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ACO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 4%...-/ 09/10/2024 <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 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 /> NAME <br /> BIBERK PHONE FAX <br /> P.O. Box 113247 IA/C.No.Eat (A/C,(A/C,No 203-654-3613 <br /> Stamford, CT 06911 ADDRESS customerservice@biBERK.com <br /> INSURER(S)AFFORDING COVERAGE NAIC If <br /> INSURER A: Berkshire Hathaway Direct Insurance Company 10391 <br /> INSURED INSURER B: <br /> Cesar Vargas &Associates DBA- MENTE, <br /> Inc. INSURER C: <br /> INSURER D: <br /> 8502 E Chapman Ave # 302 INSURERE: <br /> Orange, CA 92869 INSURERF: <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 POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD1WYY) (MM/DDWYYY) LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&AOV INJURY $ <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY j'RDT LOC PRODUCTS-COMP/OP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON•OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per ecddeM) $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ - i $ <br /> WORKERSCOMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE R <br /> YIN <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NIA , E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ <br /> It yes describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ <br /> Professional Liability (Errors & Per Occurrence/ $1,000,000/ <br /> A Omissions): Claims-Made N9PL670418 10/01/2024 10/01/2025 Aggregate $2,000,000 <br /> • <br /> • <br /> • <br /> DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached N more space is required) <br /> City of Santa Ana Risk Management Division added as an Additional Insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS, <br /> 20 Civic Center Plaza <br /> Santa Ana, CA 92701 -. <br /> AUTHORIZED REPRESENTATIVE <br /> I <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/03) The ACORD name and logo are registered marks of ACORD <br />