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AC RD CERTIFICATE OF LIABILITY INSURANCE 8/DATE(M I DIYM) 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 PRODUCER Arthur J. Gallagher & Co. nsurance Brokers of CA. LIC #0726293 21011 Warner Center Lane Woodland Hills CA 91367 INSURED Downey Vendors 6814 Suva Street Bell Gardens CA 90201 American Insurance _Corn [can Fire and Casualtv Cc COVERAGES CERTIFICATE NIIMRER- 909559808 RFVIRION NIIMRER- 818-316-0990 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 IADDLNSDI WVD POLICYEFF POLICYEXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYVYV MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y BKW58585014 4/1/2016 4/l/2017 EACH OCCURRENCE $1,000,000 ( CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISE SE a occurrence)$100,000- PREMI MED EXP (Any one person) $10,000 _ PERSONAL&ADVINJURV $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGAT E II$2,000,000 X POLICY' PRO- ! LOC PRODUCTS - COMP/OP AGO I $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY DAW56585014 4/l/2016 4/l/2017 COMBINED SINGLE LIMIT (Ea accident) -. $1,000,000 BODILY INJURY (Per person).i$ X ANY AUTO ALL OWNED - SCHEDULED _- -- NON -OWNED X HIRED AUTOS X _ AUTOS BODILY INJURY (Per amdonl) PROPERTY DAMAGE - - �ISPer accltlentl. $ $ $1,000,000 Uninsd moto Cam B X UMBRELLA LIAB X OCCUR USA56585014 4/1/2016 4/1/2017 EACH OCCURRENCE $5,000,000 $5,000,000 EXCESSIL CLAIMS -MADE AGGREGATE RED I RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN A PER OTH- STATUTE ER EL EACH ACCIDENT $ EXCLUDED? N/A, $ andaRry inN )EXCW (Mantlatory in NH)I. EL DISEASE EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ A Hired Auto PD BAW56585014 4/1/2016 4/l/2017 Comp & Coll Ded $50,000 Hired Auto PD $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is named Additional Insured with respect to general liability coverage per attached form C.Gtffp 0413. �ev�ewe a GUevas CERTIFICATE HOLDER CANCEI I ATION — _n NI II , City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing Dept ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE © 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD