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A`�lY CERTIFICATE OF LIABILITY INSURANCE °11/1 o s' 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 policy(les) must 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 endomement(s). PRODUCER Eddie QuillareS Jr. State Farm Agency D 415 N. Broadway Santa Ana, CA 92701 NANQEddie Quillares Eag• 714.E 7.7 FAx N _ R : eddie addle insurance.com INSURER(Sl AFFORDING COVERAGE NAIC0 INSURER A: State Farm General Insurance Company INSURED SANTA ANA BUSINESS COUNCIL, INC. INSURER B: State Farm Fire and Casually Company 25143 INSURER C: 400 E 4TH ST SANTA ANA, CA 92701-4668 INSURUD: INSURER E: INSURER F: cnvooecFc CFOTIFICATF w1NIRFR-7v Rh REVISION NUMBER: 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 OTHER 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. I`SR TYPE OF INSURANCE UCYRUMBER POLICYE PO YEXP UNITS A GENERAL LIABILITY Y Y 92-GT-PO08-7 12/01/2019 12/01/2020 EACH OCCURRENCE f 1.000.000 PREMISES Eaaavrtmce s 300•000 X COMMERCIAL GENERAL UABIUTY MED EXP( onspeson) f 5•� CWYf-MADE �OCCUfl PERSOHALaADVINIIJRY s 1.000,000 X BUSINESS INCOME GENERAL AGGREGATE S 2,ODO,000 GENY AGGREGATE UMIT APPLIES PER: PRODUCTS -COMMOPAGG S 2.000.000 a X POLICY M LOC A AUTOMOBILE LIABILITY 6215237-FZB-75 12/01/2019 12/01/2020 UUMNED Es Aa ern L uMIT s BODILY INJURY (Par ;w ft) S 1,000.000 ANY AUTO BODILY INJURY(Per accident) f 1,000,000 ED �EOULED A1LLO NON )MEDOS HIRED AUTOSAUTO$ r M f 1,000,000 S UMBRELLA LV18 OUR EACH OCCURRENCE s AGGREGATE S E%CESS LIMB CLAIMS#UDE DIED RETEWION5 $ B ioYEC� aluTr 92- iT-PO7M9 12/01/2019 1210112020 TA O X ER 1OD0ODO awaoB YIN ANY PROPRIETORIPARTNEF/EXECUTIVE EL EAGI ACCIOEM i 1.0DD,ODD Y E.l DISEASE • EA ENPL i t,000,000 OFFICF/MEMBER UCWDED7 Y❑ NIA (Yenanory In NH) EL DISEASE -POLICY LIMIT s 1.000.000 If yee, aurae wen A DIRECTORS AND OFFICERS UABIUTY Y Y 259034 12/01/2019 12/0112020 S1.010.000 EMPLOYEE PROFESSIONAL UNIIILItt DESCRIPTION OF OPERATbNS I LOCATIONS I VEHICLES (AWM ACORD 101, AddMaW Remorse SeheduM, M nwn epau M rpuln47 Location: Plaza Calle Cuatro, East End Promenade, 100 East Alley, 200 East Alley, East End Promenade, 400 West 4th SEWED & APPROVE City of Santa Ana its officers, agents, employees and volunteers are named as additionally insured. B Risk M ACIEMENT DNISIO Additional insured endorsement Issued for certificate holder ydth waiver of subrogation and non-contributory. Certificate of insurance shall provide thirty (30) day prior written notice of cancellation 2019 CERTTICATE HOLDER CANCELLATION _\�. �- _ CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA 4TH FL AUTHORIZED SENTATNE SANTA ANA, CA 92702 © 1 .2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and lwwln, registered rks of ACORD 1001486 132849.7 03-01-2012