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A� D® CERTIFICATE OF LIABILITY INSURANCE <br />Dare t02/2021rc) <br />12/0/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />JOSE GASTELUM LiC# OD10779 <br />CONTACT <br />Jose Gastelum, Agent <br />OE <br />PNCN o .714 557 3344 Fnc N0:714-327-0198 <br />STATE FARM INSURANCE <br />ADDRESS: jose.gastelum,L8LS@statefarm.com <br />State farm 1780 E MCFADDEN AVE STE 114 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />SANTA ANA, CA 92705 <br />wSURERA:State Farm Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />INSURER B : <br />INSURERC: <br />SLS PROPERTY SOLUTIONS INC. <br />INSURER D : <br />919 E SANTA ANA BLVD <br />INSURER E: <br />SANTA ANA, CA 92701 <br />INSURER F : <br />COVFRAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />A L <br />U <br />POLICY NUMBER <br />EFF <br />MWDDNYYY <br />MALICY <br />MIDDIIYYYY <br />LIMITS <br />COMMERCIAL. GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS-MADE1-1 OCCUR <br />DAMAGE TO RENT <br />PREMISES lFa occurrence <br />$ <br />M ED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMPIOPAGG <br />$ <br />JECTPOLICY PRO <br />LOC. <br />M'OTHER: <br />$ <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />535 513ti-F01-75A <br />12/01/2021 <br />0610112022 <br />Eaacc+de0t fN LE LIMIT <br />$ 1,000,000 <br />BODIL.YINJURY (Perpersori) <br />$ <br />AUTO <br />4733354-F13-75G <br />12113/2021 <br />06/1312022 <br />BODlLYINJURY (Per accident) <br />$ <br />IANY <br />ALL OWNED X SCHEDULED <br />AUTOS NON -OWNED <br />X H[REDAOS <br />UT05 X AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />'$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRiETOR1PARTNERIEXECUTIVE <br />RH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />S <br />E,L. DISEASE - EA EMPLOYE <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />2006 Ford F250 SD <br />1FTSX21P96EB68260 <br />Y <br />Y <br />535 5136-F01-75A <br />12/01/2021 <br />06/01/2022 <br />2018 Ford F150 Pick Up <br />1FTMFICBJKE76591 <br />473 3354-F13-75G <br />12/13/2021 <br />06/13/2022 <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) <br />2006 Ford F250 SD & 2018 Ford F150 Pickup: Hired autos is only for rented vehicles <br />Additional Insured with Endorsement 6028BU: <br />City of Long Beach <br />Public Works - Public Service Bureau <br />1651 San Francisco Ave <br />CANCELLATION <br />CITY OF LONG BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Attn: TERI LUCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PUBLIC WORKS- PUBLIC SERVICE BUREAU ACCORDANCE WITH THE POLICY PROVISIONS. <br />1651 SAN FRANCISCO AVE <br />AUTHORIZED <br />LONG BEACH, CA 90813 ESENT vE <br />O 1988-2014 ACORD ORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 <br />