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AW CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> `.----- 08/08/2024 <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 CONTACT Steve Almanza <br /> NAME: <br /> Steven Almanza Agency ONE <br /> (A/CC No.Ext): (562)861-0301 FAX <br /> No): (424)358 4847 <br /> 22939 Hawthorne Blvd.Unit 311 E-MAIL .coml t almanza sevenamanzaa enc <br /> ADDRESS: S @ 9 Y <br /> Torrance,CA 90505 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A: <br /> INSURED <br /> INSURER B <br /> CABIFORNIA INC. INSURER C: <br /> DBA CABIFORNIA INSURER D: Clear Spring Property Casualty Company 15563 <br /> 26611 Naccome Dr. INSURERE: <br /> Mission Viejo CA 92691 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP <br /> LTR INSR wVD POLICY NUMBER IMMIDD/YYYY) IMM/DDIYYYY) LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PR S( RENTED <br /> PREMISES(Ea occurrence) $ <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PECDT n LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS AUTOS <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS (Per accident) <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ - $ <br /> WORKERS COMPENSATION "( TORY LIMITS OTH- <br /> AND EMPLOYERS'LIABILITYER <br /> D OFFICER/MEMBER EXCLUDED?ANY PROPRIETOR/PARTNER/EXECUTIVE YYN N/A CWCO2822900 01/27/2024 01/27/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF nlnTlr.F win RF nFl IVFRFn lid <br /> Risk Management Division ACCORDANCE WITH THE POLICY PR(` / <br /> „0,9a, Riniati isgement Division <br /> 20 Civic Center Plaza <br /> AUTHORIZED REPRESEN NE ? = RE1lIE1rlED&APPROV®BY: <br /> Santa Ana CA 92702 i; <br /> I / Risk Management Specialist <br /> ACORD 25(2010/05) ot 88- .10 ACORD7 _ <br /> The ACORD name and logo are registered marks of ACORD <br />