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A J, __ i ° CERTIFICATE OF LIABILITY INSURANCE 4/8/20 6YYY) 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 endorsement(s). PRODUCER A J INSURANCE 1000 Macarthur Blvd #66 Santa Ana, CA 92707 OF57419 CONTACT NA PHONE 714) 673-5549 FAX ASSAIL .ajiasurance@live. cont INSURERUSI AFFORDING COVERAGE NAICX IN NORTHFIELD INSURANCE COMPANY INSURED GALAXY PARTY RENTALS ZAVALA, ROBERTO AND EUGENIO PEREZ 11787 CARDINAL CIR GARDEN GROVE, CA 92843 INSURER B'. IN FRO INSURER D: [USURER F OOVFRA('FR CFRTIFICATF NI IAARFR Dovlmnrd NII nn000. 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 CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR Me POLICVNUMBE POLICY EFF MMIDD/YYYV POLICY EXP MM/ N YV LIMITS GENERAL LIABILITY EACH OCCURRENCE s 1,000 000 X COMMERCIAL GENERAL L1IABILITY PREMISES (Ea occurrence) s 100 000 MED EXP (Anyoneperson) $ 5 000 CLAIMS -MADE L' OCCUR A X DED: $500 WS263751 09/26/1509/26/16 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY M PRO- 71 LOC $ AUTOMOBILE LIABILITY CEOMBINtlEED SINGLE LIMIT BODILY INJURY (Per person) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident $ ) NON -OWNED HIREDAUTOB PAUTOS PROPERTY DAMAGE (Par a,i e $ $ V`^ UMBRELLA LIAR OCCUR ?n EACH OCCURRENCE $ AGGREGATE $ EXCESS LIPS CLAIMS -MADE? ,-/{) /l DED RETENTION f."� c D ANO EMPLOYERS' LIABILITY IN WORKERS COMPENSATION�\\`'\�� ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? NIA V � e„y 1 WC STIMI OTH- EL EACH ACCIDENT $ EMPLOYEE $ (Mandatorye me)E.L.DISEASE-EA Iiyyas, describe under OESCRIPTI N P RATIONB below EL DI EA ICY LIMIT s CONTENTS: A PROPERTY WS263751 09/26/1509/26/16 $250,0000 1. DED: $1,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) An "Additional Insured Endorsement" must be attached to the insurance certificate, naming the City of Santa Ana, its officers, agents and employees as additional insured. The Endorsement must include primary/ not contributory language and a separation of insured's clause. CITY OF SANTA ANA PUBLIC LIBRARY 26 CIVIC CENTER PLAZA SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WIT-- ons 1v,.o..,n�,...,� AUTHORIZED REPB U I rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD