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A� �'® CERTIFICATE OF LIABILITY INSURANCE D09/03/2015 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER KEN INOUYE INSURANCE AGCY INC CONTACT NAME: DANIELLE DAVIS _M&N,d1h162-865-5228 Alc L.1 562-865-3534 ._ STATE FARM LIC # OD12117 EMAIL ADDRESS: DANIELLE(c1KENINOUYE.COM-.. StateFarrn 11010 ARTESIA BLVD _ CERRITOS, CA 90703 INSURERK)AFFORDING COVERAGE NAICP DMA E R BC INSURER A: State Farm Fire and Casual Com an 25143„__, INsuReo IMPRENTA COMMUNICATIONS GROUP INC 300 S RAYMOND AVE STE 9 INSURER a: State Farm MutualAutomobile Insurance Coman ze3T INSURER C: PASADENA, CA 91105 USURERD: MED EXP (Any one person) $ 5,000 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POOL POLICY NUMBER POLICY EFF MMIODIVYYY POLICY EXP MMIDEVYYYY LIMITS GENERAL LIABILITY A ( Y 92 -B4 -K005-3 0210212015 02/02/2016 EACH OCCURRENCE 8 1,000,000 DMA E R BC I;X COMMERCIAL GENERAL LIABILITY 7 PREMISEGEa accurrwce $ MED EXP (Any one person) $ 5,000 CU+IMS-MADE OCCUR PERSONAL &ADV INJURY E GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. -- PRODUCTS - COMPIOP AGO S 2,000,000 S— X POLICY PE 0 LOC B .AUTOMOBILE LIABILITYy 471 5490.1220-75 05/20/2015 05/20/2016 jEe aBcO DtISINGLE LIMIT S 1,000,000 X ANY AUTO BODILY INJURY(Perpemmr) IS -�-- I x X BODILY INJURY (Per amount) S AUTOSSCHEDULED m AUTONED X NON-OVNNEO _ _ PROPERTY DAMAGE S HIREDAUTOS AUTOS IPer accident/ S UMBRELLA LIAB^ OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS-MAOE DEO RETENTIONS $ '4 WORKERS COMPENSATION 92 -CG -K532-8 10/26/2014 10/26/2015 ATU- 'DTH -I, TVvGIrG LIMITB'x1ER AND EMPLOYERS'LIABIUiY YIN 1,000,000 ANY PROPRIUORIPARTNERIEXECUTIVE OFFICER EMBER EXCLUDED' F-1 IA ❑ 92 -EB -6503-0 10/2612015 10/26/2016 E.LEACH ACCIDENT S (Mandatory in NH) E.L. DISEASE -CA EMPLOY_EE•5 1,000,000 E.L. DIS-ErA'SE-P LIMIT S 1,000,000- If yea, daacdhe under I-`1'`�- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IF more space is mumhadl LOCATIONS: Cityof Santa Anaue'v Certificate holder, its and employees are named as Additional Insured in regards to General Li III G officers, agents, `10 -days notice of cancellation for nonpayment. Qj' 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 holder named below. City of Santa Ana Attn: PRCSA 20 Civic Center Plaza - M - 23 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD PgRPORATION. All rights ACORD 25 (2010105) 1he AGORU name and logo are reglstereo marks or AwnU 1001486 132849.8 01-23-2013