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Francine K. Francine RyVillareal <br />^ Villareal Date: 2020.09.17 <br />/ . ® 11:28:40-07'00' <br />ACORO _ <br />DATE(MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 11/22/2019 <br />THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY <br />AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATEOF INSURANCE DOES NOTCONSTTFUTEA CONTRACT BETWEEN THE ISSUING INSURERS). <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. <br />IMPORTANT:Ifthecerif Wholderican ADDITIONALINSURED,thepolicy(im)musthweADDTIIONALINSUREDpmvlsionsorbeendorsed.lf SUBROGATIONISWAIVED,wbje W0etermsaod <br />conditions of the pollq,certain polides may requirean endorsemem.Astatementon this cer6Rc stedoesnotconfer nightsto thecertificateholder in lieu ofwcherWamement(s). <br />PRODUCER CONTACT <br />NAME: <br />Kathy Lamm(975534H) PHONE FAx <br />2915 Red Hill Ave She F201 (A/c, NO, EXh: 86& 416-8939 (A/C, NO) : 866-416-8939 <br />E-MAIL <br />Costa Mesa CA 92626-3428 ADDRESS: klamm@farmemagenl.com <br />INSURER(S)AFFORDINGCOVERAGE <br />NAIC4 <br />INSURED <br />STUDIOFOLIA <br />12723 PARK ST <br />CERRITOS CA 90703 <br />INSURERA: Truck Insurance Exchange <br />21709 <br />INSURERB: Farmers Insurance Exchange <br />21652 <br />INSURER C: Mid Century Insurance Company <br />21687 <br />INSURER D: <br />_ <br />INSURER E: <br />------ <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER REVISION NUMBER: <br />THIS Is TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MIS CERTIFICATEMAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BYTHE <br />POLICIES DESCRIBED HEREIN ISSUBJECT TOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES-UMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1NSR <br />TYPEOFINSURANCE <br />ADDTL SUER POUCVNUMBER <br />INS, WVD <br />POLICY ENE POUCY EXP <br />(MM/DD/YYYY) (MM/DD/YYYY) <br />LIMITSVTR <br />COMMERCUILGENERALIIABiUfV <br />EACHOCCURRENCE <br />$ 1,000,00 <br />$ ]5,00 <br />CWMSMADE LJ� OCCUR <br />J <br />DAMAGE TO RENTED <br />PREMISES LEA Occurrence) <br />$ 500 <br />MEDEXP(Anyom Person) <br />$ 1,000,00 <br />q <br />Y <br />Y <br />605513299 <br />02/01/2020 02/01/2021 PERSONALBAOV INJURY <br />E ZOOO OO <br />GEN'L AGGREGATE LIMIT APPLI ES PER: <br />GENERALAGGREGATE <br />X' POLICY PROJECT LOC <br />J <br />PRODUCTS.COMP/OP AGG <br />$ 1,000,00 <br />$...-. <br />OTHER: <br />AUTOMOBILELMBILnY <br />COMBINED SINGLE LIMIT <br />(Ea Acddent) <br />$ 1,000,00 <br />ANY AUTO <br />i <br />BODILY INJURY (Per person) <br />$ <br />A <br />OWNEDAUTOS-i SCHEDULED <br />ONLY ; i autos <br />605513299 <br />BODILY INJURY (PeraccidenH <br />02l01/2020 02/01/2021 _ <br />$ <br />HIREDAUTOS X NON -OWNED <br />ONLY AUTOSONLY <br />PROPERTY DAMAGE <br />(Per w6dem) <br />$ <br />$ <br />I <br />UMBRELLA UAB . OCCUR <br />EACH OCCURRENCE <br />$ <br />$ <br />EXCESS UAB CLAIMS -MADE <br />AGGREGATE <br />DIEDRETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' UABIUTY <br />_ <br />PER T OTHER '�$ <br />STATUTE <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR/PARTNER/ Y/N <br />EXECUTIVE OFFICER/MEMBER N/A <br />EXCLUDED7(Mandatoryin NH) L~ <br />E.L. DSEASE-EA EMPLOYEE <br />E.V. DISEASE -POLICY LIMR <br />4 <br />lfyes, describe under DESCRIPTION OF <br />OPERATI,NSheloW <br />- <br />I <br />OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Adddonal RmakSchedule, may bahacd if more.pw is reuimc1)NOFESRIO <br />1D2PARK ST, CERRITOS, CA 90703 <br />I <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OFTHE MOVE DESCRI <br />Risk Management Division DATE THEREOF, NOTICE WILL BE <br />-- — <br />20 CIVIC Center Plaza, 4th floor — AUTNORIZEDREPRESEM <br />Santa Ana, CA 92701 <br />ACORD 25(2016/03) ©1988-2( <br />31-1769 11-15 The ACORD name and logo are registered marks of ACORD <br />POLICY PROVISIONS <br />•v'r �.,.\� Ntnle mafugemenx Unanum <br />rV \� REVIVIEWED&APPROVED BY.' <br />Z kL°Pw <br />® Risk Management Analyst <br />