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UU/L1/LYJ1b 1L: Ob 7C1 b70d lbd AIIILNIU. N L,AYI IAL YAbt LIZ/ U2 <br />® 4-20%q'- /G/7 - <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE 1.9 ISSUED AS A MATTER. OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS. <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR. NEGATIVELY AMEND, EXTENDOR ALTER THE COVERAGE AFFORDEC) BY THE. POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT:BETWEEN THE ISSUING INSURER{S), AUiHORItEb <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pclloypes) must be 8ndoMad, IF SU IA0GATl0N IS WAIVED, subject to . <br />the terms and Conditions of the policy, certain poll.Cles may esquire an endorsement, .A.statemant an this certhlflcahi dose Act Carter rights to the <br />PRODUCER �ON1MO1 Selina Ramos_ <br />. NAME: <br />The Empire Company w Ne. (909) 076-0600 FA Ngl. (909% 416.0601 <br />10201 Trademark St., Suite Do Sg7C SRawa@czpire-co.,00m <br />P.O. Box 5400 INSURER(S)AFFORDINO:COyERAGE NAICR <br />Rancho Cucamonga CA 91729 INSURERAIPre£erred Ehlpiovars Ins. Co. 10900 <br />INSURED INSURER B : ..—.. <br />American Capital E4iterprises, Inc. INSUREP.C: <br />P, 0. Box 893580 INSURER o:. - <br />CA <br />INDICATEO, NOTNRHSTANDING ANY REQUIREMENT, TERM <br />CERTIFICATE MAY BE (SSUEO OR MAY PERTAIN, THE INSU <br />DF ANY CONTRACT OR OTI <br />iD BY THE POLICIES DESC <br />PPPAI GP111Ir1PPn RV PAIn CI <br />ABOVE FOR THE PC <br />i WrM RESPECT TC <br />IS SUBJECT TO ALL <br />IL <br />TYPE OP INSURANCE <br />POLICY N SER <br />f E <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $. <br />0 PEN <br />OCCURELI <br />LjrLA11M'-MAO2 <br />MIT APPLIES PER:Pa <br />LOGFG <br />AUTOMOBILE <br />LIABILITY <br />Ea eCcitlnn <br />EGDILY INJURY I7or Pnrsgrr) 5 <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTO$ AUTOS <br />HIPEGAUTOS AIUTOSED <br />a ODILYINJURYIPVIIcIdMtj fl <br />_ <br />H a dccidonll $ — <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />AOGRFGATE $ <br />OXCESS LIAB <br />CLAIMS•MAOE' <br />GED RETENTI N <br />WORKERS COMPENSATION <br />pp RH <br />"�^ STTUTE, SP ' <br />E.L, EACH AcOIDENT $ 1 000 000 <br />AND EMPLOYERS' LIASILIN <br />ANY PROPRIE0RIPARTNER1EXEOUTIVF ANY <br />E.L. DISEASF•EA EMPLOYEE $ 1 000 t/00 <br />A <br />OFFICERIIAEMBFR EXCLUOFD? <br />IMa Nstory In NH) <br />nya5 de5Cn0B undor <br />I OR IPTION OF OPERATIONS bOoll <br />NIA <br />NR1116003e-7 <br />S/L/20r6 <br />a/d/2dA% <br />EL. OISEA$F.-PaL10V 411;117 $ S 000 000 <br />DgscmfTWNOFOPERATN)NSILOCATONS/VEHICLGS(ACORD 101,AddlUonelRemeMa9Cneaule,myb'notteched.Itmore 1OWNInrequired)' /`' <br />**For verification of insurance 1 /2 Z,(4- zy 6 <br />leKief_y <br />City of Santa Ana, <br />PO Box 1988 M-17 <br />Santa Ana. CA 92702 <br />ACORD 25 (2014)01) <br />I M.Qn95 mmum l <br />SHOULD ANY OR THE AMOVE'. OESCAIBEOPOLICIE 6 15F CANGCLLEP BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE' WILL 09 CIELNERED' IN <br />ACCORDANCE�WrFH TIE t'OLtdY-PROVIGIONmY, <br />1ina. 11mo$/SEL:NA <br />The ACORD name and logo ere registered marks of ACORO <br />a <br />