VENTURA BUSINESS SYSTEMS, INC. (2)

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A�� ® CERTIFICATE OF LIABILITY INSURANCE °04/266/20 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(ies) 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 DARRYL NIND INSURANCE AGENCY 940 Enchanted Way #101 NAME, DARRYL NIND AGENT - PFM HONE 2 - ya No): 5 522- s 2 as IE : dar I.nind.rebi G statefamncom Simi Valley, CA 93065 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Slate Farm General Insurance Company INSURED VENTURA BUSINESS SYSTEMS INC INSURER B: State Farm Mutual Automobile Insurance Company INSURERC: C/O TREVOR YATES / INSURER O: 2582 FIG ST SIMI VALLEY CA 93063-2416 INSURER E: IN URER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDLSUSR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR 92-W4-0493-7 04/26/2020 04/26/2021 EACH OCCURRENCE $ 1,000,000 YG'1E PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMPIOP AGG S 2,000,000 $ B AUTOMOBILE LIABILITY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEDPROPERTYDAMAGE AUTOS AUTOS 051 5512-A18-75L 07/18/2020 01/18/2021 Eaa COMBINED SINGLE IN LE LIMIT $ BODILY INJURY(Per person) $ 1,000,000 MANY BODILY INJURY(Per accident) $ 1,000,000 Peraccni.rt 1,000,000HIRED $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y 1 N ANY PROPRIETOMPARTNEWEXECUTIVE OFFICEIMEMSER EXCLUDED? (Mandatory In NH) If yes, descd0e under NIA CTH- WCSTATUI. T- IE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, H more space Is required) jj�� r�// �F'p��q//r�� f�}iQr�,h P� $� E There is no Workers Compensation policy for Ventura Business Systems as all employees are officers of the corpor`rII�rL,Ii'Offkk AG MENTrp(5 SI a not required to have a Work Comp policy in the State of California. liy It SIC M �I tv� Vry Certificate of Insurance shah provide thirty (30) day prior written notice of cancellation .� 2 2 2020 CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED: 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 / Z/ ✓✓✓ ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92701 Mk2UOR ZED RE EE T/ ✓nVE / ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010