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AFRO CERTIFICATE OF LIABILITY INSURANCE DA4�20 /2015 ) <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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />Buckley & Associates Insurance Services, PHONE FAX <br />16651 Gothard Street, Ste, A -1 (A/C, No, EXti;. (714) 841 -5830 (A/C, <br />E -MAIL <br />Huntington Beach CA 92647 .ADDRESS:___ <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED (714) 1528-38 9 1 <br />Stage Plus, Inc INBURERB _ <br />NSURER C <br />Po Box 11060 INSURER D: <br />Santa Ana CA 92711 1 INSURER E <br />CDVFRAf7I CFRTIFICATF NIIMRFRt Cart In 62 RFVISIDN NIIMRFR- <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 WITH 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 />INSR ADDL SUBR, POLICY ERE POLICY EXP <br />Lm TYPE OFINSURANCE N POLICY NUMBER MMIODIYYYY MMIOO/YWY LIMITS <br />A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br />1 $ 1,000,000 <br />_ CLAIMS -MADE % " OCCUR Y 02 BP 62805780 7/29/2014 7/29/2015 DAMAGE TO RENTED pREMI5E5 (Ea occunencsl_ -1.$ <br />11000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL B ADV_ INJURY <br />$ 1,000,000 <br />DEVIL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE <br />$ 2,000,00_0___ <br />% POLICY PRO- <br />JECT LOC PRODUCTS - COMRADE AGG <br />$ 2,000,000 <br />OTHER: <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accicent) <br />$ <br />ANY AUTO BODILY INJURY(Perpereor) <br />$ <br />ALL OWNED SCHEDULED BODILY INJURY (Per accident)) <br />_ AUTOS — AUTOS <br />$ <br />NON -OWNED PROPERTY DAMAGE- <br />$ <br />HIRED AUTOS AUTOS _.Peraccidanq_____ <br />5 <br />UMBRELLA DAB J OCCUR Reviewed EACH OCCURRENCE <br />$ <br />_ <br />J <br />EXCESS LIAB CLAIMS -MADE AGGREGATE <br />_ <br />$ <br />tN}( <br />DIED RETENTION $ f` <br />$ <br />'WORKERS COMPENSATION PER OTH- <br />ANDEMPLOYERTLIABILITY ]o i STATUTE ER <br />YIN. <br />--- . <br />ANY PROPRIETOR/PARTNER /EXECUTIVE <br />S)1v(a Cuevas' EL EACH ACCIDENT <br />O y <br />$ <br />OFFICERIMEMBER EXCLUDED' .,NIA <br />.(Mandatory in NH) r-a L+A l/N /-�m(n E.L. DISEASE EA EMPLOYEE <br />-V/" d <br />_ <br />$ <br />Rf'a <br />If yes, describe under r l/�7i <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space ie required) <br />The City of Santa Ana, it -a officers, employees, agents, and representative are named as additional <br />insured with respect to the General Liability as their interest may appear. Primary & <br />Non - Contributory wording applies. 10 days notice of cancellation due to non - payment of premium. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />