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A�® DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIABILITY INSURANCE osl0112021 <br />V <br />THIS CERTIFICATE 15 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 policypes) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements). <br />PRODUCER CONTACT CARL WINSTON <br />StateFc7rm CARL WINSTON PHONE 310-808-9142 Fuc No) 310-ao8 9196 <br />(" N0.FXt): <br />1451 W. ARTESIA # 10 EMAIL CARL.WINSTON.TBJ6@STATEFARM.COM <br />� � ADDRESS: _ <br />GARDENA, CA. 90248 _ INSURER(§) AFFORDING COVERAGE NAIC # <br />INSURERA; State Farm Mutual Automobile Insurance Company 25178 <br />INSURED <br />ALL CITY MANAGEMENT SERVICES, INC <br />10440 PIONEER BLVD STE 5 <br />SANTA FE SPRINGS, CA. 90670 <br />D; <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY <br />THE INSURED <br />OR OTHER <br />DESCRIBED <br />PAID CLAIMS. <br />NAMED ABOVE FOR THE POLICY PERIOD <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />1NSR I NO SIJBR PY EFF OLIC <br />LT TYPE OF INSURANCE POLICY NUMBER MMIDD1YYYY <br />POLICY EXP <br />MM DD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE El OCCUR <br />EACH OCCURRENCE $ <br />DAMR E TOREN ED <br />PREMISES Ea occumgncgL <br />$ <br />MEP EXP (Any one person)$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />GEN'L AGGREGATE LIMIT APPLIES PER' <br />PRODUCTS - COMPIOP AGG <br />_S <br />$ <br />POLICY L] L JECT OC <br />OTHER: <br />AUTOMOBILE LIABILITY Y Y <br />COMBINED SINGLE LIMIT <br />(Ea accident <br />$ 1,000,000 <br />RODiLY INJURY (Per person) <br />$ <br />f` ANY AUTO A <br />%� 75-0805-U84 08/112021 <br />A OWNED �/ SCHEDULED <br />X AUTOS ONLY / AUTOS <br />XHIRED j� NON -OWNED <br />AUTOS ONLY �` AUTOS ONLY <br />08101I2022 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />H CLAIMS -MADE <br />DEL, RETENTION <br />WORKERS COMPENSATION <br />STATUFE E7RH _ <br />$ <br />W.. <br />E.L. EACH ACCIDENT <br />$ _ <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOPJPARTNERIFXECUTiVE <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />OFFICEWMEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N I A <br />- <br />E,L. DISEASE - POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />CITY OF SANTA ANA, CA <br />20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE <br />SANTA ANA, CA. 92701 Completed by an authorized State Farm re resentative. If signature <br />is required, please contact a State <br />oRAN�F RiskManapnentDivisian <br />1988.2015 ACORD 3 / REVIEWED & APPROVED BY: <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �• v� <br />Risk Management Analyst <br />