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® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM1DD)LYYYY) <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />132 Insurance Services NAME: Nic? Llorin <br />1426 Aviation Blvd, Suit 03 PHONE <br />naie <br />H No E t : (42 I)28 -9 8 <br />Redondo Beach, CA 9D A MAIL <br />ADDRESS: _ nIC I(Pb In5U Ce.COm <br />License #: 0122551 M It iUR[A(SJJFF f;INQCOI RAC �� NAICii <br />INSURERA: Mes .. CnaeMrit %a <br />INSURED INSURER8: Mrrcui,1Comercial UO 342 <br />Brightlife Designs LLC <br />16351 Gothard St fiSUD:RER C C A itol IISte C eve vCu><tsdale Ins..:v�nce <br />Huntington BeachCA 26— I <br />INSUr ER • • <br />fr11lFRAf;FS rF=RTIFIrATFMHURIMM- nnnnei7n.aooa4­ oetineinrrriiinnocn. <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 SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />5UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMfODlYYYY] <br />POLICY EXP <br />(MM)DIDIYYYYI <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS-MADEINTED OCCUR <br />Y <br />Y <br />MP000401610085200 <br />08/10/2024 <br />08/10/2025 <br />EACH OCCURRENCE <br />$ 1 0O0 000 <br />PREMSESDEaoccu once <br />$ 100,000 <br />MED EXP (Any one persar) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 11000,000 <br />AGGREGATE LIMIT APPLIES PER. <br />POLICY JECOT- LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENT <br />�( <br />PRODUCTS-COMPIOPAGG <br />S 2,000,000 <br />S <br />OTHER, <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />BA040000070299 <br />10109/2023 <br />10/09/2024 <br />CMIN <br />EOa aBED SINGLE LIMIT <br />$ 1 000 000 <br />BODILY INJURY (Per person) <br />5 <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY X AUTOS <br />BODILY INJURY Per accident <br />( I <br />$ <br />X <br />HIREDNON-OWNED <br />AUTOS ONLY X ALITDS ONLY <br />PRDPERTY DAMAGE <br />Per accident <br />$ <br />Comp/Collision <br />$ 1000 <br />X <br />Deductible - 1000 <br />G' <br />UMBRELLA LIAB X <br />OCCUR <br />Y <br />Y <br />XS22030363-02 <br />0811012024 <br />08/10/2025 <br />EACH OCCURRENCE <br />S 2,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />S 2,000,000 <br />DED RETENTION$ NONE <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORfPARTNERIEXECUTIVE <br />OFFICERIM EMBER EXCLUDED? <br />N f A <br />PER OTH- <br />STATUTE FR <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS below <br />D <br />Employment Practices <br />Y <br />Y <br />EKS3619197 <br />04/07/2024 <br />04/0712025 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The city of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General <br />Liability and Auto Liability per the attached endorsements or as required by written contract. Insurance is Primary and <br />Non -Contributory <br />L*L4Cf1112L411t1111=111iLvJA9JaN <br />SHOULD ANY OF THE ABOVE DESCRI <br />City of Santa Ana - Risk Management Division THE EXPIRATION DATE THEREOF, NO Risk MwagmentDWuLan <br />4th Floor ACCORDANCE WITH THE POLICY PRC nEmEwm & APPROVED BY: <br />20 Civic Center Plaza ^^ l <br />AUTHORIZED REPRESENTATIVE c r'I r Q c vd- <br />Santa Ana, CA 92702 e ® Risk Management Specialist <br />O 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by NLL on 08/29/2024 at 04:27PM <br />