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STRADIS -01 ALOU( <br />CERTIFICATE OF LIABILITY INSURANCE DATE(MMK I <br />D14 <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 <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUCER License# 0252636 <br />Guardian Risk & Insurance Services <br />INSURED <br />Straub Distributing Co. LTD <br />4633 La Palma Ave. <br />Anaheim, CA 92807 <br />INSURER F : <br />the <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L15TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO <br />WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />DESCRIBED HEREIN IS SUBJECT TO ALL <br />THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INSR ADDLE - ...........�'�... POLI -...-POLICY <br />LTR TYPE OF INSURANCE POLICY NUMBER MM21DtYYYY <br />EXP <br />MMlODtYYYY - LIMITS <br />Santa Ana, CA 92701 <br />A X I COMMERCIAL GENERAL LIABILITY <br />! EACH OCCURRENCE S <br />1,000,00 <br />CLAIMS -MADE :xj OCCUR X Y6300159L799TIL13 12131/2013 <br />_ <br />1213112094 °REMISES ENCec ° $ <br />300,00 <br />MED EXP (Any one person) S <br />10,000 <br />PERSONAL It ADV INJURY $ <br />1,000,00 <br />GETLAGGREGATE DMITAPPLIES PER: <br />GENERAL AGGREGATE $ <br />5,000,000 <br />X� POLICY L..J PE(° —1 LOC <br />PRODUCTS- COMP /OP AGO $ <br />.$.. <br />2,000,000 <br />OTHER' <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />jEa accitlent)_ _ _ <br />1,000,000 <br />_ <br />A X ANY AUTO Y8100159L799TIL13 12/31/2093 <br />92131/2014 BODILY INJURY (Per person) $ <br />T ALL OWNED SCHEDULED <br />BODILY INJURY(Peraccidenl)$ <br />AUTOS AUTOS <br />NON -OWNED <br />PROPERTY DAMAGE I S <br />-HIRED AI)TOS AUTOS <br />Pera d.dent <br />_ <br />I$ <br />'•, UMBRELLA UPS I X OCCUR <br />EACH OCCURRENCE $ <br />25,000:00 <br />_ <br />A X Excsss LlAB ^„LAIMS-MADE YSMCUP01596799TIL93 12!3112013 <br />1273172014 AGGREGATE _ s <br />D—LDI X I aEr'eNT1GN$ 0 <br />Aggregate Is <br />25,000,00 <br />WORKERS COMPENSATION <br />!102!0112014 <br />X STATUTE FIR <br />AND EMPLOYERS' LIABILITY <br />B ANY PROPRIETORIPARTNER /EXECUTIVE YIIN <br />WS0602056502 <br />02101/2015 E. L. EACH ACCIDENT $ <br />1,000,000 <br />OFFICER /MEMBER EXCLUDED? NIA <br />(Mandatory in NH) <br />E. L. DISEASE - EA EMPLOYEE $ <br />1,000,000 <br />If yes, describe Under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE - POLICY LIMIT $ <br />1,000,000 <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Cinco de Mayo Event <br />The City of Santa Ana, Its officers, agents, volunteers, representatives and employees are listed as additional insured in regards to general liability per the <br />attached policy forms. Coverage is primary and non - contributory. <br />30 day notice of cancellation. "f+ <br />ii <br />CERTIFICATE HOLDER k'.. < A L-- ' %'C`ANC €tSLJfTICN <br />61988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Of Santa Ana <br />Y <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />..Zs'veda O'®efldaH <br />61988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />