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I A� OP CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMmDnrrY, <br />4/17/2015 <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 cortificate holder is an ADDITIONAL INSURED, the policy(les) 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 Ileu of such endorsomont(s). <br />PRODUCER <br />Assistance Insurance Agency <br />13732 Newport Avenue - Suite 1 <br />Tustin CA 92700 <br />N ME: Dori Jared- Ferranto <br />PHONE (714)245-2777 larc, Nor: 171st zas -z�ae <br />E 'oglES;diared @assistaneeins.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC p <br />INSURERA:State Compensation Insurance Fund _ <br />_ <br />INSURED ^— T� <br />Manuel Huante, DBA: Stage Plus, Inc. <br />2330 S. Susan St. <br />Santa Ana CA 92704 <br />INSURER B: <br />COMMERCIAL GENERAL LIABILITY <br />INSURERC: <br />W <br />�- <br />INSURER O: <br />INSURER E I <br />EACH OCCURRENCE <br />INSURER F: —�- <br />COVERAGES CERTIFICATE NUMBER:15 -16 WC 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 />LTR <br />TYPE OF INSURANCE <br />AD <br />Us <br />POLICY NUMBER <br />POUCY EFF <br />I YY <br />POLICY EXP <br />MI ONY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />I$ <br />-� <br />CLAIMS2UADE ❑ OCCUR <br />OAS €TS sRa—rO _o <br />PREMI <br />$ <br />MED EXP (Any one pe,san) <br />$ <br />PERSONAL a AOV INJURY <br />5 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />Ii �^ <br />POLICY 0 PRO• JECT 1-1 LOC <br />PRODUCTS - COMPIOP AGO <br />_ <br />S <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />by <br />COMBINED SINGLE LIMIT <br />Be p "dead <br />5 <br />ANY AUTO <br />'eV(eW ed <br />BODILY INJURY (Pat person) <br />1 S <br />_ <br />SNEO AUTOSULED <br />AUTO <br />�IL� <br />e001LY INJURY (Par acc;tlen) <br />$ <br />PeLNCA nlO -AGE <br />$ <br />HIREOAUTOS AUTOS <br />4 <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />( „I <br />p 'CSA'Al•l <br />n <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTIONS <br />_ <br />S <br />A <br />LWORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />IANY PROPRIETORIPARTNEWEXECUTIVE YaN <br />OFFICEMMEMBER EXCLUDE09 <br />(Mandatory In NH) <br />/A) <br />I <br />1786018 -15 <br />5/1/2015 <br />5/1/2016 <br />A. ft OTH• <br />TAT <br />E.L. EACH ACCIDENT <br />Is 10001000 <br />JJ <br />E.L. DISEASE - EA EMPLOYECS <br />11000,000 <br />If OrPERATIONS <br />DESCRIPTION OF balm <br />E.L. DISEASE - POLICY LIMIT <br />4 1,000,000 <br />, <br />I <br />I <br />T -T <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES tAGORD 101, Additional Remarks Schedule, may he a1ladNbd U more epape Is required) <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 />ACORD 26 (2014101) <br />INS025 (201401) <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 />The ACORD name and logo are registered marks of ACORD <br />