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Policy Number: <br />Date Entered: 2/24/2020 <br />CERTIFICATE OF LIABILITY INSURANCE <br />zTEt4�GG o' <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(ias) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not Confer rights to the certificate holder In lieu of aueh endorsemente . <br />PRODUCER <br />Werra Insurance <br />12842 Valley View Street <br />COMACT <br />NAME: JACK V78RRE <br />= NE <br />Ne re,(714)898-2300(719)898-2320 <br />jackwerreewerreinsurnnce. corn <br />9uita 101 <br />Darden Grove, CA 92845 <br />NSUflER S AFFOIIONO COVERAGE <br />NNC r <br />INSURER A: progressive <br />INSURED SO CAL RIDES, LLC <br />INSURER e: state Compensation Insurance Pund <br />INSURER C : <br />nNSUER o: <br />15011 GM40A CIRCLE <br />HONJTINGTON BEACH, CA 92647 <br />INSIIXER E: <br />INSURER F: <br />CnUPPAGFS CFOTIFICATC N11LlRF111• GCUICIAM FJtfunco• <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 />NYii <br />TYPE OF INSURANCE <br />AWL <br />SUBS <br />POUCYNUMBER <br />POl1CY EFF <br />WDDYE%P <br />NITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS.AIADE ❑ OCCUR <br />EACH OCCURRENCE <br />$ <br />p t R <br />S <br />MD EXP M dM efen <br />S <br />PERSONAL A AOV NAMRY <br />S <br />Gem AGGREGATE UpMMpIrr. APPLES PER <br />POLICY Pena LOCT <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGG <br />S <br />f <br />OTHER: <br />AUTOMOBILE <br />tWIL1TY <br />L LIMITS1,000,000 <br />A <br />ANYAUTO <br />X <br />2253BS6Y <br />non 0]o <br />/20/2021 <br />BODILY IAURY(Par pamay) <br />f <br />OWNED SCHEDULED <br />AUTOS ONLY AUTO$ <br />/ <br />/ <br />BODILY NJUflV (Pal ettlWm) <br />f <br />HIRED NONOWNEO <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DA <br />Per <br />f <br />S <br />trig LA UAS <br />EACHOCCURRENCE <br />S <br />AGMEGATE <br />f <br />EXCESS UAB <br />CLAEdS-MADE <br />DEC RETENTION S <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITYIN <br />ANY PROPRIETOR'PARTNEWEKECUTNE Y— <br />WWWOWY In NN)E%ClUOEOT ❑ <br />(MYkAIoryN NNI <br />NIA <br />801363989 <br />/L/]0]0 <br />✓/ <br />/1/3011 <br />✓/ <br />K A <br />E.LEACHACCIDENT <br />S1, COD, 000 <br />E.L DISEASE. EA EMPLOYEE <br />S110001000 <br />B yyntl wOatN urWer <br />DEBCRIPTIONOFOPERATICNSe <br />LIMIT1,000,000 <br />E.L DISEASE - POLICY LT <br />f <br />OESCPWTgN OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AIEXbrW AmnMYF Scl a lula. may se ea.elaa It mon tpaca Is rpfull d) <br />City of Santa Ana, Rlfk Management, Sy -a officers, employees, agents, representatives, and voluateers are lamed an <br />Additional Iasusad ,/ <br />✓// <br />30 Days Notice of Caacellation <br />City of Banta Ana REVIEWED & A MNY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division QQ,,�E� r�,�RC,y'�a_al"''IRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />a+J Risk MANAC)EME T ®dDWCANCE WITH THE POLICY PROVISIONS. <br />20 Civic Caster plaza, 4th Floor <br />Banta Ana, CA 92702 MAR <br />9 L �1 �ISNORQED REPIIESEMATNE <br />Lll <br />EVE O a 01989-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Boss Plus software. wmY.FormsBoss.com; Impressive Publishing, LLC 8C0.208-19T7 <br />