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A� 1eO® CERTIFICATE OF LIABILITY INSURANCE D11/2212017"' 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 Eddie Quillares Jr. State Farm Agency CONTACT NAME: Eddie Quillares Jr. 415 N. Broadway Santa Ana, CA 92701 PHONE 714. 617.7150. uC No 714. 17.7158 EMAL ADDRESS: addle eddie insurance.com 03/01/2017 03101/2018 EACH OCCURRENCE $ 3,000,000 INSURERS AFFORDING COVERAGE NAIC# INSURER A: State Farm Fire and Casualty Company 25143 GENERAL AGGREGATE $ 6,000,000 INSURED Santa Ana Chamber of Commerce INSURERS: State Farm General Insurance Company 25151 INSURER C: AUTOMOBILE 1631 W. Sunflower Ave STE C35 INSURERD: Santa Ana, CA 92704 09/01/2017 03101/2018 ATTN: Marty Perterson NSURERE: BODILY INJURY (Per accident) $ 1,000 PROPERTY DAMAGE 1,000 Per accident $ NSURER F: UMBRELLA LIAB EXCESS LIAR COVERAGES CERTIFICATE NUMBER: 75-0450 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE 1M ADDL AM POLICY NUMBER POLICY EFF MMIDDY/YYVY LIMITS A GENERAL LIABILITY171❑ x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR 92 -CM -E499 -2G 1 03/01/2017 03101/2018 EACH OCCURRENCE $ 3,000,000 PREMISES Ea Dwu ante $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 3,000,000 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PR� LOCI PRODUCTS - COMP/OP AEG $ 6,000,000 1 $ B AUTOMOBILE LIABILITY ANVAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS ❑❑ 4316546 -COI -75 09/01/2017 03101/2018 Ea acciden SINGLE LIMIT $ BODILY INJURY (Per person) $ 1,000 BODILY INJURY (Per accident) $ 1,000 PROPERTY DAMAGE 1,000 Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE —1EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ I $ C WORKERS COMPENSATIONx AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEE. OFFICE/MEMBER EXCLUDED? �Y in NH) If yes, descdina mder N/A 7Y(Mandatory 92 -EB -E908-0 02/01/2017 02/011201$ TORY LIAMITS OTH- L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012