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CERTIFICATE OF LIABILITY INSURANCE I m TE 7 4/14/20Y17 004/14/20 PRODUCE STAT NSURANCE - JOHN LUITHLY 1627 CANYON RD STE F IRVINE, CA 92618-4011 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL # INSURED ELIZABETH M KILEY INC DBA KILEY COMPANY 2151 MICHELSON DR STE 205 IRVINE, CA 92612 INSURERA:State Farm General Insurance Company 25151 25151 INSURERB:State Farm Mutual Auto Insurance Company 25178 INSURERC:State Farm Fire and Casualty Company 25143 INSURER D: INSURER E: COVERAGES 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR ADD'L ITS OFFICERS, EMPLOYEES & AGENTS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR POLICY EFFECTIVE POLICY EXPIRATION AUTHORIZED REPRESENT IVE LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMIDOIYY DATE MMMD/YY LIMITS A X GENERAL LIABILITY 92 -C9 -V665-7 06/01/16 06/01/17 EACH OCCURRENCE $ 2,000,000 COMMERCIAL GENERAL LIABILITY AMA REN"fE P REmsEs 2,000,000 aone uror CLAIMS MADE OCCUR MED EXP (Any oon)� $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENLAGGREGATE IMRAPPLIESPER PRODUCTS - COMP/OP AGG $ PRO - POLICY J£CT LOC B X AUTOMOBILE LIABILITY 085 9537-BO1-75J 02/01/17 08/01/17 COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO 2014 MERCEDES - BODILY INJURY $ 1,000,000 (Per person) X ALL OWNED AUTOS SCHEDULED AUTOS WDDLJ7DB5EA100763 BODILY INJURY $ 1,000,000 (Per accident) X X HIREO AUTOS NON-OVJN£DAUTOS _ PROPERTY YtDAMAGE $ 1,000,000 X X COMP DED - $500 COLL DED - $500 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A X EXCESSIUMBRELLALIABILITY 75 -CD -2498-7 08/02/16 08/02/17 EACH OCCURRENCE $ 5,000,000 OCCUR 1:D CLAIMS MADE AGGREGATE $ _. $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETOMPARTNER)EXECUTIVE 92 -CX -L783-0 09/01/16 09/01/17 X WCSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE •EAEMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE AND ADDITIONAL INSURED COVERS AGREEMENT #A-2015-155, A-2011-068 AND A-2016-285 .._._....._-_..... ... ,_.__ _._......_.._._..____.. ( RE VIE'��dED BY: _ ._ ..__.__ __.EUNIC:^E HEREDIA (PG C7I-_� _. __....__._,__......,..__._.._.__.._�_....... _ .............__.._..__..._..._._.._.__w_._.._ ------- -._.____._._.�__-----...__� CFRTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ITS OFFICERS, EMPLOYEES & AGENTS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR C/O ROSS ANNEX REPRESENTATIVES. AUTHORIZED REPRESENT IVE 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 JOHN LUITHLY ACORD 25 (2001108) 1 ne registration notices Inalcate ownership or the marKs by their respechv owners vHwrcv ��.Hcrvrtn t tvtr tZ500, cvvr 132849 03-13-2007 C/ All rights reserved