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A4 RO® <br />fk CERTIFICATE OF LIABILITY INSURANCE DA 02/05/2020 ' <br />� <br />THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLYAND CONFERS NO RIGHTS UPONTHECERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELYOR NEGATIVELY <br />AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: Ifthe certificate holderfsan ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions orbeendorsed. If SUBROGATION IS WAIVED, subject W theterms and <br />conditions of thermicy, certain policies may require an endorsement. Astatement on this certificate does hat confer rightsto the certificate holder in lieu ofsuchendorsement(s). <br />PRODUCER CONTACT <br />NAME: Michael Brandon <br />Michael Brandon, Farmers Insurance PHONE FAX <br />31629 Outer Highway 10 Ste A (A/C. NO, E)(T): 909-794-8191 (A/C, NO): 909-794-8193 <br />E-MAIL <br />Redlands CA 92373-7590 ADDRESS: mbrandon@fannersagent.com <br />INSURERS) AFFORDING COVERAGE NAIL# <br />INSURED <br />WATER INC. <br />12 GOODVEAR STE 130 <br />IRVINE CA 92618 <br />INSURERA: Truck Insurance Exchange <br />21709 <br />INSURER B: Farmers Insurance Exchange <br />21652 <br />msuRER D: Mid Century Insurance Company <br />21687 <br />INSURERD: <br />-- <br />INSURER E: <br />----- <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />H I S IS TO CERTIFY THAT THE POLI CI ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />R FO U I RE M ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE <br />POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCI ES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE <br />LTR i <br />ADDTL <br />INSD <br />SUBR <br />VIVO <br />POLICYNUMBER <br />POLICYEFF <br />(MM/DD/YYYY) <br />POLICYEXP <br />(MM/DD/YYYY) <br />LIMITS <br />COMMERCIAL GENERALLIABILITY <br />CLAIMS MADE OCCUR <br />EACH OCCURRENCE <br />is <br />DAMAGE TO RENTED <br />PREMISES (E. Occurrence) <br />$ <br />MEDEXP(Aayonepersoa) <br />$ <br />PERSONAL&ADV INJURY <br />S <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PROJECT ❑ LOC <br />OTHER: <br />GENERALAGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGG <br />i$ <br />$ <br />C <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />r OWNEDAUTOSrxSCHEDULED <br />� ONLY AUTOS <br />IxHIREDAUT05 NON -OWNED <br />/� ONLY AUTOS ONLY <br />Y <br />605861543 <br />09/04/2019 <br />09/04/2020 <br />COMBINED SINGLE UMIT <br />(Ea accident) <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(Per accident) <br />I <br />S <br />PROPERTY DAMAGE <br />(Peracciden0 <br />$ <br />UMBRELLAUA9 <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />REVIEWED & AlS <br />o p M nEM <br />YRISk MANAG <br />e <br />ED <br />'PROVED <br />R <br />NT ION <br />rs <br />L <br />EACH OCCURRENCE <br />§ <br />AGGREGATE <br />$ <br />DEC RETENTION$ <br />---- <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILffY <br />ANY PROPRIETDR/PARTNER/ Y/N <br />EXECUTIVE OFFICER/MEMBER I,II <br />EXCLUDED?(Mandatory in NH)- <br />Ifyes, describe under DESCRI PTION OF <br />OPERATIONS below <br />N/A <br />PER <br />ATDTE <br />- <br />OTHER <br />$ <br />E.L. EACH ACCIDENT <br />$ <br />EL. DISEASE -EA EMPLOYEE <br />ELDISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached Un orespace Is required) <br />Additional Insured: CityofSantaAna <br />30 Days Notice of cancellation with 10 days' notice for non-payment of premium in accordance with the policy provisions <br />" Any Auto" coverage is not available for this policy, Coverage for Hired Autos only, Scheduled Autos and Non -owned Autos only all apply. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OI <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />THE POLICY PROVISIONS. <br />ACORD25(2016/03) ©1989-70 5WEORD CORPORATION. All Rights Reserved <br />31-1769 11-15 The ACORD name and logo are registered marks of ACORD <br />