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C"R°® CERTIFICATE OF LIABILITY INSURANCE <br />°oaizoiioi "i <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the <br />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 <br />KEN INOUYE INSURANCE AGCY INC <br />STATE FARM LIC # OD12117 <br />5tateYann 11010 ARTESIA BLVD <br />CONTACT <br />NAME_ DANIELLE DAVIS <br />�_ <br />Pe"c°N� Exvl• 602- 865 -5228 npc <br />E GAIL <br />D.gaess: DANIELLEAKENINOUYE.COM _ <br />INSURER IS) AFFORDING COVERAGE <br />NAIC N _ <br />. CERRITOS, CA 90703 <br />_ <br />INSURER A: $tale Farm Fire and Casualty DomDanV <br />251 a_ <br />INSURED IMPRENTA COMMUNICATIONS GROUP INC <br />INSUgERa State Farm Mutual Automobile Ina—urance-commpany <br />ZSJ78 <br />INSURER 0: <br />_s <br />_ <br />300 S RAYMOND AVE STE 9 <br />lNISMUMR- <br />PASADENA, CA 91105 <br />__ <br />INSURER E <br />s <br />INSURER F: <br />_5,000 <br />s <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />—TEAS 15 rO CERTIFY 'THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VMTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILT - R <br />R <br />- TIPEOFINSURANCE <br />AM <br />WEIR <br />POLICY NUMBER <br />MMIDDNYYY I <br />(MMUDDYYYYYJ <br />LIMITS <br />A <br />jX <br />BENERALLIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />I y i❑ <br />I <br />92- 134- K005.3 <br />02/0212015 <br />02/0212016 <br />EACH OCCURRENCE <br />1,000,090 <br />_FEEMISESEeoccu ren� —$ <br />_s <br />_ <br />CLAIMGMADE 1XI OCCUR <br />MED EXP(Any one person) <br />s <br />PERSONAL &ADV INJURY <br />_5,000 <br />s <br />GENERAL AGGREGATE_ <br />$ 2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER <br />PRODUCTS - COMP /OPAGG <br />f$ 2,000,000 <br />S <br />POLICY <br />PRO X LOD <br />PIT I <br />B <br />AUTOMOBILE LIABILITY <br />❑Y <br />4T15490- E20 -75 <br />1112012014 <br />05/20!2015 <br />COMBINED SINGLE LIMIT <br />,(Ea ecdden0 __'d__ <br />1,000,0_00 <br />_ <br />X ANY AUI'0 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY Pereoddenf) <br />$ <br />X ALL OWNED X SCHEDULED <br />AUTOS NON-OWNED <br />HIRED AUTOS X AUTOS <br />PROPERTY AMA — <br />(Per acGtlenO <br />-'� <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE _ <br />_ <br />$ <br />EXCESS LIAB <br />DLA_IMS MADE <br />QED _ RETENTIONS <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y)N <br />ANYPROPRIETORIPARTNEWEXECUi'IVE <br />OFFICEIMEMBER EXCLUDED? <br />IMandamq In NH) <br />If yda, deeUlba Yoder <br />EBp(tnory tlF nprnA'rIGNN�hed <br />NIA <br />92- CG- KS32 -8 <br />p`�f <br />r�S ``111$✓VV <br />s-�eV V <br />n <br />101906 14 <br />d 1J <br />10/2612015 <br />YYC STATU X OTH <br />?9MY - EP- <br />EL. EACH ACCIDENT <br />$ 1,000,000 <br />EL_DISEASE - EA EMPILOYEJ <br />s 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />,- <br />s000,000 <br />�r <br />I' <br />I <br />DESCRIPTION OF gPERATIgNSI LOCATION SIVEHICLES (ANadN AGORD 1a1, Alltllllgnal RgltriIOS� d.Vf a arequlred{ <br />LOCATIONS: 300 S RAYMOND AVE, STE 0 & 4, PASADENA, CA 91105 & 1b'L 95 THiST, STE 221, SACRAMENTO, CA 95814. <br />Certificate holder, Its ofNcers, agents, and employees are named as Additional Insured in regards to General Liability. <br />`10 -days notice of cancellation for nonpayment. <br />Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will mail 30 -days written notice to the certificate <br />holder named below, <br />City of Santa Ana <br />Attn: PRCSA <br />20 Civic Center Plaza - M - 23 <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 />AUTHORIZED REPRESENTATIVE <br />All <br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01 -23 -2013 <br />