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ACCMEI CERTIFICATE OF LIABILITY INSURANCEDATIEIMWDDryYYY' TYPE OF INSURANCE ADD[ SUER--LDDlYEYYY OLICY`E'�CP �� LIT P'i1IJCY NUMBERMe 11/W72017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. ff SUBROGATION !S WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONIA.CT LAUREN KITCHEN NAW S#atefarrrl JERROD NOVODOCZKY, AG•f LIC# OG47761 Ps♦oNe 951-fi945330951 f94�5343 FA,C u+J� 31205 PAUBA RD STE 104 !� �. � E-MAIL LAUREN INSUREt3BYJERROD.Q0M ORESS: IN S)FAFFORDING CQVERAGE MAIC nTEMECULA A: State Farm MuutOmoWle InsurenCe Company 25!78 CA 92592INSURER uusuREo INs� e : State Farm Fire and Casualty Company 25143 AIMT0 LLC INSURMC: 751 S WEIR CANYON RD STE 157-158 YISURHR E - -- ANAHEIM CA 92808I --- INSURER P : ,. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTt1ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - TYPE OF INSURANCE ADD[ SUER--LDDlYEYYY OLICY`E'�CP �� LIT P'i1IJCY NUMBERMe MERCIALOFNERALLIABILITY Cn�7CLAWS-ItAr.11E® OCCUR EACH OCCURRENCE $ 2,000,000 XCE - F�F2FA11SF �ODCVtrBrMU S 300.000 y . hIED ny ma per ,attj i--51-990- B Y N 92 CX -M779 0 02!2612017 02!2672018 FMEXP pSOw,,L a ADV INJURY a 2.000.000 GENL AGGREGATE LIMIT APPLIES PER: E ElLOC F9 POLICY ij PRO GENERAL AGGREGATE 13 4,000,000 a PRODUCTS-compfOPAG:, 5 4.000,000 OTHER: I I 5 q AUTonoeRE LIABILITY ANY AUTO 4UTC6 ,11 HrDULED AUTdS CNLY AUTOS HIRED NOW(YANCED AUTOS ONLY AUTOS ONLY N N 435 8589-D25-75 515 6448 -c08 -75a 1072572017 09108/2017 04/2512018 03/0872018 D SINGLE UNIT 5 BODILY INJURY (Per pan4h) S 1,000,000 BODILY INJURY (Prracclaantl S 1,000,000 PROr'ERTYOfA1AGC ar 4 S 1,000,000 S kU"= LfA6 GCCUR CtsIMS-IAADE EACH OCCURP.FNCE AGGaeEGATED RETFNTI0,N S 5 -- WORKERS COMPENSATIONPER ANO EMPLOYERS' LIAB&7 YIN ANY PROPRIET0WPARTNEH;FXECUTIVE 01-MERMEMBEri EXCLUDED? M Iliaredatory NN) If s, dCscnbw ttldec 1 SCFam]ON or OPERA-, it)NS IxrLTi/ N f A N 92 -EK -T958-4 0212812017 02/28/2018 TH- -� STATUTC Fft E.L. F.MQtACCrCEtJr 5 1,000,000 — E.LDISEASE•EAFMPLOY $ 1,000,000 E.L. CISFASE-POLICY LIW S 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS (VCMCLES IACORO 101, Ad011i,*W RtmarL6 Schedule. may he alWdwd If more apace Ix required) 14 REVIEWED BY: EUNICE HEREDIA (PG' OF ) CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DELIVERED IN ACC QRDANCE WITH THE POLICY PROVISION! 01988-2015 ACORD reserved- ��ur`u 4� sEw I mua) I ne gwiiu name anti logo are registered marks of ACORD 1001485 1312Sa4.12 EO -tis -2076