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CERTIFICATE OF LIABILITY INSURANCE <br />5DATE <br />/1/2014YYY1 <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 poliny(los) 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 endorsoment(s). <br />PRODUCER <br />Assistance Insurance Agency <br />13732 Newport Avenue - Suite 1 <br />Tustin CA 92780 <br />CONTACT Dori Jared- Ferranto <br />-NAME, <br />PHQNC (714)245 -2777 <br />LAIQ FAX ,(714)769 -2788 <br />dp ENO, <br />B•MnL ,djarod @assistanceins.com <br />INSURERS AFFORDING COVERAGE <br />NAIC II <br />INSURERA:State Compensation Insurance <br />INSURED <br />Manuel Huante, DBA: Stage Plus, Inc. <br />2330 S. Susan St, <br />Santa Ana CA 92704 <br />INSURER 0: <br />INSURER C: <br />$ <br />INSURER D: <br />_ <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:14 -15 WC REVISION NUMBER: <br />TM1515 TO CERTIFY THAT THE POLICIES OF IN5VRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE RICD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI its <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 />NSR <br />Lm <br />TYPE OF INSURANCE <br />i <br />POLICY NUMBER <br />POUCY EFF <br />(MMJ0DNYYY1 <br />POLICY EXP <br />IMMIDDNYYYI <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />— <br />o OWL fSR -4Tt0- PR °MISF.S IFn oenrtloneal <br />5 <br />MED EXP (Any ono po,00n ) <br />S <br />CLAINIS -NIAOE ❑ OCCUR <br />PERSONALS ADV INJURY <br />S <br />GENERAL AGGREGATE_ <br />$ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP10P AGO <br />$ �J <br />POLICYL1 <br />PRO. Loc <br />IrCT 1:1 <br />s <br />AUTOMOBILE <br />LIABILITY <br />i5 <br />COMBINED SINGLE UNIT <br />I an 2n <br />eV1e <br />Rj <br />BODILY INJURY (Pop po'$o) <br />_ <br />$ <br />ANY AUTO <br />- <br />-; `.j <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />i <br />°' <br />(, <br />.� <br />J <br />BODILY INJURY (Pop ocuaenq <br />$ <br />HIRED AUTOS AUTOSWNEO <br />�j'Piv�CJ�s[Iw <br />PROPERTY UAMAGE <br />--- <br />$ <br />_ <br />S <br />(lvia <br />UMBRELLA LIAR <br />OCCUR <br />PRIGS <br />- <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIIAS -MADE <br />DBD I I RETENTIONS <br />S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR /PARTNERIEXECUTIVE <br />OFFICEWMEMBER EXCLUOED7 ❑ <br />(Mandalay In NH) <br />'a UnUer <br />NIA <br />17e6910 -14 <br />5/1/2014 <br />/1/2015 <br />WCSTATU OTB- <br />E.L EACHACCIDENT <br />S 1 000 000 <br />_..�,.. <br />EL DISEASE - EA EhIPLOYE. <br />S 11000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1-1000-10-010 <br />U"'640"' <br />SIPTION OP OPERATIONS Dolan <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AUaeh ACORD 101, Additional Romarks Schedule, It more apace Is roqulrod) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />Proof of Insurance <br />The City of Santa Ana <br />PRCSA <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />©1988.2010 ACORD CORPORA <br />INS02512owoe1DI The ACORD name and lono are roalstered marks of ACORD <br />reserved. <br />