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178504 Servando Varela Dba Xv Solutions CertificateR11 re gne01ryfan""` Francine R. Of Insurance Page (1 of 2) Villareal 7/7/2020 3:02:40 PM a,ar '°J0.3°'°"`°° A� �® CERTIFICATE OF LIABILITY INSURANCE DATEm2020 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 have ADDITIONAL INSURED provisions or 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 000 ooffechlnsurance Y, Saram�� lechlnsurance CONTACT NAME: PHONE $00 668-7OZ0 FAX 877-$26-9067 A,D Na: E-MAIL ADDRESS: INSURE S AFFORDING COVERAGE NAIC 0 30 N. LaSalle, 25th Floor, Chicago, IL 60602 INSURER A: Sentinel Insurance Company, Limited 11000 INSURED INSURER B INSURER C: Servando Varela Dba Xv Solutions PO BOX 28373, Santa Ana, CA, 92799 INSURER 0: NSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RFVISInPJ NIIMRFR- 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 LTR rypE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF IMKUDDIYYYYI POLICY UP MM/DDryYYY LIMITS A 1/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Yes 46SBMUN0237 6/3012020 6MM021 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea accunenw $ 1000000 MED UP (Any we person) $ 10.000 PERSONAL B ADV INJURY $2,OOg000 GEML ✓ AGGREGATE LIMIT APPLIES PER: POLICY 0 PRO- ECT LOC OTHER: GENERAL AGGREGATE $4.000,000 PRODUCTS - COMP/OP AGG $ 4.000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS H AUTOS Yes 46SEMUN0237 6/30/2020 6/3012021 COMBINED SINGLE UNIT Ea accident $ 2,OW,000 BODILY INJURY (Per Person) $ BODILY INJURY Per accident ( ) $ ✓ I PROPERTYDAMAGE Per ac itlant $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ H AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETCRIPARTNERIEXECUTIVE F OFFICERIMEMBER EXCLUDEDW (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached if more space is required) Please see the attached "Additional Remarks Schedule" form for additional details and remarks CANCELLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza, Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management Division, 4th Floor AUTHORIZED REPRE$ENTATNE 16ak MiIY�DMnt D(yisiwt 8 REV Elvin s APPR�O�V/E�D BY�: ©1988-2014 ACORD C .'' F,,I.wu P UtL(lNGK ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Analyst