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CERTIFICATE OF LIABILITY INSURANCE
<br />D0n�rznl 410 512 0 1 YYI
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<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 COVE=RAGE 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(fes) must be endorsed, If SUBROGATION iS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A Statement an this certificate does not confer rights to the
<br />certificate holder in Ileu of such endorsemont(s),
<br />PRODUCER
<br />CHRISTOPHER FERRARO JRX
<br />5tatehrm 25909 PALA STE 160
<br />` MISSION VIEJO CA 92691
<br />_
<br />IN�&OWNTe�OTChris Ferraro
<br />_
<br />4 ,949-586-7060 �x�Np;949.58t3 1227
<br />A OAR19 . chrls@ChrIsferrarojr,com
<br />1.
<br />INSURE1.
<br />RS AFFORDINOMVERAGE NA1Cq
<br />INSURER A.State Farm General insurance Company 26161
<br />INSURED TRES ESTRELLAS DE ORO
<br />2414 E FLORENCE AVE
<br />HUNTINGTON PARK, CA 90255
<br />INSURER B:
<br />INSURER C;—
<br />INSURER D:
<br />INSURER E:
<br />INSURER F
<br />COVERAGE$ CERTIFICATE NUMBER: REVISION NUMBER!
<br />TMS 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 N MAY HAVE BEEN REDUCED BY PAID CLAIM$,
<br />INTR
<br />TYPE. OF INSURANCEAD
<br />KN
<br />POLICYNUMeER
<br />POLICY EFF
<br />MM100
<br />PO 1 Y EXP
<br />M tap
<br />LIMITS
<br />A
<br />X
<br />CQMMFRCIAL 0ENERAL LIABILITY
<br />CLAIMS -MADE 7V7 CCCUR
<br />52EMFG279
<br />06/1412016
<br />06110/2017
<br />EACH OCCURRENCE $ 3,000,000
<br />PREMIS laoevrreen e ' a 300,000
<br />GeNT
<br />MED EXP Ary onepersonS 6,000
<br />_
<br />PERSONAL SADV INJURY $ 3,000,000
<br />AGGREGATE LIMIT APPLIES Ppii
<br />POLICY Ll dECf F LOC
<br />OTHER:
<br />GENERAL AGGREGATE $ 0,000,000
<br />PRODUCTS-CCMPIOPAGG $ 6,000,000
<br />Business Property $ 10,000
<br />A
<br />AUTOMOWLE
<br />W
<br />�
<br />LIABILITY
<br />ANYAUTO
<br />ALLOWNED SCHEDULED
<br />AUTO$ AUTOS
<br />AUTOS 1JED
<br />HfREDAllTOS AUTOS
<br />92EMF6279
<br />06110/2016
<br />0611012047
<br />EP M_ SI L LI t g 1,000,000
<br />1100ILY INJURY (Perperwnl S 1,000,000
<br />E 1 T,000,000
<br />aOOILY INJURY Per aceldonl $NON-M
<br />PROPERTY pAMA E
<br />er cci t S
<br />S
<br />U47eRELLAL1AeOCCUR
<br />EXCESS LIAR
<br />HCLAIMS-MADE
<br />-EACH OCCURR5NGE S
<br />AGGREGATE S
<br />OED I J RETENTION
<br />G.
<br />WORKERS COMPENSATION
<br />AND EMPLOYERTUABILITY YIN
<br />ANY PROPRIETOWPARTNERIEXEGUTIVE
<br />OFFICER/MFMOCR ECGUtIDED? ILI
<br />(MandatorylnNN)
<br />11 yyes descdbe under
<br />17ESRIPTION pF pPERMONS below
<br />NIA
<br />92 -EP -J387_0
<br />00/Q2/2016
<br />0610212017
<br />x PER
<br />STATIiTE ER
<br />!IL. EACH ACCICENTb 1,000,000
<br />E,t.DISEASE - PA EMPLOYEE S 1,000,000
<br />-----
<br />E.L. DISFA.SppE • POLICY LIMIT $ 1,000,000
<br />REVIEWED BY: EUNiCE HEREDIA (PG .l OF. J)
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Addittonal Remarks Schedule, may be altachnd It more ppagp in roqulred)
<br />reference license A-2015-283 and lease 2015"-284
<br />I1= YIi31,.Ljmm
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES
<br />AND AGENTS
<br />20 CIVIC CENTER PLAZA (M21)
<br />SANTA ANA, CA. 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL Brr DELIVERED IN
<br />AC,0ClRDANGF WITH "IF POLICY PROV[81ONS--�
<br />A(l't"iQ}"RZE' RR+F.'M �:E(NNT�A^T�I^VE r t^ DTgitally{yl�nod by C1151 rara.Jr
<br />Chi >i 1 I �7 1 e I f a 1� �„� 1 DN: cn�Chrls Fmrr&ro Jr, a, au,
<br />amail�chrta,tarrara jrrxttar�stmararm.com, c�US
<br />Hata: znl.a.s�.ao is�2a::I� -0sno
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<br />ACORD 25 (2014101) The AGORD name and logo are registered marks of ACORD 1001488 132849,0 02-04-2014
<br />
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