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/`11L. VR LJ <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />03/01/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY <br />AMEND, EXTEND ORALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOTCONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. <br />IMPORTANT: tithe certificate holder Is anADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subjectto theterms and <br />conditions of the policy, certain policies may require an endorsement. Astatementon this certificatedoes notconfer rightsto thecertificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Hector Gonzalez Insurance Agency, Inc. <br />PHONE <br />FAX <br />2670 N Main St Ste 350 <br />(A/C, NO, EXT): 714-486-6163 <br />(A/C, No): 866-230-1263 <br />E-MAIL <br />ADDRESS: Insurancebrokerll@yahoo.com <br />Santa Ana CA 92705-6648 <br />INSURER(S)AFFORDING COVERAGE <br />NAICA <br />INSURED 1\� <br />I�D�� <br />INSURERA: United States Liability Insurance Company <br />INSURERB: <br />�I <br />Nancy Alcala <br />DBA: Yellow Turtle Art Studio <br />NSURERC: <br />INSURERD: <br />1247 S Hickory Street <br />INSURERE: <br />Santa Ana CA 92707 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE <br />POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYpEOFINSURANCE <br />ADDTL <br />INSD <br />SUBR <br />VIVO <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICYEXP <br />(MM/DD/YYYY) <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE <br />$ 1,000,00 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea Occurrence) <br />$ 100,00 <br />MED EXP(Any one person) <br />$ 5,00 <br />PERSONAL &ADV INJURY <br />$ 1,000,00 <br />A <br />Y <br />N <br />CL 1859230 <br />03/15/2019 <br />03/15/2020 <br />GENT AGGREGATE LI M IT APPLI ES PER: <br />POLICY ❑ PROJECT LOC <br />GENERALAGGREGATE <br />$ 2,000,00 <br />PRODUCTS-COMP/OP AGG <br />$ Included <br />Professional Liability Ea <br />$ Included <br />OTHER: <br />AUTOMOBILE LIABILITY <br />_ <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANYAUTO <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />OWNEDAUTOS SCHEDULED <br />ONLY AUTOS <br />HIREDAUTOS NONOWNEDPROPERTY <br />ONLY AUTOSONLY <br />DAMAGE <br />(Peraccident) <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EAC (OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PER <br />STATUTE <br />OTHER <br />$ <br />ANY PROPRIETOR/PARTNER/ Y/N <br />EXECUTIVE OFFICER/MEMBER <br />N/A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />EXCLUDED? (Mandatory in NH) I <br />E.L. DISEASE - PO MIT <br />$ <br />Ifyes, describe under DESCRIPTION OF <br />OPERATIONS below <br />e <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />Certificate Holder it's officers, employees, agents, and representatives Gae�N' <br />per attached CG202604/13 �\-� <br />G �J <br />CERTIFICATE HOLDER CANCELLATION ' <br />SHOULDANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />The City of Santa Ana DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVISIONS. <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana r.A 92701 <br />�2 B <br />ACORD 25(2016/03) <br />31-1769 11-15 <br />©1988-2015 ACORD CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD <br />