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Last modified
8/11/2025 2:26:22 PM
Creation date
8/11/2025 2:24:41 PM
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Contracts
Company Name
CHAMBER OF COMMERCE
Contract #
N-2025-210
Agency
Community Development
Expiration Date
9/2/2026
Insurance Exp Date
2/1/2026
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CERTIFICATE OF LIABILITY INSURANCE 1 DATE <br /> 02/10/20 5W) <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 /> PRODUCER CONTACT <br /> Eddie Quillares Jr. State Farm Agency NAME: Eddie Quillares Jr. <br /> 415 N. Broadway A/c,No Et):714.617.7150. (FAX No):714.617.7158 <br /> E-MAIL <br /> Santa Ana, CA 92701 ADDRESS:eddie@eddieginsurance.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> M INSURER A:State Farm Fire and Casualty Company 25143 <br /> INSURED Santa Ana Chamber of Commerce INSURER B:State Farm Mutual Automobile Insurance Company 25178 <br /> 1631 W. Sunflower Ave STE C35 INSURERC: <br /> Santa Ana, CA 92704 INSURER D: <br /> ATTN: Marty Perterson INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:75-0450 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 LIMITS <br /> LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A GENERAL LIABILITY 92-CM-E499-2 G 03/01/2025 03/01/2026 EACH OCCURRENCE $ 3,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED <br /> PREMISESS Ea occurrence) $ 300,000 <br /> CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 <br /> PERSONAL&ADV INJURY $ 3,000,000 <br /> GENERAL AGGREGATE $ 6,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 6,000,000 <br /> POLICY PRO LOC $ <br /> JECT <br /> B AUTOMOBILE LIABILITY FYI FYI431 6546-001-75 03/01/2025 09/01/2026 Ea acciCMIoeD SINGLE LIMIT $ 1,000,000 <br /> X 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 /> UMBRELLA LIAB OCCUR ❑❑ EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> S <br /> A WORKERS COMPENSATION X IN STATU- ER <br /> AND EMPLOYERS'LIABILITY y/N 92-TA-Q918-0 02/01/2025 02/01/2026 TORY LIMIT <br /> ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICE/MEMBER EXCLUDED? Y❑ N/A ❑ <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> El El <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> Tu Tran Digitally sig edby <br /> Tu Tran Ng en <br /> Nguyen(ry Date:2025.8.05 <br /> 10:33:37-0 00' <br /> APPROVED <br /> By Tu Tran Nguyen at1"2-am;-Aag , 025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> Cityof Santa A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> an Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention: Executive Director, Community Development ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Agency <br /> AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center Plaza M-25, Santa Ana, CA 92701. <br /> ©1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 <br />
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