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A��F h® CERTIFICATE OF LIABILITY INSURANCE <br />E 1 <br />DAT2/14/20118 <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 holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement($). <br />PRODUCER <br />CONTACT NAME: Paul Romero <br />ROMERO INSURANCE AGENCY <br />ac° No EXt : 805-582-4655 (A/c, No): 805-581-3423 <br />ADDRESS: romeroins@aol.com <br />2869 WANDA AVE <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: COLONY INSURANCE COMPANY <br />SIMI VALLEY CA 93065 <br />INSURED <br />JAI- �I �' 7 <br />AUTOMOILE CO <br />INSURERC: OUTHERNI INSURANCCE COINS. <br />w <br />MAJOR LEAGUE INFIELDS INC ' - <br />508 E. CHAPMAN AVE ——Q6'�O� <br />INSURERD: <br />INSURER E: <br />INSURER F: <br />FULLERTON CA 92832-2015 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />(MMIDD/YYYY) <br />(MM/DDNYYY) <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABIUTY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE OCCUR <br />TWAAGE <br />PREMISES (Ea occurrence) <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL B ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />IGIGLOO23266-03 <br />07/1/17 <br />07/01/18 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />POLICY ❑JECOT �LOC <br />PRODUCTS - COMP/OP AGO <br />$ INCLUDED <br />$ <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />(Ea OVEITItleno <br />$ 1000000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />Y <br />BA040000025174 <br />12/22/2017 <br />12/22/2018 <br />BODILY INJURY (Per acodeno <br />$ <br />%� <br />HIRED NON -OWNED <br />AUTOS ONLY %� AUTOS ONLY <br />(Per accmeno <br />$ <br />$ <br />UMBRELLA UPS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />LED <br />RETENTION$ <br />$ <br />C <br />ORKERS COMPENSATION <br />NDEMPLOYERS' LIABILITY YIN <br />NY PROPRIETOR/PARTNER/EXECUTIVE <br />FFICER/MEMBER EXCLUDED? <br />Mandatory in NH) <br />NIA <br />OWC1006960 <br />01/01/18 <br />01/01/19 <br />- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />f yes, describe under <br />ESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space is required) <br />CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE OPERATIONS OF THE NAMED INSURED. WITH RESPECT TO CLAIMS <br />ARISING OUT OF THE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS <br />PRIMARY AND NOT ADDITIONAL TO OR CONTRIBUTING WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF�. ADDITIONAL <br />INSURED. 10 DAY NOTICE FOR NON PAYMENT OF PREMIUM. Q lV . <br />CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, <br />AGENTS AND REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE <br />THE EXPIRATION DATE THEIR <br />ACCORDANCE WITH THE POI <br />ITHORIZED REPRESENTATIVE <br />Paul Romero- <br />NOTICE M49 SE DELIVERED IN <br />BEFORE <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />