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TRESE -1 OP ID: BUMA sA RG% CERTIFICATE OF LIABILITY INSURANCE 0911812015 o- 1 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 policyoes) 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 PRODUCER NAME y Steve Falcon Falcon & Associates insurance Services, Inc. PHONE 323,669,1±700 FAX JAIC, Me, Eon (A;C, NA) 323. 669.0785 2615 Santa Avenue A DIES,, steve@faisinc.com Commerce, CA 90040 A X COMMERCIAL GENERAL LIABILITY Steve Falcon INSURER(SI AFFORDING COVERAGE NAICe DAMAGE IE gN�:Ea xel 5 100,00 INSURER A : Colony Insurance Company 39993 INSURED Tres Estre±las de Oro Inc. INSURER B -. 1000 E. Santa Ana Blvd, #10 GFN'L AGOREGAR I. IMIT APPLIES PER Santa Ana, CA 92701 INSURER c PRODUCTS COMPIOPAGB E 5,000,00 INSURER 0 . S INSURER E COMBINED SINGLE LIMIT S INSURER F COVFRAGFS CFRTIFI('ATF NIIMIFI RFVIBtr)N NIIMRFR 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 WITH 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 INSR TYPE OF INSURANCE AOOL SUBR POLICY Err POLICY EXP LTR IN Sp WV I POLICY NUMBER MMICENYYYY MMOOIYYYy LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRE NCE S 51000,40 cL,uMSxanaE X oc +_Ore X 101 GL 0025103 -00 0711872415 4711812070 DAMAGE IE gN�:Ea xel 5 100,00 MES ExP =:any r,l,e $ 5104 PERSONAL A ADVwJURy a 31000,00 GFN'L AGOREGAR I. IMIT APPLIES PER GENERAL AGGREGATE b 5,000,00 X POLICY PRO. JECr L (;C PRODUCTS COMPIOPAGB E 5,000,00 OTHER S AUTOMOBILE LIABILITY mW COMBINED SINGLE LIMIT S ,Ea acnaenq ANY AUTO BODILY INJURY IPer oe•son b ALLOWNEO SCHL OUR LELI BGDUY INJURYIP =l acaaenn a AUTOS AUTOS IN,F1VVNEU PPROPERTY DAMAGE 5 MIRED AIJIOS ALTOS 5 UMBRELLA LIAR OCCUR ._.�.� EACH OCCURRENCE EXCESS LIAR CLAIMS MADE AGGREGATE .: DEC) RETENTION£ WORKERS COMPENSATION PER GTH AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PR�PRlETOiRIPAR *HERE¢CIKmE I —'- EL EACHACCIDENT 3 OFF.CERIMEMBER FACI JDE NIA __. Mandemry In NET ` E'. DISEASE FIT EMPLOYEE $ lf,s dew6euPdsl DESCRIPTON OF OPERA110NS beww EL DISEASE POUCYUM11 DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORO 101, Addltional RVMWEs Schedule may be attached if more apnea is required) 'PLEASE SEE 2ND PAGE FOR ADDITIONAL INFORMATION RcVIE`PIED BY__.�. f EIMCE. HEREDIA {PG f OF } The City of Santa Ana, It's Officers, employees & agents 22 Civic Center Plaza (M21) Santa Ana, CA 92702 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 i=) 1US8-ZU14 AL;UKU CORPORATION. Ail rights reserved. ACORD 25 {2014101) The ACORD name and logo are registered marks of ACORD