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AECC)R�® <br />V CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/YI <br />01/26/20212021 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />JOSE GASTELUM, AGENT Lic# OD10779 <br />STATE FARM INSURANCE <br />,S&7teFarfTi <br />1780 E MCFADDEN AVE STE 114 <br />®, SANTA ANA CA, 92705 <br />NAME: CONTACTJose Gastelum, Agent <br />wcNo 714-557-3344 we No.714-327 0198 <br />ADDRESS: Jose-gastelum.L8LS@statefarm.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC # <br />INSURER A ;State Farm Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />INSURER S: <br />INSURERC: <br />SLS PROPERTY SOLUTIONS, INC. <br />INSURER0: <br />919 E SANTA ANA BLVD <br />INSURER E; <br />SANTA ANA, CA 92701 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRLTR <br />LTR <br />OF INSURANCE <br />ADDLJTYPE <br />INSD <br />wVD SUER <br />POLICY NUMBER <br />MM1�DYYYY <br />MM100tYYYY <br />LIMITS <br />E E99I6 .FNERAALLABILITY _ <br />EACH OCCURRENCE <br />S <br />ny one raorrT <br />— <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PROJECT ❑ LOC <br />PRODUCTS - COMPIOP AGG <br />$ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />535 5136-F01-75C <br />12101/2020 <br />06/01/2021 <br />COEaMBIacciNED SINGLE uMlrdent <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />473 3354-F73-75F <br />12113/2020 <br />06/13/2021 <br />BODILY INJURY (Per accident) <br />5 <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />PROPERTY DAMAGE <br />Peracddent <br />5 <br />NON -OWNED <br />x HIRED AUTOS X AUTOS <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />E <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />b <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORlPARTNERIEXECUTIVE <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />OFFICEWMEM BER EXCLUDED? ❑NIA <br />(Mandatary In NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />If yyes, describe under <br />CESCRIONON OF OPERATIONS below <br />E_L DISEASE - POLICY LIMIT 1 <br />$ <br />A <br />2006 Ford F250 SD <br />1FTSX21P96F 68260 <br />Y <br />535 5136-F01-75C <br />12/01/2020 <br />06/01/2021 <br />200 Ford F150 Pickup <br />1FT2X1728YNB61176 <br />473 3354-F13-75F <br />12113/2020 <br />06/13/2021 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />2006 Ford F250 SD & 2018 Ford F150 Pickup: Hired autos is only for rented vehicles <br />Agreement number; A-20147-219 <br />City of Santa Ana, its officers, agents, and employees and representatives are named as Additional Insured as respects With AUTOMOBILE LIABILITY for <br />services provided by the named insured. Coverage is primary and non-contributory <br />30 days notice of cancellation applies. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CANCELLED BEFORE <br />RISK MANAGEMENT DIVISION <br />THE EXPIRATION DATE THEREOF, <br />NOTICE WILL <br />BE DELIVERED IN <br />20 CIVIC CENTER PLAZA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA, 92702 <br />AUTHOR REPR EN VE <br />1 <br />© 1988-2014 ACO C <br />RiskMwwgelmentDMsian <br />ACORD 25 (2014101) <br />The ACORD name and logo are registered marks of ACORD <br />3/ °z <br />REVIEWED&APPROVEDBY: <br />e —� <br />Risk Management Analyst <br />