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A O CERTIFICATE OF LIABILITY INSURANCE CATl�(NIWOUJYYYY)
<br />06;30l2020
<br />THIS CERTIFICATE 1S ISSUEO AS A NlAiiER OF INFORMATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATC DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW, T14I3 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET -WEEK THE ISSUING INSURERIS), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE; HOLDER.
<br />IMPORTANT; If the certificate hostler Is an ADDITIONAL INSURED, lhrJ pcslley(lai mtfst have ADDITIONAL INSURED provisions or tea u,tdoraod.
<br />If SUBROGATION 15 WAIVED, subject to tho terms and conditions of the policy, certain pollclas (nay raguiro an andorsomont. A statefnent on
<br />this certificate does not confor rights to the certificate holder In Ileu of such andorsamont s).
<br />PRODUCER _. N N TA1til'e'Lopez
<br />$WF,Far7] Aidee Lopez. Agent PHONE
<br />M Ha UM_ 14.77� 3090 W __., 714-775.1775
<br />ti: 375() W McFadden Avenue, Suite E E4AAtL _...... ._
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<br />Santa Aria, CA 92704
<br />JN$VREn
<br />DBA Relampago Del Clew
<br />PO BOX 3158
<br />Santa Ana, CA 92103
<br />Fire and
<br />25143
<br />COVERAGES CERTIFICATE. NUMBER: REVISION NUMBER:
<br />M THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I&SUE£€ TO 7HG INSURED NAMED ABpV& FOR THE POLICY PEF10D
<br />INDICATED NOTWTHSTANDING ANY REQUIRrMENT, TERNI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT "lT6i RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLIBAJ CT TO ALL THE TERNIS.
<br />EtCLUStONS A_N_D_CONDITIONS, OF SUCH POLICIES. LIMITS. SHCWN N1AY HAVE SEEN REDUCED BY PAID CLAIt iS,
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<br />I-RANGAIVL R. VILLAREAL
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<br />CERTIFICATE HOLDER _ --CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAFICELLED ElEFORE
<br />THE: EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED t14
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />City Of Santa Ana Or* Marrageanent
<br />i
<br />20 civir Cwter P!aza ALIDtORIZED REPRESENTAIWE
<br />Santa Ana CA 92?C. Completed by an authorized State lrarrn representative_ If s-ssrUnalure
<br />Is feyuirad, please contact a State Farm again,
<br />`D 1948.2015 ACORD GORP,
<br />ACORD 25 (a-16103► The ACORD name and logo are reoislerT;d marks of ACORD
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<br />Risk Allowg f ImlDlvtsion
<br />F °
<br />& APPROVED BY.
<br />cREMEWED
<br />Risk Management Analyst
<br />
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