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Commercial Certificate of Insurance <br />Agency GABIEL A. DIAZ <br />Name 2706 P[ARBOR BLVD, STE <br />& COSTA MESA, CA 92626 <br />Address 714-434-7600 <br />St.. 97 Dist. 61 Agent 32M <br />Insured <br />, RELAMPAGO DEL CLELO, INC- <br />Name , DBA:BALLETFOL.KLOR[CO <br />& - 600 W. SANTA ANA BLVD <br />Address - SANTA ANA, CA 92704 <br />• "k FARM E RS <br />Issue Dace (NlIv[/DD/YY) 06/23/20 <br />This certificate Is Issued as a matter of information only and confers no rights <br />upon the certifcate holder. This certificate does not amend, extend or alter the <br />coverage afforded by the policies shown below. <br />Companies Providing Coverage: <br />Company A 'Truck insurance Exchange <br />Letter <br />Company B Farmers Insurance Exchange <br />Letter <br />C.a1 opany C Mid -Century Insurance Company <br />Cnmpony Q <br />Lehr <br />c Coverages <br />This is to certify dial rite pollcles of Insurance listed below have been its led to the Insured named above for the policy period Indicated. Notwithstanding <br />In requlrerst term or condition of any contract or other document with respect to which lids certificate maybe Issued or may pertain, the Insurance <br />afforded by the policies described herein is subjeia to all the terms, exclusions and conditions of such policies. Limits shown may have been r,dueed by <br />paid claims. <br />Co' Type of Insurance Potiry Efflxttve Policy Expiration <br />Lu. _ yP Polley Number Uate _ptwraonm Date 641Inon>7 Policy Limns <br />X General Liability 60,133-45-09 03/07/20-- 4.•:�0 /GkiJ711 General Aggregate - $4,000,000 <br />X Commercial General - Products-Comp/OPS <br />Uabllfty Aggregate S 2,000,000 <br />B I X - Occurrence Version Personal & . I <br />Advertising Injury S 2,000,000 <br />Contractual • Incidental Each Occurrence <br />Only Fire Damage $ 2,OOQ000 <br />Owners & Contractors Prot. (Any one Ore) 1 S 100,000 <br />Medical Expense l <br />.---__. (Any on, Eidson) S 5,000 <br />Automobile Liability I combined single— T------'� <br />All Owned Commercial i Limit S <br />Autos i Bodily In lay i <br />Scheduled Autos l (Per personl S <br />f3 1 X L[IredAutos l <br />i 60433-45.09 03(OZ20 03/07/21 IBodl1Y Injury Non,OwnedAutos Per <br />accident) S 2,000,000 <br />60,133-45-09 03/07/20 03/07/21 <br />GarageUabtlity Property Damage $ incl. <br />Garage Aggregate <br />Umbrella Uability <br />_ By Risk tiaGLntEnr bi _isiaN unto s <br />Workers' Compensation u Statute <br />ry <br />and 0 i Each AccidentEmployers' Liability iDiseasceaee,npie5 <br />4612 <br />Dlsease PabcyLimit SDescription of Operations/Vehicles/RestrictioWLLA _--- -- -----! <br />CERTIFICATE HOLDER BELOW (ALSO LISTED AS ADDITIONAL. INSURED ON POLIM City orSmaa Ana, otliccrs, agents, <br />employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement or mermrandu a of <br />understanding. This insurmcu coverage shall be printery, and any insurance carried by the City shall be excess and noncontributory. <br />Certificate Holder — <br />Cancellation <br />. City of Santa Ana Should any of the above described policies be cancelled before the expiration date <br />Name . Risk Management Division thereof. the Issuing company will andeavor to man 30 days written notice to the <br />& 1 20 Civic Center Plaza, 4th Floor certificate holder named to the left, but Fillers to mail such notice shall impose no <br />Address , Santa Ana, CA 92702 obligation or liability of any kand upon the company its aeons or ire i <br />reI smaxtives. <br />Gabriel A. Diaz.Aecney; 97 ' 1-32M <br />Authonztdn�rescntat c <br />Copy DisMbutlon: Service Center Copy trod Agent's Copy eras' <br />