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ACORD" CERTIFICATE OF LIABILITY INSURANCE <br />UAIE(MMOD'YYYY) <br />12114:2020 <br />THIS CERTIFICATE IS ISSUED ASA 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: It the certificate holder is an ADDITIONAL INSURED, the Pollcy(los) 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 cortlRcalo does not confer rights to the certificate holder In lieu of such endarsement(s). <br />PHODUCLH <br />CONTACT Odelia Samya <br />NAME <br />Carl113I F10'llder5 ln3h(9oCe <br />PHONE a (B1B}676-W 16 Af, No- 1818)676-13015 <br />' <br />L,CensekOHEc'3Ii: <br />DdeBaiuGPlSGfeU Lam <br />nO0ftE33: P <br />2G75OVentura Blvd.. Ste 2CS <br />MSURERMAPPONn1N0 COVERAGE <br />NAXN <br />Ydccdland Hills CA 91364 <br />INSalRE12 A: Falls Lake Ere B Casualry Company <br />I5B8d <br />INSURED <br />INSURER a <br />Medina, Guadalupa. DBA: Santa Fe Building NtaM;enarce <br />INSURER C <br />15014 Pak,,! n, Ornre <br />INSURER G <br />iN5URER E: <br />China Hills CA 917119 <br />M5URER r : <br />GUVLIiAGCb CERTIFICATE NUMBER: 2U zT WREVISIONNUMRFR- <br />' 1: -:C7RTFYTHATT1i=POLIC'IES OF INSURANCE LISTED BELOW HAVE BEEN SSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />ril`JO7.-ATHSTANDIJG ANY REDUIREMEN r, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V.ITH RESPECT TO WlIiCh THIS <br />--9-:1. -HAY BE ISSCED OR LIAY PERTAIN. THE INSURANCE AFFORDED BY Pn LOOLICIES DE<aCRiBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />L ;_ _ Jai o'IS AND CONOI I IONS OF SUCH POLICIES LR.RTS SI M-AN MAY I IAVF BEEN REDUCED BY PAID CLAIMS - <br />S'"1, <br />'.-R <br />TYPE OF INSURANCE <br />tilso <br />WWI <br />IWLICYNIflall <br />ICY LH, <br />MM,iN,YYYYI <br />PDUCY EXP <br />MAOYYYY <br />LIMITS <br />CONNIERCIAL GENERAL LIABILITY <br />EL3.MS VIV= ❑ OCCUR <br />EACH C.GCUHeSW:F <br />5 <br />PREV1SSS,Eo..rci <br />$ <br />f.FD EXP iAnY ere e< .nnl <br />PfRS3fU.LA ALYY MJtW.Y <br />F <br />GGNLAGGii_=^,;_IM I+.+CIF' EH <br />:. <br />Fctic. ❑ r_- ❑ Le<: <br />GENERAL AGGREIII AIE <br />$ <br />PRox'eTs •encn=,nPAc; <br />CCM1EiOaE]SMIe_C LIMIT <br />U-nU <br />F <br />< <br />CTI IER <br />Atl?C6109IIE <br />LIAflILOY <br />ANV AL^TG <br />BOOZY IM:URY IPer prsanl <br />$ <br />C-ANED 5CHCp1.LCD <br />AJ'O` .NL✓ I I AUTOS <br />GODLY INJURY (Per accvinnti <br />F <br />HIREC M?N-O.YRCp <br />AJ*bvNLv AUTOS ONLY <br />PFA',FRtt pAhl4GE <br />S <br />$ <br />- <br />UMBRELLA LM@ <br />(f,T,LIR <br />61CHGC=IIW:{:NfF <br />$ <br />AC,:aA4OAlE <br />I <br />EXCESS LIAR <br />CI AIA1ti-lRTiF <br />I•I:u H-11,NIHIN 4 <br />S <br />'AYJRk ENS CUe LRSANOn <br />CCR Ole- <br />AN]FMPLOYERTLIABIUTY Yry <br />1'i1 PHrll'RHOM1'PA@LNFPoF%-,^,UF'dE <br />.-wl:eRrJrlixPn FXp.JD=T+ ❑ <br />N!A <br />FLA0150.,9400 <br />12;IS Ff120 <br />12r1a'2021 <br />S`J•T IT= Ee <br />E.L biE:HLf::: JHa <br />$ 1,000,OOG <br />E.L Jc;F;•Sc FA PP=�YFE <br />3 1.000,00G <br />: etandmory In NHF <br />-:cH11IUN01-;:veH:aRIN:.rrYm, <br />tL,I:;F:;., F(aC�IRLT <br />$ t6Go.e9a <br />rE5�RI PT4M OF GPERATIGNs) LGCATtoNs! vEHIcas (ACCNBG T01. MtllUbnal kemarks Sccedula- may be aMMhed II more 6"Ce IB ",do J) <br />Jab Location: <br />20 CIVIC CENTER PLAZA, SANTAXI A. CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SANTA ANA RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />4TH FLOOR Aun16R17Eo REPafsfnTanvE <br />SANTA ANA CA 027C7 <br />IiEVYeX�6 APPROYm B'[ <br />Ei 198&2015 ACORD C %u P&vo,r <br />ACORD 25 (201 Bf031 The ACORD name and logo are registered marks of ACORD RRkrnama<1,n,m..;�lan. <br />