VENTURA BUSINESS SYSTEMS, INC. (3)

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`�`� �® CERTIFICATE OF LIABILITY INSURANCE °0412612019 °' 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 endorsements). PRODUCER DARRYL NIND INSURANCE AGENCY N 'DA RYL NIND AGENT 940 Enchanted Way #101 Simi Valley, CA 93065 1kc N. PHONE ID (805)62FA% e. 2 Eo-ALn` ^: dar I.nlnd.rebi slatefarm.wnn Q INSURERS AFFORDING COVERAGE NMC• INSURER A: Slate Farm General Insurance Company INSURED VENTURA BUSINESS SYSTEMS INC C/O TREVOR YATES ✓ INSURER a: 1 to Farm Mutual Automobile ile Insurances Coman INSURER C: INSURER D. 2582 FIG ST INSURER E: SIMI VALLEY CA 93063-2416 INSURER 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 rypE OF INSUMNCE POLICY EFF POLICY EXP LIMRS A GENERAL LIABILITY X COMMERCIAL GENERAL WIBILRY/ CLAIMS -MADE N OCCUR 92-W4-0493-7 0412612020 D412612021 EACH OCCURRENCE S 1.000.000 E TtT11oE REMISES aoccurrence) S MEO EXP An ma rson S 51000 PERSONAL S AOV INJURY S 1,000,DDO GENERAL AGGREGATE S 2,000,OD° GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRa LOC PRODUCTS-COMP/OP AGG S 2,000,DG0 $ B AUTOMOBILE x X LIABILITY ANY AUYD ALL UTOOWNED SCHEDAUTOS NON-O NON -OWNED HIRED AUTOS 051 5512-A18-75L 01119/2021 COMBINED0711012020 40 IN I $ BODILY INJURY(Perpe.) $ 1,000,000 BODILY BODILY INJURY(Peracclden0 S 1,000,000 P-0R -PPETE R17 DAMAGE $ 1,000.000 It UMBRELLA LIAR EXCESS LIFO OCCUR CLAIMSMADE EACH OCCURRENCE S AGGREGATE S DEO I I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIASIUM( Y YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEAIEMBER EXCLUDED? ❑ (Mandatory In NMI 9 yes, descd0e under N)A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEJ S E.L. DISEASE -POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (AIMch ACORD 101, AddIVonM Remarks Schedule, If more apace is required) RFC/ F�V�(� (yy,APPR VE There is no Workers Compensation policy for Ventura Business Systems as all employees are officers of the ccrpofLRlarLl'Otilc�P rf18 L.OrOBraoll0a D not required to have a Work Comp policy in the Slate of California. y 15 MANAGEMENT LJNISIVIV Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation ✓ 2 2 2020 V CERTIFICATE HOLDER CANCELLATION ADDITIONAL INSURED: CITY OF SANTA ANA / RISK MANAGEMENT DIVISION / ✓✓✓ S HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR SANTA ANA, CA 92701 MYSBOADED RE E TATNE C 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