VERDUZCO, NANCY PO ALCALA (DBA YELLOW TURTLE ART STUDIO) 4

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A CERTIFICATE OF LIABILITY INSURANCE DATE (M M/DD/YYYY) 04/64/261a THIS CERTIFICATE IS ISSUED ASA 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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS 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 CONTACT NAME: Hector Gonzalez Insurance Agency, Inc. PHONE FAX 2670 N Main St Ste 350 N-2018-112 (A/C, NO, EXT): 714-486-6163 (A/C, NO): 866-230-1263 E-MAIL ADDRESS: Insurancebrokerl1@yahoo.com Santa Ana CA 92705-6648 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: United States Liability Insurance Company Nancy Alcala DBA: Yellow Turtle Art Studio INSURERB: NSURERC: NSURER D: 1247 S HICKORY ST NSURER E; Santa Ana CA 92707 INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU RED NAME ABOVE FOR THE POLICY PERIOD IN DICATED. NOTWITHSTANDING ANY RM OR CONDITION OF ANY CONTRACT OR OTH ER DOCUMENT WITH RESPECTTO WHICH TH IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TH E ED HEREIN IS SU BJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOFINSURANCE ADDINSDL SUBR WVD POLICYNUMBER POLICY BEE (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS ERCIALGENERALLIABILITY LAIMS-MADE X OCCUR V EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED PREMISES(Ea Occurrence) $100,000 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 Y N CL 1859230 03/16/2018 03/15/2019 GENT AGGREGATE LIMITAPPLIES PER: X POLICY ❑ PROJECT LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ Included OTHER: Professional Liability Ea $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANYAUTO BODILY INJURY (Per person) $ OWNEDAUTOS SCHEDULED ON LV AUTOS BODILY INJURY (Per accident)$ HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Peraccident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DGD RETENTION$ $ WORKERS COMPENSATION LIT AND EMPLOYERS' LIABIY PER STATUTE OTHER $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBERDED? N/A L�� `' ^ / \ E.L. EACH ACCIDENT $ E. L. DISEASE -EA EMPLOYEE (Mandatory In NH) E_ IfyesEXCLudesccibe under DESCRIPTION OF OPERATIONS below \\\� n Qj\ E.L. DISEASEPOLICYLIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101, Additional Remarks Schedule ay be alt G�leV ifm%re space is required) Certificate Holder it's officers, employees, agents, and representatives �" per attached CG2026 04113 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OTTER ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION The City of Santa Ana DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / Z E q 20 Civic Center Plaza Santa Ana C ACORD25(2016/03) 31-1769 11-15 V U C/ ©1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD