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GOLDCOA-01 JCEBALLOS A�OKO CERTIFICATE OF LIABILITY INSURANCE DAM 41612022rr) /slzozz 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 CONTACT Abernathy Insurance Agency 133 E Duarte Rd. Arcadia, CA 91006 PHONEa, FAX IAIC, NEtl : (626) 5744000 ac, No): (626) 574-1068 E-MAIL BESS INSURE S AFFORDING COVERAGE NAICN INSURERA: Mercury California Auto 38342 INSURED INSURER B: INSURERC: Gold Coast Appraisals, Inc. INSURER D: 11506 Telegraph Rd Ste 214 Santa Fe Springs, CA 90670 NSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AOOL SD SUB WVO pODCY NUMBER POUCYEFF MMIDD/YYYYI POUCYEXP IMMIDDNYYYl LfMDs COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occumencel $ MED EXP (Any one person $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT' APPLIES PER: POLICY PELT 7 LOC GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG S $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ix BODILY INJURY Per rson $ ANY AUTO OWNED SCHEDULED A rrO�S ONLY X AUpTNOpBWry� X X BA040000034684 6/29/2021 6/2912022 BODILY INJURY Per accident S ParOacrRdant)AMAGE $ AUTOS ONLY X AUTOSONLV S UMBRELLA DAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS UAB CLAIMS -MADE FDEO RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS[LIABILITY YIN ELL. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDEEXCLUDED?(Mandatory in NH) ❑ If yes, describe under NIA E.L DISEASE -EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may Ise attached if more space Is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROM-"-" AUTHORIZED REPRESENTATIVE //�� a @ r�b1E�[ED4MrRPI®9Y: /7�'� Rek MarugenmtOmalAitle AUURU Zb tZU1b/Us) U 19SU-2015 ACORD CC ✓ v The ACORD name and logo are registered marks of ACORD