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AL COR©
<br />`tea..•.—' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 15/ 2017 Y)
<br />68/15/2017
<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 be endorsed. If SUBROGATION IS WAIVED, subject 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 />CHRISTOPHER FERRARO JR
<br />StateFarm 25909 PALA STE 160
<br />MISSION VIEJO CA 92691
<br />CONTACTChris Ferraro Jr
<br />NAME:
<br />PHONE 949-586-7060 ac No ;949-586-1227
<br />ADDRESS: chris@chrisferraroir,com
<br />INSURERS AFFORDING COVERAGE NAIC4
<br />INSURER A:State Farm General Insurance Company 25151
<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 />CnVF_RAGF9 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 />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />D L
<br />SUBR
<br />POLICY NUMBER
<br />MM ODfLICY'lYYY
<br />POLICY
<br />M DDmYY
<br />LIMITS
<br />A
<br />I X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS MADE �X OCCUR92-EM-F627-9
<br />Date: 20t5.12,3018:24:47 -08'00'
<br />06/10/2017
<br />06/10/2018
<br />EACH OCCURRENCE $ 3,ODO,000
<br />DAMAGE TO REN -
<br />PREMISES Ea occurrence $ 300,000
<br />MED EXP (Any one person) $ 5,000
<br />PERSONAL & ADV INJURY $ 3,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />POLICY LlPRO JECT ❑ LOC
<br />OTHER:
<br />GENERAL AGGREGATE $ 6,000,000
<br />PRODUCTS-COMPIOP AGG $ 6,000,000
<br />Business Property $ 10,200
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON-OWNED
<br />HIRED AUTOS AUTOS
<br />Ix
<br />92 -EM -F627.9
<br />06110/2017
<br />06/10/201$
<br />Ea acctNED accident) LIMIT $ 3,000,000
<br />BODILY INJURY (Per person) $ 3,000,000
<br />BODILY INJURY (Per accident) $ 3,000,000
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />l
<br />UMBRELLA LIAR
<br />EXCESS LIAB
<br />HOCCUR
<br />CLAIMS -MADE
<br />EACH OCCURRENCE It
<br />AGGREGATE $
<br />DEP RETENTION $
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABIL TY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMSEREXCLUDED? Y❑
<br />(Mandatory In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />N/A
<br />92 -EP -J387-0
<br />0$(0212017
<br />0$!021201$
<br />X SEATUTE ETH
<br />IR
<br />E. L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE -EA EMPLOYE $ 1,000,000
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
<br />REFERENCE LICENSE A-2015 AND LEASE 2015-284
<br />REVIEWS[ BY:X EUNICE HEREDfA (PC OF� )
<br />r`.FRTIFICATF 14r11 r1FR CANCELLATION
<br />ADDITIONAL INSURED'
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />AND AGENTS
<br />Al: DANC): WITH T POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA (M21)
<br />SANTA ANA, CA. 92702
<br />RIZEp REPRESENTATIVE Digitally i ed by Chris Ferraro Jr
<br />`fiJr ON: cn=Chris Fenaro Jr, o, ou,
<br />Ferraro Vemail=chris.ferrarro
<br />Arl
<br />Se ir.rktf@statefarm.com, c=US
<br />Date: 20t5.12,3018:24:47 -08'00'
<br />O 1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014
<br />
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