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CERTIFICATE OF Digital K QE, A �, 07/05/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CCNFER9Nb`MHTS Ur C.N CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ]ALTER THE CON' -'RA BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A ONTRACT BETWEEN F^fE IE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. r' p`�p . ■ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polic (ie do SR terms and conditions of the policy, certain policies may require an endorsement. A statement or this Corti certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Eddie Qulllare8 Jr. NAME. Eddie QUlllares State Farm Agency PHONE 714 617,7150. E-MAIL 415 N. Broadway AD.EEss,eddie eddie insurance.com r Santa Ana, CA 92701 INSURERS AFFORDING CI HOLDER. THIS THE POLICIES AUTHORIZED to the to the INSURER A: State Farm General Insurance Company 25151 INSURED DOWNTOWN INC INSURER B: State Fan Fire and Casualty Company 43 200 N MAIN ST FL 2 INSURER C: SANTA ANA CA 92701 INSURER D: INSURER E : INSURER F : COVERAGES CFRTIFICATF NIIMRFR-75-ndsn RFVISInm ulIMRFR- 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 ADOL HER BURR -WA POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY 92-CE-Q933-0 06/05/2022 06/05/2023 EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY PRS( RENTED PREEMIMI ESES Eaoccugence) $ 300,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE FRI OCCUR PERSONAL B ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- LOC g AUTOMOBILE LIABILITY ❑ ❑ COMBINED SINGLE LIMIT (E. accident) S BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCH AUTOS AUTOS BODILY INJURY(P (Per accident) ) S HIRED gUT05 NON -OWNED AUTOS PROPERTY DAMAGE Per accitlent S $ A x UMBRELLA LIAB x OCCUR Y Y 92-CE-Q781-7 06/05/2022 06/05/'2023 EACH OCCURRENCE $ 1,000.000 _ AGGREGATE g 2,000,000 EXCESS LIAB CLAIMS -MADE DIED I x I RETENTION$ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEIMEMBER EXCLUDED? LL NIA FYI 92-G6-T749-1 06/05/2022 06/05/2023 ORY LIM U- i OTH- T000,00D E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If Dyes, describe under ESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 A FIDELITY BOND [TIFY] 92-WV-60445-F 10/0 021 10/0312022 ONO -AMOUNT $ 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Scheduled Auto: 2002 GEM 825 PICKUP VIN: 5ASAK27492FO28166 Downtown Santa Ana First Saturday Of the Month Art Walk City of Santa Ana its officers, agents, employees and volunteers are named as additional insured. Additional Insured endorsement issued for certificate holder with Wavier of Subrogation and non-contributory Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation M=I ttly[e_u= CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 ACCORDANCE WITH THE POLICY PROVISIONS. ATTENTION RISK MANAGEMENT AUTHORIZED REPRESENTATIVE BRIZA MORALES WwaG & APPROVED PROVE to Y. REVIEYVED6APPROV®BY: ©1988-2010 ACORD I qi ' A+-jicb Arwuto ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Risk Management specialist