OF CANCELLATION, EXCEPT FOR 10 DAYS NON PAYMENT OF PREMIUM WILL BE PROVIDED Additional Insured: The City of Santa Ana, its officers, officials, employees, and volunteers. City of Santa Ana Risk Management 20 Civic Center Plaza, M43 Santa Ana, CA 92701 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT IVE RuIrManagneadi Oiniim 11 } IRVIesTIO6 MaRov® Br. 1 Yr. %su %!rcxtorr ©19 6-2015 ORD COF Ri<aMa„aa�„D,mm�,Iaar The ACORD name and logo are registered markilf of ACO 10014M 132649.12 03.1s.2016