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A� o7r25/20212a2 CERTIFICATE OF LIABILITY INSURANCE DATE[MYYY) 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Delgadlllo NAME: LaFrance and LaFrance,Inc. PHONE (818)761-8422 FAX (818)761-9085 AfC No Ext: A1C,Na: 5756 Lankershim Blvd, E-MAIL ADDRESS: nfo@lafranceandlafrance.com INSURER(SI AFFORDING COVERAGE NAIC# North Hollywood, CA 91601 INSURER A STATE COMPENSATION INS FUND INSURED INSURER B: THE PUMPKIN CORRAL LLC INSURER C: 341 BONNIE CIR INSURER D: INSURER E: CORONA CA 92880 INSURER F: COVERAGES CERTIFICATE NUMBER: CL256221262 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICYNUMBER MMIDD1YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11 DAMA ET RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) S PERSONALS ADV INJURY $ GEN`LAGGREGI—A—T—ETLIMITAPPDESPER: GENERAL AGGREGATE S POLICY 1� PRO- JECT L00 PRODVCTS-COMPlOPAGG $ OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 Ea accident ANY AUTO BODILY INJURY(Per person) S OWNED F SCHEDULED BODILY INJURY(Per accident) AUTOS ONLY AUTOS dt) 5 HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S DEO RETENTIONS S WORKERS COMPENSATION X PEATUTE ERH AND EMPLOYERS'LIABILITY Y r N RNY PROPRIETORIPARTNERIEXECUTIVE 1000000 AOFFICERIMEMBER EXCLUDED? ElN!A 9236568 08115I2024 0$I1512025 E_L-ERCH ACCIDENT S (Mandatory in Ni EL-DISEASE-EA EMPLOYEE S 1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES tACORD 101,Additional Remarks Schedule,maybe attached if more space is required) [APPROVED CERTIFICATE HOLDER CANCELLATION By ru Trap Nguyen at 2:55 pm,Aug 13,W2, SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana,Parks and Recreation and ACCORDANCE WITH THE POLICY PROVISIONS. Community Services 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD