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Digitally signed by Francine R.
<br />Francine R. Villareal
<br />Villareal Date: 2022.02.16 15:36:06
<br />I TE (MMMD/yyyyI
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />08116/2021
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />HOLDER.
<br />CERTIFICATE DOES NIO,T AFFIRMATIVELY OR NEGATIVELY AMENID, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IINSUIPER('S), AUTH701RIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and: conditions of the policy, certain polities may require an endorsement, A statement on
<br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s),
<br />PRODUCER CONTACT
<br />Edward T, her
<br />-NAME, . ....... ........... .
<br />Edward Taber Insjranoe PHONE 949-42'-1 ... 3493- FAX
<br />,W,C,jh%,9x* 737-212-16650
<br />1312 C>iALK LN E-MAIL,�, EdWar . . ... ...........
<br />�Annl= d C07abeni n su rance,co m,
<br />. ...... .... . . ....... . . . . ........... ----
<br />CEDARPAFI< TX 78613-1429 ---Ev" a n"S,t"on'Ilisu'rance Compaiy
<br />............ ..... . .. INSUIFER.&:.-- .. .. ......... ... ..... .... .
<br />lNSURED
<br />INSURER Br.
<br />.... . ..... ....... .... . . ..... .......... .......... . . .. . . .......
<br />81-SRoperty Management SclutionsInc, INSURER C :
<br />. . ............................ ............. . . ..... .
<br />1776 Park Ave Re 4-271 ... ......... .......
<br />INSURER D
<br />. . .. . . ........ - ------
<br />INSURER E
<br />Park Oty IT 84060 INSURER f . . . .... . ............ ..... .. . .........
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS 7 0 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY PERIOD
<br />INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONCHION 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. l-WiTS SHOWN MAY HAVE BEEN REDUCED BY PAC CLAIMS
<br />NNSRAUDC'SUBA . . ... . ... . ... . ..... . ....... . ...... . . . .... . ......... . .......
<br />POLIOYEI"
<br />LTR --'TY-P-E OF INSURANCE POLICYNUMBER (MWDDIYYYY� lMM/DU(YyYY) LIMITS
<br />X. COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE 1 0100,000
<br />X OCCUR DAMAGE TO RENTED ... ......... . -
<br />CIAIMS-MADE I 00,OW
<br />... ... . ......
<br />VV06
<br />........ .. . . ..... MED EXF �Any on, porsan) 5,000
<br />XI PNCVVcrding y y 3AA491490 07125/2021 07/2512022 , ............... . ... PERSONAL 6 ADV INA)HY $ 1,11M0,000
<br />(.3ENT AG(3REGATE LIWT APPLIES PER
<br />AGGREIjATE 2,000,,000
<br />PIP -T----y666
<br />X 1 PRODUCTS - COMPIOP AGC, $ 0
<br />IECT LOC
<br />TITHER.
<br />AUTOMOBILE LIABILITY OBINED, SINGLE LINUT
<br />$
<br />ANY AUTO a,DrLY NJ6RY , (Po, perwr,t
<br />OVNED SCHEDIJI ED
<br />AUTC)$ ' )NL - y AUTOS BODR.Y INJURY (Per aedems s,
<br />NONOWNED . ....... .. -
<br />R 6-PT'. wff D--AMA -G-E - -- ------- . .............. . ..... .
<br />AUTOSONLY AUTOS ONLY S
<br />�,Pwarryciden�
<br />....... . ..... ...... . .... . . - — - -- ------ .... ... ........... . ....
<br />F S
<br />UMBRELLA UAB OCCUR
<br />EACHOCCURRENCE $
<br />. .......... . . ............ . . . ...........
<br />EXCESS LIAR
<br />AGGREGAIE .... .. ........... .. CLAIMS,MADE
<br />--- ---------------
<br />WORKERS COMPENSATION PER FH
<br />AND EMPLOYERS'UABILITY
<br />ANYPIROPFIETOR,IP4kR'rrJER/E'XE"IJTI'VE VAN ......... ... $TATU.T.E I ........ ........ . .... . .......
<br />�NIA E L EACH ACCIDENT $
<br />OFFICEWMENSERCX( oFE�'' . . ......
<br />�MandatOry in NH) El s
<br />if yes sa"be und& -,Di-EASE-EAEMPLOYEEI $
<br />DF9CRJPrI0N OF OPERATRONS belIew E. I. DISEASE - PUDUY LIMIT $
<br />null
<br />DESCRIPTION OF OPERATIONS J LOCATIONSP VEHICLES eACORD 101, Additional Remarks Schedule, maybe stlached Urnore space is reqmredp
<br />aty of Santa Ana Rsk Management Division, its officers, eMpf0yees agents and represent atives are narned as additionad insored asrespectsgeneral Irabibty for services
<br />proved by the narned insured Coverage is Primary and Non -Contributory. Cartificate holder will be given 30 day cancellation notice 17 wirting if the above poiicy is
<br />chaiged and cancelled,
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Risk Management DwSion THE 1 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACC0RDANCE WITH THE POILICY PROVISIONS
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Area Ca 92701 A UTHORIZEDIREPRESENTATIVE
<br />6 ZQ
<br />C 1988-2015 ACORD COI , Rlsk MwIagernad DMsian
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD REVIEWED & APPROVED BY.-
<br />1Z. V14"a
<br />Risk Management Analyst
<br />
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