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Digitally signed by Tod Pierson Tori PiersonDate: 2022.07.05083532 -m'eo ACOR ' CERTIFICATE OF LIABILITY INSURANCE DATE(M"DO"YYY( `� 06/28/2022 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 Vazquez Prado Insurance Services 18301 Von Karman Ave Suite 560 CONTACT FN arc.N Ent: 714-425-1632 1ac No): 844 z7a oozo ADDRESS: customemeMce@vazguezpmdo.com Irvine, CA 92612 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Rockingham Insurance Company 10214 INSURED Harrison Building 4533 Macarthur Blvd INSURER B : Infinity Select lnsumnce Company 22266 NSURERC: #578 INSURER D : Newport Beach, CA 92660 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:26000522 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. ILTR TYPE OF INSURANCE INSD MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EX MMIDDNYYY LIMITS A ,/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I J OCCUR X X RCAA306205-01 08/05/2021 08/05/2022 EACHOCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 $ 50,000 $ 5,000 MED EXP (Any one person) $ 1,000,000 PERSONAL &ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE POLICY ✓ PROJECT LOC. i PRODUCTS-COMP/OP AGO $ 2,000,000 THER: B AUTOMOBILE LIABILITY - - 504-61Q16-1432-001 08/12/2021 08/12/2022 COMBINED $ 1,000,000 $ ANY AUTO BODILY INJURY (Per person) ✓ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED UTOS ONLY AUTOS ONLY - PROPERTYDAMAGE Per accident $ $ UMBRELLA UAB CCUR - EACH OCCURRENCE $ EXCESS LIAB LAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY /N BTATUTE 77— ER $ ANYPROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA - E.L. EACH ACCIDENT EL DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Santa Ana, Risk Management Division is listed as an additional insured per the blanket additional insured endorsement if required by written contract or agreement CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division 9 0 Civic Center Plaza Santa Ana, CA 92702 THE EXPIRATION DATE THEREOF, 30 DAY NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROV RiA,aboag,,,,,,�,,, AUTHORIZED REPRESENTATIVE "-. Rsm 5 &APPR�mBY s %u Pro. �v � RUNMmagertal ClmralNtle © 1988-2015 ACORD C( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 26000522 1 RCAA306205-01 1 504-61016-1432-001 1 22/23 Maa[e[ Cei¢ificaie 06/23/2022 10:40:37 AM(PDT)