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�a,cv,c�► <br />CERTIFICATE F LIABILITY INSURANCE DATE (MM /DD/YYYY) <br />04/1.6/20].5 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />STATE FARM INSURANCE / EESTA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />15129 SUNSET BL PN 31.0.454.0345 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PAC PAL CA 90272 FAX 310.454.81.53 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />joy @festainsurance,com <br />INSURERS AFFORDING COVERAGE NAIL # <br />INSURED INSURERA:State Farm Mutual Auto Irisurance Company 251.78 <br />HODGES, RICHARD & - - - <br />CARROLL, SAMANTHA INSURER B: <br />19647 VALLEY VIEW DR INSURERC: <br />TOPANGA CA 90290 -3255 INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADDT <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />_ <br />LTR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM /DWYY <br />DATE MMlDDlYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />$ <br />CLAIMS MADE ❑ OCCUR <br />MED EXP An one arson <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />_ <br />GENERAL AGGREGATE <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRODUCTS - COMP /OPAGG <br />$ <br />PRO - <br />POLICY 11 JECT 0 LOC <br />x <br />X <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />468 5349– D16 -75 <br />04/ 16/ 2015 <br />04/16/2016 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ 1, 000, 000 <br />X <br />0 <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ 1, 000,000 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ 1, 000, 0 0 0 <br />GARAGE <br />LIABILITY <br />AUTO ONLY -- EAACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />ALTO ONLY: <br />_ <br />AGG <br />$ <br />EXCESS /UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR [::] CLAIMS MADE. <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />_ <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />'— <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />I"-IODG S LAC:;E'Y & ASSOCIATES A- 2014...037 RE= "CIE =WED ELY E:UNIIC;E: HEREDIA (PG 1 OF 3) <br />CERTIFICATE HOLDER CANCELLATION <br />ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />20 CIVIC CENTER PLAZA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />SANTA ANA, CA 92702 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />ACORD 25 (2001/08) The registration notices indicate ownership of the marks by their respective owners © ACORD CORPORATION 1988, 2007 <br />132849 03 -13 -2007 All rights reserved <br />