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Rte'® CERTIFICATE OF LIABILITY INSURANCE <br />01107!20 4 ' <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 PROOUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain pollclos 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 <br />CHRIS BEDFORD STATE FARM INSURANCE <br />3943 BAYMEADOWS ROAD SUITE 1 <br />JACKSONVILLE FL 332217 <br />am ACT Matl Ison Holden <br />AAw PHONE uQjDJk 9 4 -73 A300 A i N0: 904430-4304 <br />t -MAIL <br />ADDRESS. Mad son,H Iden.K w0 statefann.com <br />INSLRERIS) AFFORDING COVERAGE <br />NAIC0 <br />❑ <br />INSURER A: Stale Farm Mutual Automobile Insurance Cornony <br />26 178 <br />INSURED Ervin Lovett & Miller Inc <br />INSURERB: <br />COMMERCIAL GENERAL LIABILITY <br />INSURER C: <br />1035 Kings Avenue <br />INSURER D. <br />Jacksonville, FL 32207 <br />S <br />CLAIMS -MADE M GCCUR <br />INSURER E: <br />INSURER F: <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 WTH 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 />ILTSP <br />TYPE OF INSURANCE <br />POLICY N BER <br />MM1001YYYY <br />POLICY DIIYVYY <br />LIMITS <br />GENERAL LIABILITY <br />❑ <br />❑ <br />EACH OCCURRENCE <br />5 <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES En oo,nnm <br />S <br />CLAIMS -MADE M GCCUR <br />M ED EXP IAny one panon) <br />$ <br />PERSONAL R ADV INJURY <br />5 <br />GENERAL AGGREGATE <br />5 <br />GEN'LAGOREGATELIMIT <br />APPLIES PER: <br />PRODUCTS- COMPIOPAGG <br />S <br />POLICY <br />PR - I LOC <br />$ <br />AUTOMOBILE LIA BILr1Y <br />❑❑ <br />248 5816 C22 59C <br />1 012 9120 9 3 <br />D3R2f2014 <br />COMBINED SINGLE LI r <br />Ea nwlovm)_ <br />$ <br />BODILY INJURY(Por pmaon) <br />s 1,000,000 <br />ANYAUTO <br />ALL O MED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accidenll <br />$ 11000,000 <br />OPERTY AMAGE <br />POra ldenlcc,_ W <br />b 1,000,000 <br />HIRED AUTOS X NONEED <br />AUT05 <br />E <br />UMBRELLA Me <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />8 <br />EXCESS OAS <br />CI-AIMS -MADE <br />DED I I RETENTIONS <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETCMPARTNEIUERECU➢VE <br />WC STATIU- OTR <br />E.L. EACH ACCIDEM <br />s <br />OFFICGIMEIdEER EXCLUDEOi ❑ <br />NIA <br />❑ <br />EA., DISEASE -EA EMPLOYE <br />$ <br />1Alendalvry In NH) <br />E.L. DISEASE- POLICY LW AT <br />5 <br />Il yes. deeeibe under <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AMoh ACORD 101, Addieanal Rownts SS/fAfedule, If mole apace le regufred) <br />•O <br />N <br />4 m . <br />1 <br />City of Santa Ana onww RM yr Inc Rg <br />..•° � THE EXPIRATION BAT <br />20 Civic Center Plaza, M36 r4 3Uta�; 1511 ACCORDANCE WITH THE <br />Santa Ana, CA 92701 <br />AUTHORIZED RERRONEN,TATWE <br />©1988�tf10 AC1 <br />ACORD 25 (2010)05) The ACORD name and logo are registered marks of ACORD <br />,I <br />D POLICIES BE CANCELLED BEFORE <br />NOTICE WILL BE DELIVERED IN <br />All rights reserved. <br />132849.7 03 -01 -2012 <br />