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CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYV) <br />1as'" 7/24t2017 <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 endorsements , <br />PRODUCER CONTACT Erika Sokollk <br />Arthur J. Gallagher & Co. NAMS <br />PHONE- - FAx - -- <br />nsuranee Brokers of CA Inc .LIC #0726293 UArv,N CDL 818-534 3558 -_ tAlc NRJ.,_818-316-0990 <br />?1820 Burbank Blvd. Suite 175 AMAIL Erika Sokolik@ajg.com - - -- <br />Woodland Hills CA 91367 <br />INSURED <br />Downey Vendors 1 JCS 1 (" )` ' <br />6814 Suva Street <br />Bell Gardens, CA 90201 <br />RDBESS, <br />INSURERSAFFORDNG COVRAGE <br />NAICq <br />ts,U) Ea A Insurance Company of the West '27847 <br />,SURF-R B <br />,SURER C <br />INSURER f __ <br />CFIVFRAr;FA CGDTICIr• ATC Pn H ARPCM. 12400974cG <br />o rt: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 41AVE BEEN ISSIJIiD 'r0 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF <br />ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECI TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN <br />REDUCED BY PAID CLAIMS, <br />-. _..ADDC'SUBR... _ _.... .. .. _. <br />INSP <br />LTR TYPE OF INSURANCE INSO W O' POLICYNUMBER <br />.. <br />POLICYEFF POLICY E215 <br />(MMIDOIYYYY) (MMIODIYVYY) LIMITS <br />CO, <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE g <br />CLAIMS MADE OCCUR <br />OAMAGETUREPTEO <br />I?RFMI5E5 (F,@occurrence) '$ <br />M CD E XP(Any one Person) $ <br />PERSONAL&ADD INJURY $ <br />GE.N'L AGGREGATE Limit r APPLIES PER <br />- GENERALAGGREGATE g <br />POLICY".. JECT _.. LO9 '.,. <br />PRODUCr9-COMPIOPAGG S <br />', OTHER: <br />ADTOMOSILE LIABILITY <br />E <br />_ (Ea accident)__ <br />ANY AUTO ._.....,. <br />_--- _......_.. <br />HOURLY INJURY (Per Person)'$ <br />pVVNEU SCHEDULED <br />AUTOS ONLY AUTOS <br />HDDIIYINJDRY (Par ac(ident) g <br />. HIRED NON.OWMED <br />AUTOS ONLY AUTOS ONLY', <br />PI'tOpERIV DAMAGT ._ _.... .......... <br />g <br />(Per atndant_ <br />UMBRELLA LIAB OCCUR <br />.._.. _, <br />- <br />EACH OCCURRENCE g <br />EXCESS LIAB CLAIMS -MADE- <br />_.. <br />--- ..........- <br />AGGREGATE g <br />DED RETENTION 8 <br />A;'NORKERS COMPENSATION', wVE503733300 <br />'AND <br />7/2512017 ., 712612010 X IyER OTH -"- <br />EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />EXC.UOEDP L_�NIA <br />E.L. EACH ACCIDENT $1000000 <br />!OFFICIERIMHMBER <br />(Mandatory in NH) <br />y... <br />If es. tles'cribe lmdor <br />- L.L.SEASE-CA EMPLOYEE g1000,000 <br />--- _ _ __. ....._ <br />-_DESCRIPTION GFOPE RATIONS belov, - <br />E.LDISEASE- POLICY LIN111i S 1,00D,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks ScHotlula, may Do attaChed Irmoro spauryycpa 1) <br />Evidence of insurance only. <br />ReV�GV� <br />•�. <br />L1. . <br />{� <br />P60,0 <br />R <br />City of Santa Ana <br />20 Civic Center an Floor <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZE REPRESENTATIVE <br />i�p2>�r� r7 <br />C 1988.2015 ACORD CORPORATION. All rights resented. <br />4COK0 zb (2016/03) The ACORD name and logo are registered marks of ACORD <br />