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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />41 <br />DATE (MM OD/YYYY) <br />06/08/2022 <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 />CONTACT NAME: Steve Almanza <br />PHONE EMI (562) 861-0301 N No <br />Steven Almanza Agency <br />EMAIL <br />oOREss: <br />16300 Crenshaw Blvd Suite 208A <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Torrance CA, 90504 <br />INSURER A <br />INSURED <br />INSURERS: <br />INSURER C <br />PATRICK AUDENIS, DBA: <br />INSURERD: Clear Spring Property and Casually Company. <br />HARRISON BUILDING <br />INSURER E : <br />4533 MacArthur Blvd <br />INSURER F: <br />Newport Beach, CA 92660 <br />COVERAGES CERTIFICATE. NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />ITYPE OF INSURANCE <br />ADD <br />JOB <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />IMM1DDtYYYY1 <br />POLICY EXP <br />IMWDDNYYYILIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F—IOCCUR <br />- <br />-. <br />- <br />EACH OCCURRENCE <br />$ <br />DAMAGE ( RENTED <br />PREMISESS Ea occurrence) <br />8 <br />MED EXP (Any one parson) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE.LIMIT <br />POLICY <br />APPLI ES PER: <br />JECTPRO LOG <br />PRODUCTS-COMPIOP AGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO - <br />ALL OWNED SCHEDULED, <br />AUTOS AUTOS <br />HIRED AUTOS AUTOSWNEO <br />COMBINED SINGLE LIMIT <br />Ea accid.nt <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PeLraccitlen DAMAGE <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />LED I I RETENTION$ <br />$ <br />:ANY <br />D <br />;(Mandatary <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PROPRIETOPJPARTNER/EXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED] �Y <br />In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />, I <br />CWC00668300 <br />I <br />04/O6/2022 <br />04/06/2023 <br />WC STATU- CH- <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEj <br />$ 1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />1 $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AUach ACORD 101, Additional Remarks Schedule, if more space is required) <br />City Of Santa Ana <br />Risk Management Division 20 <br />Civic Center Plaza <br />Santa Ana CA, 92702 <br />GAH#1 r7 rya400IIi f 1HIM, <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 REPRESENTATIVE _ <br />Steven Almanza <br />Ww MuugawM1 pWe' : <br />��-_ REVIEwED&Mmw®Bv: <br />n 1988.20T0 A ORD CORI f� AI 111: 1`� <br />du Y ruox <br />The ACORD name and logo are registered marks of ACORD IC WOWRama„age,R.n aA,wnn. <br />