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A,°'� CERTIFICATE OF LIB <br />IRIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ON <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENI <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITI, <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the <br />terms and conditions of the policy, certain policies may require an ei <br />certificate holder In Ileu of such endorsementls). <br />PRODUCER Eddie Quillares Jr, <br />State Farm Agency <br />415 N. Broadway <br />Santa Ana, CA 92701 <br />.—J.ru Elena Alvarez <br />1765 W Sall Rd. Apt 4 <br />Anaheim, CA, 92804 <br />� ILITY INSU ANCE DATE <br />05l0312017i,)017Y, <br />.Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS <br />I, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />ITE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />)olicy(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />idorsement. A statement on this certificate does not confer rights to the <br />NAmE: Eddie Quillares <br />PHONE .7 4. Z.7150. <br />-MAIL uc No : 714.617.715 <br />ADD ss: eddie eddie insurance.com <br />INSURER(& AFFORDING COVffkAr3S <br />NAIC 71 <br />wsuReFtA: State Farm General tnSurenCe 00"n r1 <br />2 951 <br />INSURER B : <br />INSURER G : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />�- <br />COVERAGES CERTIFICATE NUMBER;75-0450 REVISION NUMBER: <br />THIS I$ 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 />NTR TYPE OF INSURANCE POLICY <br />SUBR PDLrCY EFF POLICY E%P <br />POLICY NUMBER MMIDDIYVYY MMfDDlYVYY LIMITS <br />A OENERALLIA6ILITY IFTI❑ 92-CE-0933-8 05/0612017 08106/2817 EACHOCCURRENCE <br />X COMMERCIAL GENERAL LIANUTY <br />$ 1,OC4,000 <br />A <br />P EM S S Ea occu rence $ 300,C00 <br />CLIMB -MADE X OCCUR MED EXP {Any ane perscnl $ 5,CC0 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />7 PCLICY[71 PRO LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRECAUTOS NON•OWNEn <br />AUTOS <br />UMBRELLA LIAM OCCUR <br />EXCESS LIAR <br />WORKERS COMPENSATION <br />AND EMPLOY€RS` LIAMUTY <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y 1 N <br />OFFICEJMEM9EREXCLUDED7 ❑ NI <br />lMandatory In NH) <br />(ryes, dewjW under <br />PERSONAL & ADV INJURY $ 1. <br />GENERAL AGGREGATE $ 2, <br />PROCUCTS-COMPIOPAGO $ 2, <br />BODILY INJURY (Parperson) $ <br />DGOILY INJURY (Par nm(ianq S <br />$ <br />® �rt�n �v�v�rtr;CNt;t $ <br />AGGREGATE S <br />E.L. EACH ACCIDENT I $ <br />E.L. DISEASE - FA EM PLCYE s <br />S.L. DISEASE - POLICY LIMIT S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC090 101, Additional Ramarke gche4uio, Irl"are space Is requlred) <br />Clnco De Maya Celebration In Downtown Santa Ana, Elena Alvarez will perform at the Main Stage on 4th18ush during the hours of 5.30pm-T.30pm, <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL. INSURED IN REGARDS TO <br />GENERAL LIABILITY PER ATTACHED EXHIBIT B ADDITIONAL INSURED FORM. <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SONIA BATRES <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVCRen IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZ&O <br />Q 1988=; 010 ACC)WCq'fi ORATION. All rights reserved. <br />ACORD 26 (2010/05) The ACORO name and loge are registered rna"PtACORI� 1001486 132849.7 03 01-2012 <br />