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ACERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD-YYY) <br />08/03/2015 <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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Luz Patricia Nuho <br />NAME: LUZ NUNO <br />PONE714= - 9- D N: <br />118 W. MacArthur Blvd <br />E-MAIL <br />AODRE89: LU2 Insurew lhluz.com <br />Santa Ana, CA 92707 <br />14111111101 714-549-2058 <br />INSURERS) AFFORDING COVERAGE NAIL 0 <br />INSURER A: Stale Farm Fire and Casualty Company <br />INSURED EL CENTRO CULTURAL DE MEXICO <br />INSURERS: <br />INSURER e: <br />313 N BIRCH ST <br />SANTA ANA, CA 92701-5263 <br />INSURER O; <br />9012212016 <br />MEDEXP am Nn E 5,000 <br />INSURERE: <br />INSURER P; <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 <br />TR <br />TYPE OF INSURANCE <br />AouLSUBR <br />POLICY NUMBER <br />MMIODY EFF <br />MMNOMY) <br />LIMITS <br />GENERAL LIABILITY <br />y <br />O <br />EACH OCCURRENCE E 11000,000 <br />PREMIE ea Ndcwrercs E <br />X COMMERCIAL GENERAL LIABILITY <br />92-C4-MS24.60 <br />1812212014 <br />9012212016 <br />MEDEXP am Nn E 5,000 <br />CLAIMS -MADE F-1 OCCUR <br />BUSINESS -MISC <br />PERSONAL S ADV NJURY E <br />GENERAL AGGREGATE E 4,000,001) <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG E 4,000,000 <br />DEDUCTIBLE E 25,000 <br />POLICY PRO- Loc <br />AUTOMOBILE UAHIUTY <br />❑ <br />❑ <br />I COMBINED SINGLE LIMIT <br />a e GN E <br />BODILY RY(Pwpnl E <br />ANY AUTO <br />BODILY INJURY(Pw NCHel) EOAUTO <br />$ED SCHEDULED <br />ATSW"E0 <br />UO <br />w <br />EINmJHU <br />EHIREDAUTOS <br />COMP/COLL E <br />COMMRCL <br />- <br />UMBRELLA UAB <br />`ISIB <br />EACH OCCURRENCE S <br />AGGREGATE E <br />EXCESS UAB <br />HOCCUR <br />CLAJMS4[ADE <br />- A �jFA <br />V G <br />VV `� <br />OED RETENTIONS <br />E <br />I ORKERSCOMPENSATON <br />TH- <br />VA:STATULIM - FR <br />AND EMPLOYERS' UABIUTY <br />ANY PROPRIETORNARTNERlEXECUTIVE YIN <br />lJ <br />�� <br />EL EACH ACCIDENT 9 <br />EL DISEASE EMPLOYE E <br />OFFICENEMBER EXCLUDEDi <br />IMNndiflMIn NH) <br />NIA <br />EL DISEASE -POLICY LIMIT E <br />It Ygr,dmulEouMer <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Mft.0 ACORD 101, AddBleml A6018MN SCI NUVII, If mme rPeee Ie MgUtm ) <br />ADDITIONAL INSURED: <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701: ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED <br />AS ADDITIONAL INSURED ("ADDITIONAL INSURED-) WITH REGARD TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND <br />USES PERFORMED BY OR ON OUR BEHALF OF THE NAMED INSURED <br />cn I,..l ' nee CANCFLLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92701 <br />AUAY7NTA <br />IV� <br />II NV 1998-2010 AUUHU UUHPUHA I IUN. All rlgnts reseed, <br />ACORD 25 (2010105) The ACORD name and logo are registe d arks of ACORD 1001486 132849.7 03-01-2012 <br />