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A`c"R®® CERTIFICATE OF LIABILITY INSURANCE <br />ATE <br />Dn <br />9/14/2017 <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 />Aegis Risk Management Insurance Services, Inc. <br />CA License 0735926 <br />3424 Carson Street Suite 300 <br />Torrance CA 90503 <br />NAME. Keiko MOchinaga <br />PHONE Ex ): (310)793-1309 lA//�. NoI.(310)793-1314 <br />-MAIL <br />ADDRESS: keiko. mochinaga@aegisrm. corn <br />INSURERS) AFFORDING COVERAGE NAIC# <br />INSURERA MitSUi Sumitomo Ins Co of Amer 20362 <br />INSURED <br />Hoyu America Co., DBA: Samy CompanyINSURER <br />6265 Phyllis Dr. <br />Cypress CA 90630 <br />INSURERS heal Sumit0010 Ins USA Inc. (Aloi) <br />C: T <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:EVENT: GL (NO PL) AUTO WC 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 />R' <br />TYPE OF INSURANCE <br />NOL <br />SUBRj POLICY NUMBER <br />MMIODIYYW <br />POLICY EXP <br />LIMITS <br />X I COMMERCIAL GENERAL LIABILITY <br />Kiku Yenny/RENS <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />MCLAIMS-MADE ❑X OCCUR <br />DAMAGE TO RENTED <br />PREMISES Eaaccurrence !$ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />X <br />PKG3126680 9/1/2017 9/1/2018 <br />r� <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE -LIMIT APPLIES PER. <br />X POLICY 1:1 JECaT LOC <br />GENERAL AGGREGATE $ 2,000,000 <br />i <br />r { i ��� � <br />PRODUCTS- <br />$ <br />�� <br />OTHER <br />(W� 1 <br />YA„ <br />/3�x) <br />i <br />N,f <br />r )BODILY <br />BVR8s a,li j J � -�I 9/1/2018 <br />L 7 j 1 <br />i <br />A <br />AUTOMOBILE LIABILITY <br />X <br />ALL OWNED SCHEDULED <br />I� ALL AUTO <br />AUTOS AUTOS <br />UT OWNED <br />HIRED AUTOS X <br />X AUTOS <br />i I <br />'', <br />COMBINED SINGLE LIMIT $ 1, 000_, 000 <br />a accidgpt)_ <br />_ <br />BODILY INJURY (Per person) $ <br />(Per ecdtlent)i $ <br />PROPS TYDA <br />'PROPERTY DAMAGE <br />_IPer acpldend._ $ _ <br />$ __..--__. - <br />-.UMBRELLA LIAB I OCCUR <br />EACH OCCURRENCE _$ <br />EXCESS LIAB CI -AIMS -MADE' MAGE, <br />AGGREGATE $ <br />$ <br />DEO RETENTION$ <br />B <br />WORKERS COMPENSATION' <br />! AND EMPLOYERS' LIABILITY YIN'I <br />ANY PROPRIETORIPARTNERIEXECUTIVE—'NIA' <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory, in NH) <br />WCP9112657 9/1/2017 9/1/2018 <br />X PER <br />ORH _ <br />E.L. EACH ACCIDENT $_ 1,000,000 <br />"--_ <br />EL DISEASE -EA EMPLOYE $ 1,000 000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />I <br />I <br />I <br />I <br />I <br />II <br />I <br />I <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />The City of Santa Ana, its officers, employees, agents, and representatives are Additional Insured for <br />Commercial General Liability when required by written contract per endorsement MS6401 05 15 with respects <br />to the named insured's participation at The City of Santa Ana, 20 Civic Center Plaza, Santa Ana CA 92701 <br />- Fiestas Patrias for the period 9/16/2017 to 9/17/2017. The Commercial Gen�j1�� Liability olicy is <br />primary and noncontributory per endorsement MS 64108 05 15. This certifi-rk�i8 supersede ny certificate <br />previously issued. QiJ\eve �� <br />CERTIFICATE HOLDER CANCELLATION ,O. •.n. <br />ACORD 25 (2014/01) <br />IN SO 25 (2014011 <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE AB <br />, ,%1 EATLE CANCELLED BEFORE <br />City of Santa Ana <br />20 Civic Center Plaza <br />THE EXPIRATION <br />ACCORDANCE W THE <br />�Ea?Jv_'nRJ`dv'D`\NOTICE WILL BE DELIVERED IN <br />W LL <br />VISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Kiku Yenny/RENS <br />ACORD 25 (2014/01) <br />IN SO 25 (2014011 <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />