UPLIFTING SOUL EVENTS (YENNY BERNAL)

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,ac`oizo® CERTIFICATE OF LIABILITY INSURANCE Do izs o ate' 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 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 Eddie QUillares Jr. NAME CT E 'die Quillares State Farm Agency PHONE 714 1 •1 Ad swfth km7158 E-MAIL 415 N. Broadway -x n aI ADDRESS: E tr ie d Santa Ana, CA 927 1 NSURER S FFORDING COVERAGE AIC p INSURER A: ., to a en s aOil INSURED Yenny Bernal DBA Uplifting Soul Mlfvents INSURER 401 W La Vella Ave APT 161 INSURER Orange, CA, 92866A IN RF= Date: COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW. HP .E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND i IC". OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFruRDED 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 AODL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDM'YY POLICY EXP MMIDDIYYYY LIMITS q GENERAL LIABILITY Y Y 92-EX-K512-8 05195/2D24 05I06/2025 EACH OCCURRENCE s 1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 300.000 MED EXP(Any one person) B 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 4 2,000,000 POLICY PRO LOG S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acuden( 1 5 NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DEB I I RETENTION5 10,000 S WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YI" TORYLIMITS FIR EL EACH ACCIDENT s OFFICEIMEMBER EXCLUDED' ❑ NIA❑ E.L. DISEASE - EA EMPLOYEE S (Mendel., in NH) If yes, describe antler EL.DISEASE -POLICY LIMIT 5 ❑❑ 5 DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER ATTACHED EXHIBIT B ADDITIONAL INSURED FORM. CITY OF SANTA ANA RISK MANAGEMENT 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF- NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR( AUTHORIZED REPRESENTATIVE %sue + RiskMmugemmtDtwfan REVIEWED&APPROVED BY: A-ftA,,v4oi Rick Management Spedaltit 000 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012