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Digitally signed <br />Angie by Angie <br />CERTIFICATE OF LIABILITY J��WitLe:2022.0 <br />.0207/1212022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGhr6 UP�OI' i�L' I E 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 the <br />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 />State Farm Insurance <br />835 E MaflpOSa St. <br />Altadena, CA 91001 <br />r <br />NCONT <br />AME; MIRNA SERNA <br />eaTa .626-791-9915 P e.626-791-9918 <br />IL <br />DD Es : mlma@)dlahl.com <br />ADDRESS. <br />PRODUCER <br />ER in <br />INSURERS AFFORDINGCOVERAGE <br />NAILS <br />INSURED <br />NETFILE <br />PO BOX 70 <br />AHWAHNEE CA 93601-0070 <br />INSURERA:SIale Faml General Insurance Company <br />26151 <br />INSURER B: Slate Farm Fire and Casually Company <br />25143 <br />Msu RERC: <br />INSURERD: <br />INSURERS: <br />INSURER F : <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 />INTR <br />TYPE OF INSURANCE <br />ADOL <br />SUER <br />POLICYNUMBER <br />EMOLMIpYEFP <br />LIMITS <br />A <br />aENERAL LIABILITY <br />92-XV-7702-4 <br />03/0V2022 <br />CURRENCE <br />E 2,000,000 <br />x COMMERCIAL GENERAL LIABILITY <br />�OCCUR <br />Yl <br />FYI <br />RE TE <br />Ea occurrence <br />300000 <br />$CLAIM&MADE <br />one .deco) <br />E 5000 <br />L& ADV INJURY <br />w <br />$ 2,OD0,DU0 <br />AGGREGATE <br />$ 4,000,000 <br />BERL AGGREGATE <br />LIMIT APPLIES PER: <br />S-COMP/OP AGG <br />$ 4,000,000 <br />X POLICY <br />JECO LOD <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />❑ <br />COMBINED SINGLE LIMB <br />(Ee acdtlenl) <br />$ <br />BODILY INJURY (Par parson) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Par acdann) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTO& <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />NON-0WNEDAUTOS <br />A <br />X <br />UMBRELLA LIAR <br />pCCUR <br />EACH OCCURRENCE <br />$ 2,0D0,000 <br />AGGREGATE <br />$ 2,000,000 <br />EXCESS UAe <br />CLAIMI-MADE <br />❑ <br />❑ <br />92-EO-Y230-0 <br />03/01/2022 <br />03/01/2023 <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION <br />B <br />WORKERS COMPENSATION <br />AM EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNEWEXECUTIVE YIN <br />OFMCMMMBER EXCLUDED? ❑Y <br />NH) <br />NIA <br />92-MW-F722-0 <br />03101/2022 <br />03/0112023X <br />TU- OTH- <br />E <br />Yhi <br />CICIDENT <br />S 1,000,00n <br />-EA EMPLOYE <br />$ 1,000,000 <br />nACCIDENT <br />E-POLICYLIMIT <br />$ 1,000,000 <br />B <br />TECHNOOLGYERRORS&OMISSIONS <br />342018 <br />021'1112022 <br />0211112023 <br />ACHWRONGFUL ACT <br />OTAL LIMIT OF LIABILITY <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Altecll ACORD 101, Additional Remarks Schedule, if more spacek required) <br />DATAAND INFORMATION STORAGE <br />CANCELLATION NOTICE: IF ANY POLICIES ARE CANCELED BEFORE THE EXPIRATION DAE, STATE FARM WILL TRY TO MAIL A WRITTEN NOTICE TO <br />THE CERTIFICATE HOLDER 30 DAYS BEFORE CANCELLATION. - <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Mirna Serna <br />rrai <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />RlskManagemealtDivislun <br />REVIEWED & APPRCMM BY: <br />�'. <br />Risk Management Spetlalisl <br />