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A R" CERTIFICATE OF LIABILITY INSURANCE __EfDATE(MM1DD� IYYYY�RANCE130/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holdor Is an ADDITIONAL I"ou"ED, the POIIcAles) roust be endorsed. If SU0ROGATION IS WAIVED, subJraGt to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Eddie Quillares Jr. State Farm Agency <br />S% e arm 415 N Broadway <br />Santa Ana, CA 52701 <br />INSURED SANTA ANA cHAMsEk ijF COMMS <br />1631 W SUNFLOWER AVE STE C35 <br />SANTA ANA, CA 92704-7460 <br />Jasmine Qulllare, <br />x..714 G17-7150 <br />A :State Farm Fire and Casualty Company <br />8 ;State Fars. Mutual Automobile Insurance Cowl <br />c :State Farm General tnsur snce Campany <br />14-517-7158 <br />28143 <br />28178 <br />zs�rsl <br />COVERAGES -rrv�urctKr-; <br />CERTIFICATE NUMBER:75-1450 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INI?ICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />SR <br />- R TYPE OF INSURANCE DL R POLICY EfFMrAfDD1YYYY LIMITS LICY EXP <br />�PO <br />POLICY NUMBER MMIDO yy I <br />A X COMMERCIAL GENERA! LIABILITY 92 -CM -E499-2 <br />0310112047 03101/2018 EACH OCCURRENCE $ 3,004,000 <br />OLAIMS MADE � OCCUR `11' ' ._ <br />X Loss Of f ncome PREMISS -5 {Ea occurrence} 5 300,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rarnaft Schedule, may be aHached 11 mare space Is required) <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, <br />SANTA ANA CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />©1988-20114-ACORD CORPORATION, All rights resolved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />1001486 132849.9 02-04-2014 <br />MED EXP (Any one person) $ <br />µ 10,000 <br />GEN'LAGGREGATE LIMIT APPt1f=S PER: <br />PERSO_NAL & ADV INJURY $ <br />3,000,000 <br />X POLICY 0 j6 El LDC <br />(IENERALAfafiREGATE $ <br />8,000,000 <br />DTI4FR: <br />PRODUCTS»COM'/OPAGG $ <br />... _ . <br />8,000,000 <br />B AUTOMOBILE LIABILITY <br />$ <br />431 6546-CI11-75 03/01/2017 0910112017 ' MaBINEDESIN LELIMI <br />ANYAUTO <br />$ <br />ALL CWNI=D SCH PULED <br />BODILY INJURY (Perprrsan) $ <br />1,000,000 <br />HIRED X UO <br />NON-OSWNED <br />HIRED <br />BCDILYINJURYfPeraccidenl} $ <br />1,000,000 <br />AUTOS <br />PROPERTY DAMAGE <br />$ <br />-' <br />Petaccldant <br />1, 00 <br />UMBRELLA LIAS OCCUR <br />$ <br />EXCESS LIAB CLAIMS -MADE <br />EACH OCCURRENCE $ <br />DEC)GGREGATE <br />D RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />$� <br />AND EMPLOYERS'LIA814ITY YIN <br />PROPRIETORrEXCLUDED? CUTIYE <br />92 -EK -S793-1 02104/2017 02101120'18 � ST TUTS ER <br />OFROERrMEMBERANY <br />NIA <br />(Mandatory In NH) <br />E.L. EACH ACCIDENT $.1,000,000 <br />I1 ss descrlt a under <br />D SdR'1PTIONOFOPERATIONSbelow <br />E.L. DISEASE -EA EMPLOYEE $ <br />1,000,000 <br />E.L. DISEASE - POLICY LIMIT $ <br />1,400,004 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rarnaft Schedule, may be aHached 11 mare space Is required) <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA, <br />SANTA ANA CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />©1988-20114-ACORD CORPORATION, All rights resolved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />1001486 132849.9 02-04-2014 <br />