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AcORO CERTIFICATE OF <br />LIABILITY INSURANCE DATE(MMIDDIYYYY) <br />10,2Ii2016 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MEMBRILA INSURANCE SERVICES INC. <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />23072 LAKE CENTER DRIVE SUITE 250 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />LAKE FOREST, CA.92630 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />OFFICE: 949 660-7781 <br />LICENSE: 0052369 <br />INSURERS AFFORDING COVERAGE <br />NAIC N <br />INSURED <br />INSURER A: CALIFORNIAAUTOMOBILE INSURANCE COMPANY <br />ALL STAR JUMPER RENTALS LLC <br />117 N STANDARD SUITEA <br />INSURER B. m----- --W— <br />SANTA ANA, CA. 92701 <br />INSURER C T <br />INSURER D: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />rasa''Aro <br />LTR <br />INSR <br />SURA _ <br />TYPE OFINSBRANCE <br />POLICY NUMBER <br />tlA IOtlIY <br />DA M I ! <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIALGENERAL LIABILITY <br />n CLAtMS MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISESEa oon renoe <br />$ <br />MED EXP (Any one peson) <br />$ <br />PERSONAL &AOV INJURY <br />5 <br />GENERALAGGREOATE <br />$� <br />GEN'LAGGREGATE UMIT APPLIES PER: <br />POLICY nPROJ80T n LOO <br />PRODUCTS - COMPIOP AGO <br />S <br />A <br />AUTOMOBILE LIABILITY <br />.� ANY AUTO <br />�J ALLOWNEDAUTOS <br />./ SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNEOAUTOS <br />BA040000006026 <br />V \ <br />4,26/15 <br />q <br />4/26/16 <br />COMBINED accietSINGLE LIMIT <br />( <br />5 300.000 <br />80INJURY <br />(Perr po person) <br />$ <br />(Peroudow) <br />S <br />PROPERTY DAMAGE <br />(Per amident) <br />S <br />GARAGE LIABILITY <br />ANYAUTO <br />j <br />...! <br />35�( <br />1/i <br />AUTOONLY- EAACCIDENT <br />S <br />OTHFRTHAN EAACC <br />AUTO ONLY: ADD <br />$ <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAMIS MADE <br />DEDUCTIBLE"' <br />RETENTION 5 <br />..f"" y <br />Ct �y ! <br />( <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />EMPYESOMEILYION AND <br />ANY PROPRIETORMARTNERIEXECUTIVE- <br />OFFICER/MEMBER EXCLUDED? <br />It yes, tlescriba untler <br />SPECIAL PROVISIONS balmy <br />T)LORABIITRY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - FA EMPLOYEE <br />$ <br />ELOISEASE-POLICYLIMIT <br />$ <br />OTHER <br />The City of Santa Ana, It's officers, employees, agents, and representative are named as additional insured. <br />Oily of Santa Ana <br />20 Civic Canter Plaza <br />P0. BOX1988 M-16 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ERIC MEMBRILA <br />