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SANTA ANA CHAMBER OF COMMERCE (7)
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SANTA ANA CHAMBER OF COMMERCE (7)
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Last modified
2/12/2025 3:28:28 PM
Creation date
9/12/2024 3:56:38 PM
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Contracts
Company Name
SANTA ANA CHAMBER OF COMMERCE
Contract #
N-2024-310
Agency
Community Development
Expiration Date
9/1/2025
Insurance Exp Date
2/1/2026
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CERTIFICATE HOLDER <br />' 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) <br />AUTHORIZED REPRESENTATIVE <br />CANCELLATION <br />DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE <br />LOCJECT <br />PRO-POLICY <br />GEN’L AGGREGATE LIMIT APPLIES PER: <br />OCCURCLAIMS-MADE <br />COMMERCIAL GENERAL LIABILITY <br />GENERAL LIABILITY <br />PREMISES (Ea occurrence)$DAMAGE TO RENTED <br />EACH OCCURRENCE $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />$RETENTIONDED <br />CLAIMS-MADE <br />OCCUR <br />$ <br />AGGREGATE $ <br />EACH OCCURRENCE $ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />INSR <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY)LIMITS <br />WC STATU- <br />TORY LIMITS <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$ <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICE/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />WORKERS COMPENSATION <br />AND EMPLOYERS’ LIABILITY Y / N <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />HIRED AUTOS <br />NON-OWNED <br />AUTOS AUTOS <br />AUTOS <br />COMBINED SINGLE LIMIT <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE $ <br />$ <br />$ <br />$ <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 />ADDL <br />WVD <br />SUBR <br />N / A <br />$ <br />$ <br />(Ea accident) <br />(Per accident) <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 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 />The ACORD name and logo are registered marks of ACORD <br />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: <br />INSURED <br />PHONE <br />(A/C, No, Ext): <br />PRODUCER <br />ADDRESS: <br />E-MAIL <br />FAX <br />(A/C, No): <br />CONTACT <br />NAME: <br />NAIC # <br />INSURER A : <br />INSURER B : <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />INSURER(S) AFFORDING COVERAGE <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 />A <br />1001486 132849.7 03-01-2012 <br />Eddie Quillares Jr. State Farm Agency <br />415 N. Broadway <br />Santa Ana, CA 92701 <br />Eddie Quillares Jr. <br />714.617.7150.714.617.7158 <br />eddie@eddieqinsurance.com <br />Santa Ana Chamber of Commerce <br />1631 W. Sunflower Ave STE C35 <br />Santa Ana, CA 92704 <br />ATTN: Marty Perterson <br />25143 <br />25178 <br />75-0450 <br />A Y Y 92-CM-E499-2 G 03/01/2025 03/01/2026 3,000,000 <br />300,000 <br />10,000 <br />3,000,000 <br />6,000,000 <br />6,000,000 <br />B Y Y 431 6546-C01-75 03/01/2025 09/01/2026 1,000,000 <br />A <br />Y <br />92-TA-Q918-0 02/01/2025 02/01/2026 <br />1,000,000 <br />1,000,000 <br />1,000,000 <br />City of Santa Ana <br />Attention: Executive Director, Community Development <br />Agency <br />20 Civic Center Plaza M-25, Santa Ana, CA 92701. <br />State Farm Fire and Casualty Company <br />State Farm Mutual Automobile Insurance Company <br />02/10/2025 <br />AUTHORIZED REPRESENTATIVE
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